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Fatigue and large bruises on legs

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I am 23 years old. Female. Over the last month I've noticed that I am very fatigued no matter how much sleep I get. I've been getting random large bruises on my legs even though I know I haven't run into anything. They take about 2 weeks to go away but more always pop up. I've lost about 20 pounds in the last 3 months due to a very decreased appetite. I also keep getting a sharp pain in my right side. I went to a doctor a few weeks ago about the pain and was having some blood in my urine. He said I didn't have an infection and when the blood went away he said it might have just been kidney stones. This weird bruising is starting to concern me though. I hate going to the doctor and I'm just wondering if this is something I need to get checked out.

Category: Internal Medicine Specialist

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Dr. Jaydeep Tripathy
Category: HIV- AIDS Specialist
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Expert:  Dr. Jaydeep Tripathy
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Hello,

Thank you for choosing DoctorSpring.

Yes these symptoms will need evolution for sure. You should NOT hesitate !
The bruised could be from a immune phenomenon or low platelets. Loss of weight is a concern indeed. The blood in urine also needs evaluation. Although kidney stones could cause it, other symptoms could not be explained. There are many possible differential diagnosis in this stage. However before pointing towards a diagnosis you will require at set of tests (including, but not limited to)

1. Complete Blood count
2. Renal Function Test
3. Liver function test
4. Urine Routine (Protein , Microscopy )
5. Ultrasound abdomen.
6. ANA
7. HIV (if there is high risk sexual behaviour in past)

If you have any of these blood test do udpate me with the results. You can reply as a followup. Thank you

Dr. Jaydeep Tripathy
Category: HIV- AIDS Specialist
Experience: 
MBBS from Sri Ramachandra University in December 2011
M.Med (Family Medicine) - TNMGR University, Chennai
MBA-MPH in Public Health in March 2016, SRM University
Finished AFIH in March 2016, SRM University
MRCP ( UK ), Internal Medicine, Royal College of Physicians, June 2016
Fellowship in Diabetology from Martin Luther University in January 2017

Currently Resident Physician, in MD Radiodiagnosis - Kamakshi Memorial Hospital, Chennai
Dr. Jaydeep Tripathy and 4 other Medical Specialists are ready to help you

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