Why Do Bruises Turn Yellow?
Why Do Bruises Turn Yellow?
Whether you have accidentally hit your funny bone against something or have been in a more
serious traumatic accident, you’ve most likely experienced bruising before. Bruises occur when
very small blood vessels (capillaries) break because of trauma to the skin. You may wonder:
Why are bruises certain colors? Why do bruises turn yellow? This color and appearance change
over time is normal, and you can tell how old bruises are according to their color. Usually, skin
returns to normal 2-3 weeks post-bruising and injury.
If your bruises are yellow, this means that they will soon be completely healed. This final stage
of healing is characteristic of the yellow hue. Hemoglobin, a protein containing iron, is released
into the body upon the breakdown of red blood cells. This hemoglobin is converted by your body
into colored chemicals as your bruises begin to heal, and these chemicals cause the color change.
So, why do bruises turn yellow specifically? This is because the final hemoglobin breakdown
product is bilirubin, which is yellow. The yellow slowly fades away, leaving your skin healed
and normal, as your body clears the last of these chemicals from your blood.
As mentioned earlier, bruises change color due to the breakdown of hemoglobin that is released
into the blood when trauma first happens and capillaries break. We will now discuss the various
common bruise colors.
Red: This is commonly the initial bruise color, especially if the bruise occurs very near
the skin’s surface. This is the color of your tissues being flooded with fresh blood –
bright red, from both oxygen and iron – leaking into it.
Blue: Some hours after the initial bruising, blood that leaked from broken capillaries
loses its oxygen. This causes the blood to darken and bruise appearance to be purple or
blue in hue.
Purple: Normally, after 1-3 days (varies according to injury severity), bruises can
become darker purple and sometimes black. This happens due to the complete breakdown
of blood cells and release of iron.
Green: This is the first sign of your bruises healing (purple to green transformation).
When hemoglobin breaks down to biliverdin, green color results – “verdin” comes from
the Latin term for “green!”
Why do bruises turn yellow? Because it's healing. However, sometimes bruises don’t heal
completely, and the bruised area may become firmer, larger, and more painful. If this happens, it
may be due to one of two most common causes:
A hematoma may have formed to wall off blood still under the skin or muscle, instead of
the normal body process of clearing it way;
The body may have deposited calcium in the area of the injury, in a process called
“myositis ossificans” or “heterotopic ossification.”
The former reason simply requires a draining, but the latter reason is more serious and less
common and must be diagnosed with an x-ray.
Now that we have learned about different colors of bruises and answered the question “Why do
bruises turn yellow?” we will discuss ways to support bruise healing.
Apply ice to the injured site – a cold compress, like wrapped frozen vegetables – to
prevent excessive blood leakage to the surrounding tissue.
Wrap an elastic bandage around the injured area to squeeze the blood vessels under the
skin and prevent blood vessel leakage.
Reduce blood flow to the bruised area. For example, if your leg is bruised, prop it up
above heart level.
An alternative way to prevent discoloration is to apply a warm compress, such as a hot
water bottle, over or under the injured area.