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.

Answered by Dr. Prakash. H. M.

Hi,

Welcome to icliniq.com.

Based on your query, my opinion is as follows:

During any procedure, bleeding time and clotting time, which are prothrombin (PT) and activated partial thromboplastin time (APPT), are always evaluated, and then only the procedure is done.
If he has no clotting issues at present, then nothing further is necessary.
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.

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Answered by Dr. Prakash. H. M.

Medically reviewed by iCliniq medical review team

May 6, 2016

April 15, 2026

Education:

MBBS

Professional Bio:

Dr. Prakash H. M. is an experienced Pathologist with expertise in clinical pathology, hematology, histopathology, and cytology. He plays a crucial role in accurate disease diagnosis through laboratory testing and microscopic analysis. With a strong foundation in medical diagnostics, Dr. Prakash ensures reliable and timely reports that support effective treatment decisions. His precision and commitment to quality make him a trusted expert in the field of pathology.

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Hemophilia and Colonoscopy?
Five quick questions to help you understand the typical considerations, what to discuss with your doctor, and when to seek immediate advice regarding hemophilia and colonoscopy.
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Dr. Prakash. H. M.
Hematology

Consult this doctor

Education:

MBBS

Professional Bio:

Dr. Prakash H. M. is an experienced Pathologist with expertise in clinical pathology, hematology, histopathology, and cytology. He plays a crucial role in accurate disease diagnosis through laboratory testing and microscopic analysis. With a strong foundation in medical diagnostics, Dr. Prakash ensures reliable and timely reports that support effective treatment decisions. His precision and commitment to quality make him a trusted expert in the field of pathology.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

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