When to Seek Medical Care for Hemophilia
- Call your doctor after any significant physical trauma.
- Call your doctor also if you cannot control external bleeding with simple pressure.
- Because you may have internal as well external bleeding, always err on the side of safety and call your doctor.
- Be particularly concerned about bleeding into your joints or your central nervous system because of long-term complications and the possibility of death.
- Because hemophilia treatment involves blood products, you often may need to be treated in an emergency department or other health care facility, especially if you have severe hemophilia.
- Your doctor should evaluate any head or spinal trauma.
- A severe hemophiliac should be evaluated at a hospital's emergency department for any bleeding whatsoever, because his or her blood will not clot adequately on its own in these situations:
- Oral bleeding
- Bleeding from skin that does not stop with simple pressure
- Bleeding from muscles and joints
- Any person with hemophilia who has significant trauma anywhere on the body should be evaluated at a hospital regardless of the severity of the disease.
- Talk with your doctor before undergoing any surgeries, invasive treatments, or invasive tests.
Hemophilia Exams and Tests
A family history of bleeding disorders aids in diagnosing hemophilia. But certain tests help quantify the disease.
- Pronounced bruising at childbirth or bleeding with circumcision may suggest a case of severe hemophilia.
- A moderate case of hemophilia may become apparent during the toddler years when falls are common.
- A mild case may not become evident until adulthood when you need surgery.
- Blood tests can be performed if you have any reason to suspect hemophilia.
- Blood may be checked directly for certain factors.
- Test results will be low depending on which form of hemophilia you have.
- In either case, your activated partial thromboplastin time (aPTT), a measurement of the clotting of blood, will be prolonged.
Medically Reviewed by a Doctor on 2/11/2016
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