Bleeding Sentence Examples

bleeding
  • His nose was bleeding profusely.

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  • He noticed her bleeding leg and yelled to a medic.

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  • She did as he said and pressed hard on the arrow wound until the bleeding slowed.

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  • It hurts so badly, and I'm bleeding something awful.

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  • She'd spent the time after her doze bleeding herself.

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  • She had not slept in at least two days and had been bleeding herself when she had time.

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  • The early authorities represent the Stigmata not as bleeding wounds, the holes as it were of the nails, but as fleshy excrescences resembling in form and colour the nails, the head on the palm of the hand, and on the back as it were a nail hammered down.

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  • This pressure leads to the filling of the vessels of the wood of both root and stem in the early part of the year, before the leaves have expanded, and gives rise to the exudation of fluid known as bleeding when young stems are cut in early spring.

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  • He was an advocate of bleeding, and often carried it to excess.

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  • It is a powerful local haemostatic, but it only checks haemorrhage when brought directly in contact with the bleeding point.

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  • For bleeding haemorrhoids tannic acid suppositories are useful, or tannic acid can be dusted on directly.

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  • It may arrest bleeding from the nose, for instance, when injected hypodermically.

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  • On the Pratzen Heights, where he had fallen with the flagstaff in his hand, lay Prince Andrew Bolkonski bleeding profusely and unconsciously uttering a gentle, piteous, and childlike moan.

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  • Winter pruning is effected when the tree is comparatively at rest, and is therefore less liable to " bleeding " or outpouring of sap. Summer pruning or pinching off the tips of such of the younger shoots as are not required for the extension of the tree, when not carried to too great an extent, is preferable to the coarser more reckless style of pruning.

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  • Next he bore " the pageant of his bleeding heart " to Falkland, where he heard of the birth (8th of December) of his daughter, Mary Stuart.

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  • In 1653 the weakness and disorder of Poland, which had just emerged, bleeding at every pore, from the savage Cossack war, encouraged Alexius to attempt to recover from her secular rival the old Russian lands.

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  • While she looked healthy, she bore blood on her neck that made him feel ill at the thought that Darkyn was bleeding her dry.

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  • New taxes could only be imposed with extreme caution, while the country was still bleeding from the wounds of a long war.

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  • One with a bleeding head and no cap was being dragged along by two soldiers who supported him under the arms.

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  • Donovan's blood was on her face and T-shirt, and her wrist was bleeding again.

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  • At about ten they were covered with blood from head to foot, several elder men bleeding themselves for the purpose.

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  • In this case stimulants and strychnine may be given, but they should be avoided until it is certain the bleeding has been properly controlled, as they tend to increase it.

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  • He saw his mother's beloved mentor, and his own best friend, Artamon Matvyeev, torn, bruised and bleeding, from his retaining grasp and hacked to pieces.

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  • In the intestine tannic acid controls intestinal bleeding, acting as a powerful astringent and causing constipation; for this reason it has been recommended to check diarrhoea.

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  • The first of these, which would imply a process of a very remarkable nature, is disproved by what is observed after bleeding an animal whose blood contains antitoxin.

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  • Rostov got out of their way, involuntarily noticed that one of them was bleeding, and galloped on.

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  • In arresting haemorrhage temporarily the chief thing is to press directly on the bleeding part.

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  • If the bleeding point cannot be reached, the pressure should be applied to the main artery between the bleeding point and the heart.

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  • Three years after his defeat at Beresteczko, Chmielnicki, finding himself unable to cope with the Poles single-handed, very reluctantly transferred his allegiance to the tsar, and the same year the tsar's armies invaded Poland, still bleeding from the all but mortal wounds inflicted on her by the Cossacks.

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  • Brooks (1819-1857), a congressman from South Carolina, suddenly confronted Sumner as he sat writing at his desk in the Senate chamber, denounced his speech as a libel upon his state and upon Butler, his relative, and before Sumner, pinioned by his desk, could make the slightest resistance, rained blow after blow upon his head, till his victim sank bleeding and unconscious upon the floor.

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  • The salts of iron quickly cause coagulation of the blood, and the clot plugs the bleeding vessels.

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  • His head was burning, he felt himself bleeding to death, and he saw above him the remote, lofty, and everlasting sky.

