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By Mayo Clinic staffThese steps may help you avoid excessive bleeding and protect your joints:
- Exercise regularly. Activities such as swimming, bicycle riding and walking can build up muscles while protecting joints. Contact sports — such as football, hockey or wrestling — are not safe for people with hemophilia.
- Avoid certain medications. Drugs that can aggravate bleeding include aspirin and nonsteroidal anti-inflammatory drugs (Advil, Motrin, others). Instead, use acetaminophen (Tylenol, others), which is a safe alternative for mild pain relief. Also avoid certain blood-thinning medications, such as heparin and warfarin (Coumadin), which prevent blood from clotting. Certain herbal supplements also contain ingredients that may cause bleeding if you have hemophilia. Talk to your doctor before taking any new herbal supplements.
- Practice good dental hygiene. This can help prevent the need to have a tooth pulled, which can lead to excessive bleeding.
- Protect your child from injuries that could cause bleeding. If your child has hemophilia, ask your doctor for guidance that will help your child stay active while avoiding injury. Kneepads, elbow pads, helmets and safety belts all may help prevent injuries from falls and other accidents. In addition, keep your home free of furniture with sharp corners and keep sharp objects out of reach or locked away.
References
- Ferri FF. Hemophilia. In: Ferri FF. Ferri's Clinical Advisor 2009. St. Louis, Mo.: Mosby; 2008. http://www.mdconsult.com/das/book/body/127220953-8/819378765/1701/258.html#4-u1.0-B978-0-323-04134-8..50011-2--subchapter13_5514. Accessed March 21, 2009.
- Hoots KW, et al. Clinical manifestations and diagnosis of hemophilia. http://www.uptodate.com/home/index.html. Accessed March 21, 2009.
- Hemophilia. National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/dci/Diseases/hemophilia/hemophilia_what.html. Accessed March 21, 2009.
- Hemophilia. The Merck Manuals: The Merck Manual for Healthcare Professionals. http://www.merck.com/mmpe/sec11/ch136/ch136d.html. Accessed March 21, 2009.
- Hoots KW, et al. Treatment of hemophilia. http://www.uptodate.com/home/index.html. Accessed March 21, 2009.
- Kessler CM. Hemorrhagic disorders: Coagulation factor deficiencies. In: Goldman L, et al., eds. Cecil Medicine. 23rd ed. Philadelphia, Pa.: Saunders Elsevier; 2007:697.
- Pruthi RK (expert opinion). Mayo Clinic, Rochester, Minn. April 9, 2009.