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Do hemophilia patients require a coagulant for colonoscopy?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

My son was exposed to warfare chemicals in the Navy. During his tonsil surgery, he was found to have a bleeding disorder. He is suffering from hemophilia and is undergoing a colonoscopy tomorrow.

Should he receive a coagulant for this procedure?

Please help.

Thank you.

Hi,

Welcome to icliniq.com.

Based on your query, my opinion is as follows:

  1. During any procedure, bleeding time and clotting time, which are prothrombin (PT) and activated partial thromboplastin time (APPT), are always evaluated for any bleeding disorder, and then only the procedure is done.
  2. If he has no clotting issues at present, then nothing further is necessary.
  3. Also, colonoscopy is a superficial procedure, and no further coagulant is necessary if prothrombin and activated partial thromboplastin times are normal.

Do follow up whenever needed.

Let me know if I can assist you further.

Thank you.

Medically reviewed byiCliniq medical review team

Published At May 6, 2016
Reviewed AtApril 15, 2026

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