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  • All he saw about him merged into a general impression of naked, bleeding human bodies that seemed to fill the whole of the low tent, as a few weeks previously, on that hot August day, such bodies had filled the dirty pond beside the Smolensk road.

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  • She's bleeding to death!

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  • But the wolf jumped up more quickly than anyone could have expected and, gnashing her teeth, flew at the yellowish borzoi, which, with a piercing yelp, fell with its head on the ground, bleeding from a gash in its side.

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  • On all sides, the hussars were busy with the dragoons; one was wounded, but though his face was bleeding, he would not give up his horse; another was perched up behind an hussar with his arms round him; a third was being helped by an hussar to mount his horse.

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  • It was a long time before the dragoons could extricate the bleeding youth, beaten almost to death.

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  • Vitamin C deficiency results in scurvy, a disease that involves bleeding.

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  • Howie was able to view the abduction, though it was particularly brutal as the young boy was knocked unconscious and bleeding.

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  • Sofia found the internal bleeding.

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  • We've stopped the bleeding.

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  • She closed her eyes, terrified of bleeding to death right there in her own home.

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  • Rhyn paced, eyeing Erik, whose bloodied nose had finally stopped bleeding.

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  • Your dress is torn and you're bleeding.

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  • He also made extensive use of drugs and of bleeding.

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  • He was very moderate in the use of bleeding.

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  • It led, among other consequences, to an enormous misuse of bleeding.

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  • His disorder was an oedematous affection of the wind-pipe, contracted by exposure during a long ride in a snowstorm, and aggravated by neglect and by such contemporary remedies as bleeding, gargles of "molasses, vinegar and butter" and "vinegar and sage tea," which "almost suffocated him," and a blister of cantharides.

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  • The favorite subject of themysteries and of other artistic manifestations was no longer the triumphant Christ of the middle ages, nor the smiling and teaching Christ of the I3th century, but the Man of sorrows and of death, the naked bleeding Jesus, lying on the knees of his mother or crowned with thorns.

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  • Rhyn.s anger stirred at the sight of her bleeding alone, and he crossed to her, snatching the first aid kit off the bed.

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  • The result of an INR test then was grossly abnormal, Mrs Y had peritonitis and was bleeding from her bowel.

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  • We report a case of Brunner's gland adenoma in which the patient presented with major gastrointestinal bleeding.

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  • An incapacitating agent called aflatoxin, which produces vomiting and internal bleeding, was manufactured at Baghdad¹s Agricultural and Water Research Center.

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  • Continue until the upper anastomosis is has only minor bleeding which seems to be lessening.

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  • A medicinal herb used for treating anemia, stemming internal bleeding, skin and hair problems.

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  • A strongly astringent herb, is used internally and externally for a large number of complaints, treatment for wounds and bleeding.

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  • I Think Your Head is Bleeding, became a slow burner.

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  • However Q. robur and Q. petraea trees with oak decline do not usually exhibit bleeding cankers of the main stem.

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  • He used cautery to cure over 50 infections or diseases and to stop bleeding.

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  • Bleeding into the uterine cavity, the uterine wall or the abdomen may conceal the extent of the blood loss.

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  • Hemophilia is an inherited bleeding disorder characterized by prolonged or spontaneous bleeding, especially into the muscles, joints, or internal organs.

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  • This stops the bleeding and the blood will then coagulate or thicken into a scab.

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  • Studies had also to give information on total cardiovascular events, myocardial infarction, stroke, bleeding complications, and all cause mortality.

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  • Patients taking oral contraceptives should be asked to report any change in their bleeding patterns.

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  • Diagnostic features are a normal platelet count with a prolonged bleeding time.

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  • Colors seem crisper with a reduced amount of bleeding.

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  • Predictable and dose-related side effects include weight gain with steroids, reduced white cell counts with high-dose cyclophosphamide and bleeding with too much warfarin.

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  • Symptoms are often not apparent, but can include cystitis, a discharge and irregular bleeding.

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  • As NSAIDs can interfere with platelet function, they should be used with caution in patients with intracranial hemorrhage and bleeding diathesis.

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  • A bleeding diathesis has been described for many years in children as well as adults.

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  • There are also a number of related bleeding disorders where there are other factor deficiencies that are much rarer than hemophilia.

