Bleeding Disorder

Bleeding disorder occurs when there is an inability of blood to form clots. It can occur due to a deficiency in the components of clotting factors. There is continuous bleeding from the nose, increased bruising and heavy bleeding during periods. Clotting factor concentrates and fresh frozen plasma can be given.

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I have von Willebrand disease. What precautions should I take while scaling to prevent the loss of blood?

Query: Hello doctor, I have von Willebrand disease. My current health concern is that I need to get a scaling of my teeth done. What precautions should I take while scaling to prevent the loss of blood?  Read Full »


Dr. Parth R Goswami

Answer: Hello, Welcome to icliniq.com. The outcome depends on the type of von Willebrand disease as well. Before the dental procedure, a prophylactic Desmopressin can be prescribed. A local Tranexamic acid application would also be beneficial after completing one sitting of scaling or other procedures. I s...  Read Full »

What can be done for the bruises on my daughter's leg that appear without injury?

Query: Hi doctor, This query is regarding my 8 year old daughter. She has been constantly getting bruises on her legs. We think this bruise occurs automatically and may not be due to injury. We have been noticing these bruises for the past 6 to 7 years. It fades away automatically after few days. We c...  Read Full »


Dr. Veerendra Channabasappa Patil

Answer: Hello, Welcome to icliniq.com. I have seen the attached reports (attachment removed to protect patient identity). Your description of the symptoms of your child seems to be significant, as the bruises are spontaneous. I would be interested to know the following points. Was there any swelling at the ...  Read Full »

What causes frequent nosebleeds?

Query: Hello doctor, My nose is bleeding often. It happened six to eight times in the past 10 months. The blood is red in color. I do not feel any pain, and the bleeding is not too much. Most of the times I do not realize that my nose is bleeding.  Read Full »


Dr. Mehak Agarwal

Answer: Hello, Welcome to icliniq.com. Bleeding of the nose is quite common in some people. Some of the most common causes are dryness inside the nose, pollution, picking of the nose, sinusitis, deviated nasal septum, rhinitis, and bleeding disorders. Considering the myriad of causes involved, I suggest yo...  Read Full »

What is causing bleeding under my skin every day?

Query: Hi doctor,I have been bleeding under the skin in just my fingers and palm. I have attached the photo for reference. It is worse in one hand than the other, but sometimes the other hand will get worse. It has been present on and off for many years. Initially, the doctors thought that it was due to A...  Read Full »


Dr. Suvash Sahu

Answer: Hi, Welcome to icliniq.com. I have read your concern and seen the pictures (attachment removed to protect patient identity). It seems that you have developed ecchymosis (subcutaneous bleeding). Please check your bleeding time, clotting time and prothrombin time for any abnormalities. Get review w...  Read Full »

What does it mean when MCV and MHV are low after delivery?

Query: Hello doctor, I am a 24-year-old female. I have a 8-month-old baby. I am suffering from a thickened uterine lining (18 mm) and experiencing heavy bleeding for the last three months. After using hormonal pills (Ovipauz) for one month, the lining returned to a normal thickness of 6 mm, but I still ha...  Read Full »


Dr. Parth R Goswami

Answer: Hello, Welcome to icliniq.com. Following is my opinion for your questions; In pregnancy, hemoglobin level usually goes down, so do not worry about that. In the attached reports (attachments removed to protect the patient’s identity), your hemoglobin level is low, along with low PCV (pa...  Read Full »

Why is blood coming out while passing stools?

Query: Hi doctor, I am a 48-year-old male. My height is 5 feet 3 inches, and my weight is 62 kg. For the past 24 hours, I have blood leakage before passing stools. It has happened five times. And I do not have pain or stomach ache during this. Please help.  Read Full »


Dr. Saumya Mittal

Answer: Hi, Welcome to icliniq.com. I have read your query. The passing of blood in stools could mean a couple of things. However, since I do not have a complete history, I can give you general guidelines. I would suggest you meet a surgeon immediately. One of the possibilities is that you have develope...  Read Full »

Why did my sister get periods after six months?

Query: Hi doctor, My sister is 12.6 years old. She got her first period about six months ago. Just about four weeks ago, she got her second period. I know when you go through your first menstrual cycle it can be on and off, so that did not really bother me. But then, her second period just keeps coming ba...  Read Full »


Dr. Sonal Prasad

Answer: Hello, Welcome to icliniq.com. You are right. Periods can go haywire during puberty. One of the reasons for this heavy cycle is because it has come after six months and the uterus is getting rid of six months of the endometrium. It would be wise to visit a gynecologist to find out the causes of prol...  Read Full »

Can infections be transmitted through cryoprecipitate transfusion?

Query: Hi doctor, My wife is a factor XIII deficiency patient and every month she takes seven packets of cryoprecipitate. I am a bit worried about the side effects of this transfusion. I just read some articles on the internet, which shares the information about the side effects of transfusion. From that ...  Read Full »


Dr. Prakash H. Muddegowda

Answer: Hi, Welcome to icliniq.com. Based on your query, my opinion is as follows: Infection risk is similar to any other blood product; however, other immune risks are not present. Many people receive more than this and are free from infection. The risk of infection is pretty low and I can say it as billio...  Read Full »

How does senile purpura look in elderly persons?

Query: Hi doctor, My grandmother has purple spots on her legs and arms. It looks like senile purpura, but I cannot be sure. The one on her leg is much larger and seems to spread a little over the course of a few days. The one on the arm is small. She is taking calcium and vitamin D for her osteoporosis a...  Read Full »


Dr. Muhammad Zubayer Alam

Answer: Hello, Welcome to icliniq.com. I can understand your concern. According to your statement your grandmother have been suffering from purple spots on leg and arm with osteoporosis. When small blood vessels are ruptured causing blood to pool under the skin and can create purple spots on the skin ar...  Read Full »

What is ITP?

Query: Hi doctor, My nephew has been unwell since few days. Since two weeks, he has small blood patches on thigh, calves and ankles. Petechial rash and bruising are also present. The doctors have diagnosed him with ITP (idiopathic thrombocytopenic purpura). I am writing to you to get a second opinion. He ...  Read Full »


Dr. Geetha Priyadarsini Kamminana

Answer: Hi, Welcome to icliniq.com. Isolated low platelet count with normal hemoglobin and CBC (complete blood count) usually is the key laboratory finding for ITP (idiopathic thrombocytopenic purpura) as there in this case. It is the diagnosis of exclusion however. I need few more details about his medica...  Read Full »

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