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Bleeding Disorders

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Signs and Symptoms

Bleeding disorders may cause a wide range of signs and symptoms, depending on the cause. Several different combinations of signs and symptoms may be present with varying degrees of severity that changes over time. Bleeding may be severe, with episodes beginning in early childhood, or relatively mild, involving prolonged bleeding following surgery, dental procedures, or trauma.

Some signs and symptoms may include:

  • Unexplained or easy bruising
  • Frequent nosebleeds
  • Bleeding gums
  • Prolonged bleeding from small cuts or after dental procedures
  • In women, heavy menstrual periods that last longer than average
  • Joint and/or muscle pain or swelling after minor accident or injury
  • Small (<2 mm) red spots on the skin (petechiae); may sometimes look like a rash
  • Small (2-10 mm) purplish spots on the skin (purpura) or large (>10 mm) purplish lesions (ecchymosis) caused by bleeding under the skin
  • Gastrointestinal bleeding, blood in the stool
  • Arthritic-type symptoms from damage from bleeding into joints
  • Loss of vision with bleeding in the eyes
  • Chronic anemia (often iron deficiency anemia)
  • When bleeding episodes begin early in life and/or when a close relative has an inherited factor deficiency, an inherited bleeding disorder may be suspected.

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