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  • Irritation by the trapped feces may result in inflammation, pain and bleeding; this is known as acute diverticulitis.

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  • As Wrong shows, under Mobutu the Congolese people experienced not so much a ' trickle down ' as a bleeding dry.

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  • The use of a loading dose of clopidogrel in non-ST segment elevation ACS patients prior to angiography prolongs their bleeding time.

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  • The site of bleeding is beyond the reach of a conventional endoscope.

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  • Treatment Supportive therapies are required for acute bleeding episodes (blood transfusion, iron and folate supplementation, oxygen therapy etc ).

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  • There was no bleeding or spotting in 75.5% of the cycles for patients who took conjugated estrogens alone.

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  • The placenta generally comes away easily, and a little massage of the uterine fundus stops further bleeding.

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  • Our man is bleeding from a nasty gash in his head.

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  • The aims of palliative gastrectomy are often to enable oral food intake, stop bleeding or relieve pain.

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  • Her hands were raw and bleeding from moving the blocks of stone, her face haggard.

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  • She's been attacked by hyenas and is bleeding to death.

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  • Miscellaneous Myopia, vaginal bleeding, swelling of the tongue, gum hypertrophy, hirsutism.

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  • Consider packing the bleeding area with a 6 meter pack, led out of the abdomen via a separate stab incision.

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  • In most instances this will take care of the bleeding.

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  • Postoperative edema and bleeding can make it difficult to visualize the larynx.

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  • The added cruelty of the law is just another jab in the already bleeding side of normally law-abiding people.

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  • Those who do are often dismissed as " bleeding heart liberals " who care more for the criminal than for their victims.

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  • He also found that bleeding could be stopped by using a ligature.

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  • The most common complications of gastrointestinal lipomas are bleeding and obstruction.

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  • The first signs are often jaundice, pale stools, excessive bleeding or an enlarged liver - all non-specific signs of liver disease.

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  • His wrists had horrible big manacles round them and I think they must have hurt because his skin looked raw and was bleeding.

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  • Most GISTs are asymptomatic but may cause abdominal pain or bleeding from ulceration of the overlying mucosa.

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  • Needless to say, I'm getting pretty nifty at bleeding the system.

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  • I will no longer be caught with a bleeding nose, heart palpatations, week long benders or hurting myself in any major way.

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  • For example, patients might notice blood on their toothbrush from bleeding gums or might develop nosebleeds.

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  • Stop any obvious bleeding by applying pressure with an absorbent pad.

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  • Long-term treatment with tablets such as beta-blockers (Eg propranolol) may reduce the risks of further bleeding.

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  • Bleeding from tiny blood vessels in the skin may produce small purplish spots (called purpura) on the legs.

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  • In these cases, endoscopic removal can carry an unacceptably high risk of bleeding or perforation.

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  • This is why shark rodeo dives always chum with dead and bleeding fish, not used sanitary towels!

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  • Incorrect pruning during late March, April and May can induce ' bleeding ' where the rising sap weeps from the tree.

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  • I agree with all the posts about council estate scum bleeding the bank dry which we pay into!

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  • I was getting snappy - an instant sign that I was getting scared - ' are you bleeding?

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  • In babies and small children scurvy also causes bleeding under the bone membranes, causing very tender swellings so that infants resent being touched.

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  • Case 5 This 77 year-old, previously transfused female presented with gastro-intestinal bleeding and required an urgent transfusion of 2 units of red cells.

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  • A slowly bleeding ulcer can also cause anemia, where there are not enough red blood cells to transport oxygen around the body.

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  • Then again I'd never seen any other vamps dumb enough to be slogging up bleeding huge mountains.

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  • I had veal, which I haven't had in years due to the bleeding heart liberals in the UK.

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  • In the sequel, the ' bleeding heart liberal ' turned vigilante disposed of 52.

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  • To avoid ' bleeding ', do not prune the vine later than December.

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  • Furthermore, the low-intensity warfarin regimen did not reduce the risk of clinically important bleeding.

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  • What the bleeding hell was he on about, don't go climbing waterfalls?

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  • The magically empowered lashes seek your supple skin hungrily and form painful pulsating welts and bleeding wounds!

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  • The slaughtering - the object of which is to insure the complete bleeding of the body, the Jews being forbidden to eat blood - is done by severing the windpipe with a long and razor-sharp knife by one continuous stroke backwards and forwards.

