Symptoms of Bleeds

Being able to identify bleeds is a critical skill for people living with hemophilia, especially when they are living with inhibitors. The extent of bleeding may depend on the hemophilia level of severity.9

Recognizing Bleeds Early

People with hemophilia can often recognize a bleed before there are physical signs. This may be due to a tingling sensation or an aura — an indescribable sense that a bleed is happening.3,4

Trusting this sense is important. Treatment at this stage can stop bleeding earlier. This may result in less tissue damage and pain. Also, less clotting factor is needed during treatment to stop the bleeding.3

While bleeds are rare, it's important to learn to recognize them as quickly as possible. When they do happen, it's important to treat them as soon as possible, when a bleed is sensed early.3

Here are some signs and symptoms to look for:

External Bleeds

Signs of external bleeding may include9:

  • Bleeding in the mouth from a cut or bite (or losing a tooth)
  • Sudden nosebleeds (with no obvious reason)
  • Heavy bleeding from a minor cut
  • A cut that stops bleeding for a short time, then starts bleeding again

Internal Bleeds

Signs of internal bleeding may include9:

  • Swelling
  • Blood in the urine
  • Blood in the stool
  • Large bruises

Joint Bleeds

Signs of joint bleeds may include4,9:

  • Tightness (without pain)
  • Tingling
  • Swelling
  • Warmth
  • Pain
  • Stiffness, difficulty bending

Bleeding in the Brain

Signs of bleeding in the brain may include3,9:

  • Long-lasting headaches
  • Neck pain or stiffness
  • Repeated vomiting
  • Sleepiness
  • Changes in behavior or mood
  • Sudden weakness
  • Clumsy movements with the arms or legs
  • Trouble walking
  • Double vision
  • Uncontrollable, sudden muscle contractions (convulsions or seizures)

Learn about Types of Bleeds >>

Learn about Treating Bleeds >>