Broken blood vessels plague reader

DEAR DR. GOTT: I read an article about a person who broke blood vessels frequently. I used to break them at least three times a week, so my doctor ran blood tests. She told me to increase my vitamin C intake, which I did. But what really helped was when I started drinking tart cherry-juice concentrate, usually taken for joint pain. I still break blood vessels but not as frequently and only in my fingers or toes.

DEAR READER: A contusion or bruise occurs when tiny blood vessels near the surface of the skin are damaged or broken. This is often the result of a direct blow to the skin, such as hitting a hand or shin against a piece of furniture. Blood leaks from the injured blood vessels into the surrounding tissues, and a colorful bruise results. We tend to bruise much more readily as we age, perhaps because blood vessels become more fragile and skin thins. Also, a number of medications, including aspirin and anticoagulants, can cause bruising at the slightest pressure.

Vitamin C is a water-soluble vitamin that can’t be manufactured in the human body. This vital component is obtained through diet and supplements but must be taken in moderation, because excesses can lead to abdominal distress, an increase in iron absorption and kidney stones. Vitamin C is necessary for synthesis of collagen, an important structural component of blood vessels. This antioxidant is necessary for the growth and repair of tissues and the healing of wounds. With deficiency, easy bruising, weakened blood vessels, joint pain and bleeding can result.

Vitamin K, produced by bacteria in the intestines, aids in blood clotting. Low levels of that vitamin can lead to excessive bleeding.

Cherry-juice concentrate has been touted to control symptoms of gout, arthritis, headaches and a host of other ailments. The Food and Drug Administration warns manufacturers with regard to making false statements. Nonetheless, it certainly is possible that if you have less joint pain, you are less likely to stub your toes, bang your knees or whack your hands. The product cannot harm you and may be safer than some prescription drugs.

I would feel better if you were to have your primary-care physician perform a complete examination to rule out any unknown medical conditions. Or perhaps you should request a referral to a hematologist (blood specialist) who can determine whether the problem is a clotting disorder.

To provide related information, I am sending you a copy of my Health Report “Vitamins and Minerals.” Other readers who would like a copy should send a self-addressed stamped No. 10 envelope and a $2 check or money order to Newsletter, P.O. Box 167, Wickliffe, OH 44092-0167. Be sure to mention the title or print an order form off my website at www.AskDrGottMD.com.