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  • On the 15th of June 1.566 the unfortunate youth, bruised and bleeding from shocking ill-treatment, was placed upon a wretched hack, with a crown of straw on his head, and led in derision through the streets of Stockholm.

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  • Poisson was first sent to an uncle, a surgeon at Fontainebleau, and began to take lessons in bleeding and blistering, but made little progress.

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  • There may be bleeding from the nose, cutaneous congestion, deafness, blindness, coma or delirium, and even death from cardiac failure.

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  • Only when the victim ceased to struggle and his cries changed to a long- drawn, measured death rattle did the crowd around his prostrate, bleeding corpse begin rapidly to change places.

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  • With arthroscopic washings of the bone, one can often identify the exact location of the punctate bleeding.

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  • Accidental puncture of the artery which may cause bleeding.

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  • The judicious use of recombinant factor VIIa to control bleeding is also given an airing.

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  • Thus, the rectal bleeding may become most apparent during menstruation.

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  • This is why shark rodeo dives always chum with dead and bleeding fish, not used sanitary towels !

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  • I agree with all the posts about council estate scum bleeding the bank dry which we pay into !

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  • Frequently bleeding may be severe enough to require transfusion despite local treatment such as cautery, estrogen therapy or even catheter thromboembolism.

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  • I shudder at the thought of a bleeding liberal like Kerry in office.

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  • Surgical operation simulators to train for the management of bleeding are also available.

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  • There were large numbers of circular skin lesions, some bleeding.

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  • Greg rushes to help Lynn and manages to staunch the bleeding until she can be taken to hospital.

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  • This does not detract from the necessity when heavy bleeding is observed to examine the patient in order to try to staunch the blood.

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  • Remove the needle and immediately press on with the cotton wool ball to stem bleeding.

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  • Any other type of bleeding should be stopped with direct pressure to the wound as well as styptic powder.

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  • Do not use tampons for this bleeding or the next two periods.

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  • Dental First Aid Bleeding from tooth socket Apply biting pressure using a gauze pad or unused tea bag for 15 minutes.

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  • A period is bleeding through a girl 's or woman 's vagina.

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  • Then again I 'd never seen any other vamps dumb enough to be slogging up bleeding huge mountains.

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  • Portal hypertension and its consequence of bleeding varices are usually seen in people with moderately advanced liver disease.

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  • Not everyone who has varices and who bleeds will be bleeding from varices.

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  • I had veal, which I have n't had in years due to the bleeding heart liberals in the UK.

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  • His bleeding shoulders covered by the purple robe, His head crowned with thorns, His visage marred and smitten, perhaps beyond recognition.

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  • What the bleeding hell was he on about, do n't go climbing waterfalls?

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  • The magically empowered lashes seek your supple skin hungrily and form painful pulsating welts and bleeding wounds !

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  • In extreme cases, skin can become red, start bleeding or develop whitish patches.

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  • You have not had any vaginal bleeding after 56 days postpartum.

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  • Some rashes are quite mild and need little treatment, while others are more stubborn, causing pain and even bleeding.

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  • Broadheads have four blades which cause massive bleeding in the victim.

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  • You have difficulty stopping the bleeding.

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  • Your cat's constant scratching may cause bleeding or broken blood vessels.

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  • The first is that laser surgery generally produces less bleeding.

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  • A delinquent account left sitting un-addressed is like having a bleeding wound left gushing; it doesn't get better with time.

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  • Once the immediate bleeding is stopped, it's time to start the repair work.

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  • Feverfew- can cause sever bleeding if taken with anti-clotting medications.

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  • You should not take ginger if you are taking blood thinners, daily aspirin, have a bleeding disorder, or gall stones.

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  • It can also cause thinning of the blood, and has been reported to produce bleeding in pregnancy.

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  • It has been used with good success in helping to stop severe bleeding, as well as being used with heart attack victims.

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  • If you're looking for a liner to match your red, red lips, Red Enriched Creamstick liner is great for keeping bleeding at bay.

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  • To prevent your lipstick from bleeding - a horrendous affect with red lipstick - place your face powder around the lips after applying your lip color.

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  • Used with powder, lip pencils will help prevent lipstick bleeding.

