To manage swelling from Chikungunya, paracetamol is safe for pain. Avoid anti-inflammatory drugs like ibuprofen or aspirin until a doctor evaluates you, as they can worsen bleeding. There are no specific over-the-counter ointments to safely treat bleeding veins. If a vein bleeds, apply firm, direct pressure with a clean cloth and elevate the limb. Because bleeding veins or skin spots during or after a viral infection can sometimes indicate low platelet levels, it is highly recommended to see a doctor promptly for a routine blood test. Meanwhile, rest, keep your legs elevated, and avoid standing for long periods.