Traces of blood can be observed in the urine and feces
It must be remembered that the patient with hemophilia sothe same as other people can acquire various diseases in addition to its core. Therefore, if a person with haemophilia, contracted, then this could be for several reasons: he began to bleed, he has some other disease or a combination of both. In any case, you must consult your doctor. If you have any questions or concerns, please consult your doctor or nurse.
In case of hemophilia observe onea good general rule, which states: "If in doubt, start typing blood products." Early treatment of hemophilia can be called a treatment that started as early as possible, ie, within a few hours. If you are going to wait and see what will come out of this situation, the bleeding will continue, and then you will have to be treated for longer, you will stay longer than the swelling, pain, bleeding and other symptoms.
Possible locations of hemorrhage
Intensive bleeding as a spontaneous (without apparent cause), and the resulting injury can occur anywhere in the body. However, some places are affected more than others.
Bleeding into joints (hemarthrosis)
In addition to the bruising, the most common manifestationhemophilia are bleeding into the joints. These hemorrhages should be taken seriously, because over time, if left untreated, they lead to arthritis, and as a result, joint deformity and disability. Hemarthrosis can be caused by trauma or may be spontaneous. If treatment is not available for more than four hours, the pain can be unbearable, swollen joints, and require treatment for several days. As the child learns to recognize the signs of bleeding even before the pain and swelling appear. They can celebrate the "tingling feeling funny", which is the earliest sign of bleeding in the joints. To prevent deformation of the joint and chronic pain, it is necessary to begin treatment as soon as possible.
Bleeding into muscles
Bleeding into the muscles also occur quitefrequently, and may occur spontaneously or following injury. This occurs most often in the calf, thigh, groin and forearm muscles. As a result of bleeding in the muscles may occur pain and swelling of the tissues, which can be kept for several days, and the tumor can cause compression and damage to the nervous and vascular endings. The forearm area, for example it may lead to deformation of the hands. Important signs of bleeding in the muscles are their strength, pain, temperature change of adjacent tissue, tingling and numbness.
Delays in treatment can lead to chronic muscle injuries and paralysis.
Trauma to the head (intracranial bleeding)
Such injuries are the most commoncause of death among patients with hemophilia. Bleeding may occur spontaneously or as a result of even minor injuries, for example, by a light fall or blow to the head. The symptoms of bleeding in the brain may not appear for several days after the injury, however, they include irritability, drowsiness, headache, confusion, nausea, vomiting, and a split view.
All head injuries are very serious for patients with hemophilia and their treatment should be started as early as possible to avoid a brain hemorrhage and its consequences.
Bleeding in the face and neck
Bleeding in the face, neck and throat mayhave serious implications for hemophilia, as the resulting tumor hemorrhage can close the airway. The tumors are formed as a result of any infection in such cases, it is sometimes difficult to decide - is the result of an infection or tumor hemorrhage.
All tumors in the neck should be regarded as the result of possible bleeding and treat.
Other types of bleeding
In people with hemophilia, very easythere are bruises, bruises on the skin but is rarely present a problem. Bleeding from deep cuts and abrasions can be prolonged renewed within a few days, if it does not carry out the treatment.
The severity of hemophilia disease
Hemophilia is shown varying degrees of severity,and these differences are determined by the amount of clotting factor in the blood. Usually, if patients with hemophilia belong to the same family, they revealed almost the same amount of clotting factor in the blood.
The normal level is considered 50% -200% VIII and factor IX in the blood with an average healthy person, the figure is 100%.
Severe hemophilia: In this case, the level of factors VIII and IX is less than 1%. Bleeding into joints, muscles and other tissues occur even with no visible injury (spontaneous bleeding), and after surgery and tooth extraction.
Hemophilia moderate severity: Level of factors VIII and IX is 1-5%. Bleeding occur with little, to a certain extent, injuries and after operations and tooth extractions.
Mild hemophilia: The level of FVIII and FIX factors of 6-50%. Bleeding occurs after major trauma, surgery and tooth removal. Sometimes the diagnosis is confirmed only when a person becomes an adult, and as a result of trauma, surgery or tooth extraction had excessive bleeding occurs.