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  • Line you lips with a neutral color to prevent lip color from bleeding.

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  • Use a matching lip liner to keep the shade from bleeding, and apply a base on the lips to keep lipstick on longer.

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  • The ultra-smooth Fluidline gel offers a silky soft finish that lasts all day without smudging, bleeding or fading.

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  • Dark lipstick often requires lip liner to keep it in place and prevent bleeding.

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  • Using waterproof eyeliner and eye makeup is also a smart move to prevent smudges and to prevent inevitable eye makeup bleeding.

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  • As you age, your period will become a regular monthly cycle, but for the first few years or so you might not get it every month and you may only have light bleeding.

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  • According to reports, Zoe and Thomas began to bleed internally, often referred to as "bleeding out."

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  • As a result of the bleeding, doctors ordered 10 units of the anti-clotting drug Heparin, to be injected into the babies intravenously in order to prevent dangerous blood clots.

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  • He is reportedly planning to work with Ryan Tedder of the band One Republic and Jesse McCartney (who penned Leona Lewis' breakout hit Bleeding Love) on his post Idol debut album.

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  • A neighbor ran to the aid of the woman, attempting to stop the bleeding from the over 20 stab wounds inflicted upon her body and face by Malil.

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  • Doctors admitted Michaels after discovering that he had suffered a massive subarachnoid brain hemorrhage that was causing bleeding at his brain stem.

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  • He seemed to be recovering in the hospital, but he died as a result of internal bleeding on September 13, 1996.

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  • If you accidentally cut the quick, styptic powder will stop the bleeding and alleviate the pain.

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  • Worms can also cause internal bleeding once they attach themselves to your pet's stomach lining and intestinal tract.

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  • You want to be careful that you don't cause more bleeding or irritation at the site.

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  • This is a cycle where no actual bleeding is detected.

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  • I have a three-year-old AKC female Chihuahua Can she get pregnant without bleeding or being in heat?

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  • This causes massive internal bleeding that in turn leads to death.

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  • Yellow, blue, gray or white discoloration can indicate serious health problems such as internal bleeding, anemia or shock.

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  • When he's finished, the vet removes the line, makes sure the bleeding has stopped and gives Senny a bandage.

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  • As long as there's no more bleeding, we're all done.

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  • If the bleeding happens only one time, it is considered a transient event and is usually nothing to worry about.

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  • If the bleeding continues, becomes more severe or keeps recurring, take the dog to a veterinarian to determine the cause.

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  • This causes massive internal bleeding that leads to death.

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  • Both PediPaws and Peticure brand trimmers are cordless pet nail grinders that can effectively shorten and smooth a dog's nails without risking the pain and bleeding associated with traditional clippers.

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  • Apply a styptic powder to the wounded area if the quick is cut to immediately stop bleeding.

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  • It's believed the stone can stop bleeding.

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  • If a client wants bleeding edge design, we can do it, but I always point out that few items in a wardrobe look better than a well-cut blue pinstripe suit (with a purple paisley lining).

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  • Poisoning symptoms range from slight bleeding to bowel perforation to liver and kidney damage.

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  • For some, it may just be a case of a few months of scant bleeding, culminating in no monthly menstrual blood loss at all.

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  • Besides the four senses, you also have to deal with your pulse, adrenaline level, bleeding level and your physical strength.

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  • A hemorrhagic stroke-the more common form of stroke in infants and children under age two-occurs when a weakened blood vessel leaks or bursts, causing bleeding in the brain tissue or near the surface of the brain.

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  • For a hemorrhagic stroke, the goal of initial treatment is to control the bleeding.

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  • A clip may be placed across the neck of the aneurysm (like a clip at the end of a balloon) to stop the bleeding.

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  • Then a tiny coil is fed through the tube into the aneurysm "balloon" to fill the space and seal off the bleeding.

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  • A diet deficient in vitamin K can cause prolonged blood-clotting time and easy bleeding and bruising.

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  • Aneurysms may be fatal if these weak areas burst, resulting in uncontrollable bleeding.

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  • Intracerebral hemorrhage-A cause of some strokes in which vessels within the brain begin bleeding.

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  • Idiopathic thrombocytopenic purpura (ITP) is a bleeding disorder caused by an abnormally low level of blood platelets, small disc-shaped cells essential to blood clotting (coagulation).

