NetWellness Hemophilia and Inherited Bleeding Disorders

Vonwillebrands

Madeline Heffner BSN, RN — Mon, 03 Jan 2011 02:01:00 EST

Question: Okay, so I have Vonwillebrands Type 2 and I was just curious as to if i was going to lose my viginity, would I be at risk to excessively bleed when he `pops my cherry`? Because I really have been thinking about it and I want to make sure that I won`t have to go to the hospital just because I couldnt . . .

Answer:

Of course there is a potential for some bleeding at the time the hymen is broken. However, I am not aware of any one with vonWillebrand's needing treatment for it.

Ask an Expert: Madeline Heffner BSN, RN, Hemophilia and Inherited Bleeding Disorders

Continuous Bleeding after Plasma Donation

Patricia Carey MD — Fri, 19 Nov 2010 11:11:00 EST

Question: I am a regular plasma donor for the past 2 years and prior to that a regular blood donor for the past 20+ years. Last week after my plasma donation, my arm continued to bleed. I rewrapped w/clean gauze and elastic bandage, elevated my arm and applied ice for 15 min. Not sure when it stopped b/c I fe . . .

Answer: First, let me apologize for not getting back to you sooner. I thought I had already answered this question.

Now in response to your question, I cannot state absolutely that your post-phlebotomy oozing was due to scar tissue but that would seem to me to be the most likely reason especially . . .

Ask an Expert: Patricia Carey MD, Hemophilia and Inherited Bleeding Disorders

Blood Disorders

Madeline Heffner BSN, RN — Wed, 29 Sep 2010 16:09:00 EST

Question: what is serritin deficiency

Answer: I am not familiar with the term "serritin". Do you mean "ferritin deficiency"? Ferritin deficiency is low iron.

Ask an Expert: Madeline Heffner BSN, RN, Hemophilia and Inherited Bleeding Disorders

Can You Differentiate?

Madeline Heffner BSN, RN — Fri, 11 Jun 2010 23:06:00 EST

Question: 60yo male, hx of htn, negative for fevers, and anuria. Bone marrow aspiration unremarkable. Pt denies etoh use. All labs unremarkable EXCEPT for thrombocytes<20,000 as well as, loss of appetite, progressive weight loss, over 35lbs within 6 months, and a + ANA. Pt also denies recent blood transfus . . .

Answer: Thank you for visiting NetWellness. On this site, NetWellness experts try to answer general questions about health. Only a health professional performing a thorough clinical exam is able to evaluate your symptoms and make a diagnosis.

Ask an Expert: Madeline Heffner BSN, RN, Hemophilia and Inherited Bleeding Disorders

About Hypochromia+

Patricia Carey MD — Wed, 10 Mar 2010 12:03:00 EST

Question: which problems are created due to hypochromia+ ?what precautions taken for that?

Answer: Hypochromia is an observation made when looking at red blood cells. It is a subjective grading which reflects on how much hemoglobin may be in the red blood cells. The less the hemoglobin concentration the more severe the hypochromia. This is an observation most commonly noted with various types of . . .

Ask an Expert: Patricia Carey MD, Hemophilia and Inherited Bleeding Disorders

Platelet Function/Von Willebrand`s/ITP?

Madeline Heffner BSN, RN — Fri, 10 Jul 2009 21:07:00 EST

Question: My three year old son has had problems with severe nosebleeds, and seemingly spontaneous severe bruising with no known trauma or injury. These problems have been going on for well over a year, with little or no success of a viable diagnosis. I also recently found out that my biological father had He . . .

Answer: I would encourage you not to give up. Diagnosing a platelet function disorder or mild von Willebrand's in a young child can be very challenging. Many factors will affect test results. For example, stress can cause clotting factors to increase. So if a chil . . .

Ask an Expert: Madeline Heffner BSN, RN, Hemophilia and Inherited Bleeding Disorders

Hemophilia and the menstrual cycle

Madeline Heffner BSN, RN — Thu, 12 Mar 2009 13:03:00 EST

Question: Can hemophilia affect a woman`s menstrual cycle?

Answer: A woman with hemophilia is at increased risk for heavy and/or prolonged menstrual bleeding, pain with periods, and painful ovulation. Many of these women also report difficulty with getting pregnant.

Ask an Expert: Madeline Heffner BSN, RN, Hemophilia and Inherited Bleeding Disorders

von Willebrand disease

Madeline Heffner BSN, RN — Thu, 23 Oct 2008 21:10:00 EST

Question: my doctor looked into the possibility of my havings this disease because of my serious joint problems as possibly being linked to my unknown bleeding disorder. i do have this disease, but i want to know more about the joint issues associated with it.

Answer: Joint problems are most often associated with severe bleeding disorders, such as severe Hemophilia A or B. Most cases of von Willebrand's Disease are mild. However, persons with severe von Willebrand's disease can also bleed into their joints. Bleeding into joints ca . . .

Ask an Expert: Madeline Heffner BSN, RN, Hemophilia and Inherited Bleeding Disorders

Pregnancy with Von Willebrands

Madeline Heffner BSN, RN — Thu, 31 Jul 2008 13:07:00 EST

Question: What are the risks of this condition? My grandaughter is 30 weeks pregnant and was just told she has this.

Answer:

Risk for bleeding during pregnancy depends on how low the clotting factor levels of the mother are. Von Willebrand clotting factors tend to increase during pregnancy due to changes in hormone levels, so most women with vWD are able to deliver without any abnormal bleeding.&n . . .

Ask an Expert: Madeline Heffner BSN, RN, Hemophilia and Inherited Bleeding Disorders

von Willebrand

Madeline Heffner BSN, RN — Thu, 13 Dec 2007 15:12:00 EST

Question: i have had von willebrand all my life and so does my oldest son. i am 62 and recently had by blood levels tested by dr sanchez hematology/oncology locally since it had been years. i had trouble with surgery about 8 years ago and was given ddavp which was okay. on my followup after the blood ntest re . . .

Answer: Von Willebrand's Disease is an inherited lifelong disorder. However, the von Willebrand clotting factor levels are affected by things such as stress, hormones, and vigorous exercise. Therefore, people with mild von Willebrand's Disease can sometimes have normal clotting factor l . . .

Ask an Expert: Madeline Heffner BSN, RN, Hemophilia and Inherited Bleeding Disorders