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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Painful Bruises On Lower Back And Knees Of A Child?

Our 20 month old daughter has been complaining of back pain recently. When I ask her to show me where, she reaches back with her right hand, just above her waistline. A few weeks ago, she started screaming that her right knee hurt and she couldn t walk well on it for about 5 minutes. We noticed two unexplained small bruises, one on each side of her knee. Then this past week, we noticed a similar small bruise on her lower back. At this age, it s hard to know what is bothering her, but she really is very verbal for her age. She complains of back pain at various times - sometimes in her car seat, this morning when I came in to get her out of bed, other times just randomly throughout the day. Should we be concerned, and what do you recommend? We re not sure if it s her back or kidneys or a UTI or what. She s had a cold for the past 2 weeks, which developed into a double ear infection but other than that, no noticeable changes.
Sat, 28 Apr 2018
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Pediatrician 's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

Are you sure that there has been no trauma, as explanation for back pain and bruises?
Are there other symptoms such as fever, weight loss, poor appetite, or fatigue?
From what you describe, it could be serious. I urge you to take your daughter to her primary care doctor as soon as possible.

I hope I have answered your query. Let me know if you have any further questions.
Regards,
Dr. Arnold Zedd
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What Causes Painful Bruises On Lower Back And Knees Of A Child?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Are you sure that there has been no trauma, as explanation for back pain and bruises? Are there other symptoms such as fever, weight loss, poor appetite, or fatigue? From what you describe, it could be serious. I urge you to take your daughter to her primary care doctor as soon as possible. I hope I have answered your query. Let me know if you have any further questions. Regards, Dr. Arnold Zedd