Bruising in Kids

As parents, noticing a bruise on your child can be concerning, especially if it’s not clear how it happened. While most child bruises are harmless and part of everyday play, some may require closer attention.

If you’re ever concerned about your child’s bruising or have questions about their health, the team at Bootin and Savrick Pediatric Associates in Houston, Texas, is here to help. Schedule an appointment today for expert and compassionate care.

A boy with bruises on his legs crying after getting hurt in Houston, Texas.

What is a Bruise?

A bruise (medically known as a contusion) occurs when small blood vessels under the skin break due to an injury. This leads to blood leaking into the surrounding tissue, causing discoloration.

Common causes of bruises in kids include falls, bumps, or minor accidents—routine childhood injuries that happen during active play. Bruises are typically harmless and heal on their own, but the severity and location of a bruise can sometimes indicate deeper trauma.

Occasionally, unexplained bruising may point to underlying issues, such as a bleeding disorder. If your child frequently experiences bruises without an obvious cause, especially alongside symptoms like bleeding gums or excessive bleeding from minor cuts, it’s important to consult a healthcare provider.

What Do the Different Colors of Bruises Mean?

The color of a bruise can give clues about its age and the healing process. A new bruise often starts out reddish or purple due to the accumulation of blood under the skin. Over time, the body breaks down the blood, changing the color of the bruise to blue, green, yellow, or brown before it fades entirely.

  • Reddish or purple: The initial appearance of blood pooling beneath the skin.
  • Blue or dark purple: Within a day or two, oxygen levels in the blood drop, causing a darker color.
  • Green: As the body starts breaking down hemoglobin, a greenish tint appears.
  • Yellow or brown: The final stages of healing as blood is reabsorbed and the bruise fades away.

How Long Do Bruises Take to Go Away?

Most bruises heal within 7–14 days, but the timeline can vary depending on the severity and location of the injury. Bruises on areas with more fat tissue, like thighs, may take longer to heal than those on bony areas like knees or elbows.

If your child’s bruise doesn’t improve after two weeks or seems to be worsening, it’s a good idea to seek medical advice.

How Can Parents Help if Their Child Has a Bruise?

Although bruises heal naturally, there are steps parents can take to alleviate discomfort and promote healing:

  1. Apply a cold pack: Place a cold pack or a clean cloth filled with ice on the bruise for 10–15 minutes. This helps reduce swelling and slows blood flow to the area, minimizing discoloration.
  2. Elevate the bruised area: If possible, elevate the injured limb to reduce blood flow and swelling.
  3. Encourage rest: Ensure your child avoids putting pressure on the bruised area until it starts to heal.
  4. Use over-the-counter pain relief: If the bruise is causing discomfort, consult your child’s pediatrician about appropriate pain relief options like acetaminophen or ibuprofen.

When Should Parents Be Concerned?

While most bruises are minor, some may indicate a more serious issue. Parents should be alert to the following warning signs:

  • Bruises that appear in unusual locations, such as the abdomen, back, or neck, which could suggest deeper trauma.
  • Frequent or unexplained bruising, which might indicate a bleeding disorder.
  • Bruises accompanied by additional symptoms, such as bleeding gums, nosebleeds, or prolonged bleeding from minor cuts.
  • Large, swollen bruises that don’t improve after a few days or seem to worsen.
  • Pain that persists or increases over time, potentially signaling a broken bone or other underlying injury.

When to See a Doctor

If your child’s bruise meets any of the concerning criteria above, it’s important to consult a pediatrician. Additionally, if you suspect child abuse or unexplained injuries, immediate medical attention is critical.

At Bootin and Savrick Pediatric Associates, we have experience evaluating and managing childhood injuries, including bruises. Our team works closely with families and specialists to ensure your child receives the care they need.

Helping Your Child Heal and Thrive

Bruises are a common part of childhood, often reflecting the active lives kids lead. While most bruises heal without intervention, understanding when to act can help you protect your child’s health and well-being.

Don’t hesitate to schedule an appointment with Bootin and Savrick Pediatric Associates in Houston, Texas. Our experienced pediatricians are here to help your child heal and thrive. Reach out today for compassionate and comprehensive care!

Medically reviewed by Dr. Monica McGrann