Bleeding disorders are defined as a cluster of disorders that are unable to form a blood clot It is an acquired or inherited tendency to bleed.
In normal clotting, process platelet adheres to the injured site to form a plug, clotting factors which are considered to be the proteins in the blood interact to form a fibrin clot which helps platelet to remain at its place and allows healing to occur at the site of injury stopping the blood to leak out. On this Bleeding Disorder Awareness Month – MARCH 2021, Dr. Vaseem Choudhary took participate to spread awareness of the bleeding disorder and its signs &Symptoms. Let’s get into brief information.
CLASSIFICATION:
1. Coagulation factor deficiencies:
- Congenital
Hemophilia A., Hemophilia B (Christmas disease), von Willebrand disease, factor XI deficiency
- Acquired
Liver disease, vitamin K deficiencies, warfarin use, DIC
2. Fibrinolytic defects:
- Streptokinase therapy DIC
3. Vascular disorders:
- Acquired
Scurvy, purpura, hereditary hemorrhagic telangiectasia, Cushing syndrome
- Congenital
Ehlers danlos syndrome ,osler Weber rendu syndrome ,Marfan syndrome
4. Platelet disorders:
- Platelet number defects
Aplastic anemia, leukemia, myeloma, thrombocytopenic purpura, SLE, sarcoidosis.
- Platelet structural defect
Myeloproliferative disorders, increase urea, Bernard Soulier syndrome, alcoholism, drug-induced such as aspirin, Glanzman thrombasthenia, wiskott Aldrich syndrome, hermansky padlock syndrome.
SIGNS AND SYMPTOMS:
- Bleeding into joints muscles and soft tissues
- Excessive bruising
- Prolong menstrual period
- Severe long nose bleeds
- Excessive bleeding after a minor cut, injuries, dental procedures
- Unusual bleeding after vaccinations
- Tenderness in joints
- Haematuria
- Repeated vomiting, lethargy
- Convulsions
- Migraine, severe prolonged headaches
- Enlarged lymph nodes
- Blood In stool
- Anemia pale look
- Irregular pu
- Blood In stool
- lse
- Umbilical stump bleeding
- Petechial hemorrhages
DIAGNOSIS:
First, a detailed history is been noted by the physician in order to reach a particular diagnosis such as
- Since when symptoms are been noticed
- Any medical illness you currently have
- History of Any injury or trauma
- How long the bleeding lasts the duration of bleeding
- Laboratory tests such as complete blood count, platelet aggregation tests, bleeding time tests.
MANAGEMENT:
- Iron supplements
- Blood transfusion
- Factor replacement therapy
- Fresh frozen plasma transfusion
HOMEOPATHIC REMEDIES:
1 ) Crotalus Horridus:
This remedy is indicated when there is hemorrhagic diathesis and incessant flow from all orifices of the body such as eyes, ears, nose, In females, there is a malignancy of the uterus noted with hemorrhagic tendencies, hemorrhages are dark fluid with the formation of no clots, non Inflammatory retinal hemorrhage noted, epistaxis where blood is black and stingy.
2)Belli’s Perennis:
This remedy acts well in injuries to deeper tissues due to fall, accidents there is soreness and bruised feeling all over, venous congestion, auto traumatism calls for this remedy especially in laborers gardeners ecchymosis with swelling especially in infants, bleeding tendencies, varicose veins in females during pregnancy noted
3) Arnica:
This remedy is indicated when there is the overuse of any organ, arnica is disposed to cerebral congestion acts best in plethoric feeble and debilitated people affects venous system inducing stasis, hemorrhages, with relaxed blood vessels with black and blue spots, thrombosis, hematocele, bleeding after every fit of cough dark fluid epistaxis.
4)carbo veg:
This remedy acts well when there is hemorrhage from any mucus membrane, blueness noted fainting tendency weak debilitated, blood seems to stagnate in capillaries causing coldness and ecchymosis patient is almost lifeless with an imperceptible pulse, best suited to people who have never recovered fully from their past illness general venous stasis noted with coldness all over.
5) ipecac:
Haemorrhages are bright red and profuse ,patient is irritable holds everything in contempt ,coryza with epistaxis noted with stoppage of nostril , in females uterine haemorrhage profuse bright red gushing with nausea noted, mensis too early and too profuse noted, haemoptysis on slightest exertion with hoarseness of voice and sometimes complete aphonia noted, whooping cough with nose bleed and also bleeding from lungs ,cough incessant and violent with every breath noted
CONCLUSION:
Dr. Vaseem Choudhary along with his Team has treated have treated many patients successfully with bleeding disorders so if you are looking for solutions to your problem regarding blood disorders please visit our centre for guidance with our team of doctors.
