Von Willebrand Disease

Von Willebrand disease is a bleeding disorder presenting with low levels of von Willebrand factor. It is a protein that helps in blood clot formation. It is often inherited, and in some cases, it develops later in life. There is excessive bleeding after an injury or surgery, and nosebleeds occur for more than ten minutes, heavy menstrual bleeding, blood in urine, and bruising. This condition is managed by taking Desmopressin. It is either taken as an injection or nasal spray.

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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 causes a feeling of tightness in the upper neck area and bruising under the tongue?

Query: Hi doctor, I have tightness in my right upper neck area (under my jaw) and there is pain under the right side of the tongue. I found a red spot under my tongue. What is it. I had this pain on and off for a couple of months. Same for the tightness. My neck does not seem swollen and I do not think...  Read Full »


Dr. Mousam Chattopadhyay

Answer: Hi, Welcome to icliniq.com. I went through your query and the attached images (attachment removed to protect patient identity). I am very sorry for the discomfort. As a specialist, I am here to help you. As I went through your history, I came across von Willebrand Disease type 3. The Willebrand F...  Read Full »

What could be the major cause of nose bleeding?

Query: Hi doctor,My daughter is 9 years old. She gets nose bleeding once in few months and also gum bleeding. She complains about occasional back pain, stomach burning, and hip pain too. My family physician has written down a series of tests and asked me to get opinions from a hematologist, gastroenterolog...  Read Full »


Dr. Veerendra Channabasappa Patil

Answer: Hi, Welcome to icliniq.com. From the medical history of your child, I can understand that she is having bleeding manifestations with normal CBC (complete blood count) and coagulation workup. I would like to know about the below-mentioned questions, Since when does your daughter experience the b...  Read Full »

Are bleeding through the nose and underskin common in Von Willebrand disease?

Query: Hello doctor, I am a Von Willebrand disease (vWD) type 3 patient. I am currently bleeding through my nostrils, having underskin blood spots and pain in my ankle. These symptoms are new to me. Please help.  Read Full »


Dr. Prakash H. Muddegowda

Answer: Hi, Welcome to icliniq.com. Based on your query, my opinion is as follows: Bleeding is known to occur through nostrils and also in muscles, under skin, etc. An evaluation of Von Willebrand factor (vWF) levels is necessary to rule out any serious quantitative deficiency. Before that bleeding t...  Read Full »

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