What are the symptoms of Hemophilia?

By  ,  Onlymyhealth editorial team
Jul 17, 2014

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  • Affects blood clotting factor.
  • May cause prolonged external or internal bleeding.
  • May affect organs and overall health.
  • Symptoms vary with severity of the condition.

Hemophilia is a rare bleeding disorder associated with the blood clotting. During the condition the blood doesn’t clot normally. People suffering from hemophilia may bleed anywhere throughout the body and the bleeding may last much longer than normal. It is usually inherited and is passed on from parents to children through genes. The symptoms of the condition usually depend of the severity of the condition.


People with haemophilia also happen to bleed for a longer time than others after an injury, surgery or trauma.  They may also bleed inside the body where eight percent of the times they bleed into joints, ankles and elbows. The affected joint becomes warm, painful and swollen due to which it becomes difficult to move the joint as freely as before. This can happen after an injury or without any cause.


Hemophilia can be mild, moderate or severe depending upon the clotting factor of your blood. Bleeding into muscle, into the esophagus, stomach or intestine, into the urine, and from the nose and gums, and, in women, heavy menstrual bleeding is also common in hemophilia. Bleeding into the brain is less common but it is the most serious complication of the severe hemophilia.

The bleeding is directly related to coagulation factor of a person. In severe hemophilia, people often develop bleeding problems within the first two years of life. Many infants are diagnosed when they have prolonged bleeding after circumcision while others are diagnosed when they have excessive bruising and bleeding into joints after childhood injuries. However, people with mild hemophilia may not be diagnosed for decades until they experience abnormal bleeding after some trauma, injury or surgery.


The symptoms of the disease may vary, depending on the severity of the condition, the degree of blood clotting factor deficiency and the nature of any injury. Based on the level of clotting factor amounts in the blood, three levels hemophilia are recognized; mild hemophilia when the clotting factor is more than 5% of normal, moderate hemophilia when the the clotting factor is between 1% to 5% of normal, and severe hemophilia when the clotting factor is less than 1% of normal.


The major symptoms of hemophilia are excessive bleeding and easy bruising. Bleeding can be external or internal. The signs of external bleeding due to hemophilia may include, longer than usual bleeding in the mouth from a cut or bite or from cutting or losing a tooth, nosebleeds, heavy bleeding from minor cuts, bleeding from a cut resuming after stopping for a short time.

The signs of internal bleeding may include, blood in the urine, blood in the stool and large bruises. Blood in the urine may be a sign of bleeding in the kidneys or bladder while the blood in the stool may be from bleeding in the intestines or stomach. The bruises usually appear due to the bleeding into the large muscles of the body. Bleeding in the knees, elbows, or other joints in people with hemophilia is another common form of internal bleeding which can occur without obvious injury.


Image Courtesy : Getty

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