### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
my 80 year old mother has spinal stenosis. She has recently experienced a twisted colon which we belive may be from her body being bent over and twisted. She has informed me this evening that both arms have turned blue on the back of her arms, it started over a month ago with her right hand swelling. After seeing several physicians, a sports medicine doctor put a cortisone injection in her hand and fingers. That was 2 weeks ago - she said afterwards her right arm turn bruised on the back side of her arm and she went back to the Dr. who told her it was where the needle hit a vein and it was nothing to worry about.  Now her left arm is the same way - bruised on the back side - and has been this way several days. She also has experienced an increase in acid reflux at night and has began to spit up because of it.  IS it possible the bruising of her arms is poor circulation - or heart condition from being bent over and twisted? IS there any hope she can ever be better?

### output:

Hi, Thank you for your question to Chat Doctor. Bruising in elderly individuals not related to trauma may either be a result of fragile soft tissues and blood vessels or blood disorders. Swelling of the hand may again be related to blood or blood vessel problems. From your description of her body being bent over and twisted I believe it is related sideways tilting and forward bending of her spine as a result of degeneration in the vertebral joints. This is unlikely to be the cause of twisted colon. Acid reflux may or may not be related to the bruises that is difficult to say without detailed clinical examination. I would suggest seeing a medical doctor to find out if there is a link between all these symptoms who can also seek help from hematologist if needed. Hope this is helpful. I would be happy to answer any questions you may have. Best wishes for your mothers' health.