Treating bleeds

Bleeds are an unavoidable complication of both haemophilia A and B, and can happen even in people with milder forms of the condition. They are rarely, however, true emergencies, because the underlying problem is one of prolonged bleeding, not rapid bleeding.

Patients are usually advised to seek medical help if:

• There is injury to the neck, mouth, tongue, face or eye
• The head has received a severe knock and a headache develops
• There is heavy or persistent bleeding
• There is severe pain or swelling anywhere
• An open wound needs stitching

Most other bleeds (i.e. joint and muscle bleeds, small injuries and cuts not needing stitches, and nosebleeds) can be treated effectively at home but patients should always seek the advice of their haemophilia centre or healthcare professional. The earlier treatment is started, the better.