Stephen J. Schueler, M.D.

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Hemophilia A Nosebleed

How to stop a nosebleed in someone with hemophilia A:

  • Pinch the nose firmly for 15 minutes without letting go. Make sure you are pinching the bulb of the nose so that it is completely closed.
  • Spray decongestant nasal spray in each nostril prior to the nose pinch. Do not use a decongestant if you have heart disease or high blood pressure.
  • Sit upright, do not lie down.
  • Breathe through your mouth.
  • Drink cold water to clear blood from your throat.
  • Seek medical care if the bleeding does not stop within 15 to 20 minutes.

Additional home care includes:
  • Stop smoking.
  • Avoid hot liquids.
  • Do not take aspirin for at least one week.
  • Do not pick blood from your nose once the bleeding has stopped.
  • Do not blow your nose for 2 days.

Continue to Hemophilia A Taking Control

Last Updated: Dec 15, 2010 References
Authors: Stephen J. Schueler, MD; John H. Beckett, MD; D. Scott Gettings, MD
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PubMed Hemophilia A References
  1. Dunn AL, Abshire TC. Recent advances in the management of the child who has hemophilia. Hematol Oncol Clin North Am. 2004 Dec;18(6):1249-76, viii. [15511615]
  2. Kern M, Blanchette V, Stain AM, Einarson TR, Feldman BM. Clinical and cost implications of target joints in Canadian boys with severe hemophilia A. J Pediatr. 2004 Nov;145(5):628-34. [15520762]
  3. Leissinger CA. Prevention of bleeds in hemophilia patients with inhibitors: emerging data and clinical direction. Am J Hematol. 2004 Oct;77(2):187-93. [15389908]
  4. Manco-Johnson M. Hemophilia management: optimizing treatment based on patient needs. Curr Opin Pediatr. 2005 Feb;17(1):3-6. [15659955]
  5. Plug I, van der Bom JG, Peters M, et al. Thirty years of hemophilia treatment in the Netherlands, 1972-2001. Blood. 2004 Dec 1;104(12):3494-500. [15308570]
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