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  • The platelet plug then binds coagulation proteins to form a clot that stops bleeding.

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  • A deficiency in platelets or a disorder that affects platelet production can disrupt clotting and severely complicate blood loss from accidental injury, surgery, and specific diseases or conditions in which bleeding can occur.

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  • Acute ITP is characterized by bleeding into the skin or from the nose, mouth, digestive tract, or urinary tract.

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  • Bleeding into the skin takes the form of purpura or petechiae.

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  • In extreme cases, ITP may cause bleeding into the lungs, brain, or other vital organs.

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  • Most parents consult a pediatrician or primary care doctor after noticing their child has the typical purpuric skin rash, frequent nosebleeds, or bleeding from the digestive or urinary tract.

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  • If nosebleeds or bleeding from the mouth or other parts of the body have been reported, the doctor will examine these areas for other possible causes of bleeding.

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  • Individuals with ITP usually look and feel healthy except for the bleeding.

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  • Clotting factors-Substances in the blood, also known as coagulation factors, that act in sequence to stop bleeding by triggering the formation of a clot.

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  • These areas of discoloration are caused by bleeding from broken capillaries.

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  • Children with acute ITP who are losing large amounts of blood or bleeding into their central nervous system require emergency treatment.

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  • All medications for ITP are given either orally or intravenously; intramuscular injection is avoided because of the possibility of causing bleeding into the skin.

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  • In rare instances, however, ITP can cause life-threatening hemorrhage or bleeding into the central nervous system.

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  • However, episodes of bleeding can be prevented in children with ITP by discouraging rough contact sports or other activities that increase the risk of trauma.

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  • It is helpful to remember that ITP, whether acute or chronic, has an excellent prognosis and may cause bleeding but not life-threatening hemorrhage in most cases.

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  • If a child has black stools, pallor, or vomiting of blood due to the development of portal hypertension, emergency medical attention is required to treat the bleeding.

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  • Oxytocin secretion is also nature's way of causing a woman's uterus to contract after birth to control postpartum bleeding and assist in uterine involution.

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  • Some life-threatening complications have occurred, including bleeding and airway obstruction.

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  • Gingivitis-Inflammation of the gums in which the margins of the gums near the teeth are red, puffy, and bleeding.

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  • Other symptoms can include sores that do not heal, growths on the skin or below the skin, unusual bleeding, difficulty digesting food or swallowing, and changes in bowel or bladder function.

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  • If there is fever, swelling, intense pain, or bleeding in addition to the toothache the dentist should be seen right away.

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  • Retained placenta can cause severe uterine bleeding after delivery, and it must be removed.

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  • If a blood sample has been drawn for RAST testing, a bandage may be applied to the venipuncture site to help keep it clean and to stop slight bleeding that may occur.

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  • Unusual bleeding or bruising of the site should be reported to the pediatrician.

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  • The site from which blood is withdrawn must be kept clean after the procedure and must be checked regularly for bleeding.

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  • Drawing blood for the test may involve light bleeding or bruising at the site of puncture or blood may accumulate under the puncture site (hematoma), requiring that a new location be found for subsequent tests.

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  • This method reduces the chances of a falsely elevated white cell count caused by a traumatic tap (bleeding into the subarachnoid space at the puncture site), and contamination of the bacterial culture by skin germs or flora.

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  • While not normally found in CSF, RBCs will appear whenever bleeding has occurred.

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  • Since white cells may enter the CSF in response to local infection, inflammation, or bleeding, the RBC count is used to correct the WBC count so that it reflects conditions other than hemorrhage or a traumatic tap.

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  • In people who have bleeding disorders, lumbar puncture can cause hemorrhage that can compress the spinal cord.

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  • The general symptoms of a wound are localized pain and bleeding.

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  • An abrasion usually appears as lines of scraped skin with tiny spots of bleeding.

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  • An avulsion has heavy, rapid bleeding and a noticeable absence of tissue.

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  • A cut may have little or profuse bleeding depending on its depth and length.

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  • A laceration too may have little or profuse bleeding, the tissue damage is generally greater, and the wound's ragged edges do not readily line up.

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  • A missile entry wound may be accompanied by an exit wound, and bleeding may be profuse, depending on the nature of the injury.

