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

### input:
My 8 yr old son has bruises that reoccur on his spinal column more on than off. Infact we may see a few completely disappear but over all they seem to be really always there at least 3-4 and upto 8-10. He doesn t seem to hurt. When he was younger he had hypogammaglobulin anemia, many respiratory illnesses, gerd, asthma. He has a pulminologist and an infectious disease dr currently along with Pediatrician. We went to er they overall blew him off. We went to immunologist she said doesn t look concerning and ran bcc and immune panel which she just called and said looked good. This last weekend I noticed they were back in full force so I took photos and sent to her before she called a bit ago and said they don t seem like anything worry some though she never saw this time because I couldn t get photos to send. I was just wondering is this something to be concerned with or?????? I don t know how to attach photos or I would. Please help me just so I know what direction to go,.

### output:

Hi, thanks for providing the brief history of your son. Since you mentioned he had anemia issue, and later he had the lot of Respiratory issues as well. I think from my end this might have disrupted the metabolism and immune system which is giving him skim irritation over the spinal region. Since the skin tissue near the spinal region is a bit thin and can get trouble easily. I can recommend that you could get your son do regular breathing exercises and physical activities. Usually at certain times exercise can help improve the metabolism and immune system. Once the immune system and metabolic system is balanced the chances for the skin bruises will be reduced. As for the betterment of the tissue functioning the oxygen is the major source as well. Whatever medical could do with all things they are already trying. Now you can focus in the natural way of improving the internal metabolism of body. Certain times medical is directed towards the symptomatic, and they help the best but at the end of every thing the human body is its own boss. And for making the body function better only need is to improve the metabolism and cellular functioning which can be developed by doing regular physical activity. If any more information on metabolic exercises you can ask me.regards Jay In Chat Doctor. 