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

### input:
Hi I m trying to get info on behalf of my mom...she s 55yrs old now and for the past 10 yrs if not more she has this strange lumps with swelling around the effected area forming after a small injury e.g. knocking her foot against the bedside table or picking up a bruise on her hand after a small knock ect. After an injury like that, she gets like an almost hardened lump which she finds very painful and which sometimes last for months before going away. A few years ago she had one of these lumps removed by a doctor and she can only describe it as dried, hardened blood being almost crumbly . The doctors never found a reason for this happening and as a result this still happens quite regularly. After time she ended up drinking loads of pain killers. She did come across some tablets which she reckoned helped quite a lot, but then after a recent serious ulcer, the doctors recommended she doesn t use these tablets anymore. Do you have any idea of what the cause of these lumps might be. I apologise for being vague, but this is the only info I have. Me and my mother lives in different countries and I m just trying to get some more info on the subject. Any help will be appreciated.

### output:

Hi, Dear thanks for the query to Chat Doctor virtual clinic. I studied your query in full details updated from you. I understood your health concerns. Based on your query data, In my opinion, Dear Your Mom seem to suffer from Coagulation factors deficiency, mostly factor VIII and others need to be investigated in your case. Consult Physician and Hematologist to work up your case and find out the cause of repeated hematomas and fibrotic resolved lumps after small injuries. Liver illnesses and alcohol cirrhosis need to be ruled out as these may cause such a lump commonly, if not kept in mind would increase the cost of investigation and treatment in your case. Hope this reply would help you to evaluate your case and treat it with your doctors in time to come. Hope this would resolve your query and worry and Anxiety accompanied by it. Welcome for any further query in this regard to ME. I would love to help you out.Awaiting any further query. Wish you fast recovery from this intriguing health problem. Have a Good Day. Chat Doctor. N.M.S. Genl-CVTS -Senior Surgical Consultant