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  • A puncture wound's depth will be greater than its length; therefore, there is usually little bleeding around the outside of the wound and more bleeding inside, causing discoloration.

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  • Once the child is breathing unassisted, the bleeding may be attended to.

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  • Treatment of wounds involves stopping any bleeding then cleaning and dressing the wound to prevent infection.

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  • Most bleeding may be stopped by direct pressure.

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  • This pressure limits local bleeding without disrupting a significant portion of the circulation.

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  • If severe bleeding cannot be stopped by direct pressure or with elevation, the next step is to apply pressure to the major artery supplying blood to the area of the wound.

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  • If the bleeding from an arm or leg is so extreme as to be life-threatening and if it cannot be stopped by any other means, a tourniquet may be required.

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  • Once the bleeding has been stopped, cleaning and dressing the wound is important for preventing infection.

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  • Tourniquet-Any device that is used to compress a blood vessel to stop bleeding or as part of collecting a blood sample.

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  • During and after pregnancy, there is an increased risk of the uterus rupturing and of arterial bleeding.

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  • Other rare side effects include yellow skin or eyes, unusual bleeding or bruising, weakness, fatigue, bloody or black stools, bloody or cloudy urine, and a sudden decrease in the amount of urine.

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  • Low platelet counts or abnormally shaped platelets are associated with bleeding disorders.

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  • The primary functions of a platelet count are to assist in the diagnosis of bleeding disorders and to monitor patients who are being treated for any disease involving bone marrow failure.

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  • Because platelet counts are sometimes ordered to diagnose or monitor bleeding disorders, patients with these disorders should be cautioned to watch the puncture site for signs of additional bleeding.

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  • Children with bleeding disorders, however, may have prolonged bleeding from the puncture wound or the formation of a bruise (hematoma) under the skin where the blood was withdrawn.

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  • If the bleeding does not stop at the needle puncture site, or hours to days later, there are signs of infection (redness and swelling), then parents should contact a doctor.

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  • Scurvy-A nutritional disorder caused by vitamin C deficiency that is characterized by tiredness, muscle weakness, joint and muscle aches, a rash on the legs, bleeding gums, and skin bruising.

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  • Rarely, a Wilms' tumor is diagnosed after there has been bleeding into the tumor, resulting in sudden swelling of the abdomen and a low red blood cell count (anemia).

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  • The first signs of the infection's severity are small bleeding spots seen on the skin (petechiae).

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  • Quickly (within hours), the blood vessel damage increases, and large bleeding areas on the skin (purpura) are seen.

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  • The blood pressure is often low, and there may be signs of bleeding from other organs (like coughing up blood, nose bleeds, blood in the urine).

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  • Regular grocery-store cow's milk, which cannot be adequately digested by infants and can cause gastrointestinal bleeding, should not be introduced until a child is a year old.

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  • Shaking an infant can cause bleeding in the brain (subdural hematoma), resulting in permanent brain damage or death.

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  • Nutrient loss can be accelerated by diarrhea, excessive sweating, heavy bleeding (hemorrhage), or kidney failure.

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  • A bandage may be applied to keep the site of venipuncture or intravenous administration of medications clean and to stop any bleeding that may occur.

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  • It is usually a painful condition, associated with redness, swelling, and occasional bleeding from the affected area.

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  • The parent of a child with albinism should also call the doctor if the child bruises easily or has unusual bleeding, such as repeated nosebleeds or bloody diarrhea.

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  • Complications in children who have not had surgery are hypertension, aortic rupture, intracranial bleeding, and congestive heart failure.

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  • It should be noted that spotting or even bleeding is not unusual during early pregnancy.

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  • They are also used to stop superficial bleeding by contracting the capillaries and for relief of conjunctivitis.

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  • Hereditary hemorrhagic telangiectasia is a condition characterized by abnormal blood vessels which are delicate and prone to bleeding.

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  • The bleeding may appear as small, red or reddish-violet spots on the face, lips, inside the mouth and nose, or the tips of the fingers and toes.

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  • Unlike hemophilia, where bleeding is caused by an ineffective clotting mechanism in the blood, bleeding in hereditary hemorrhagic telangiectasia is caused by fragile blood vessels.

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  • However, like hemophilia, bleeding may be extensive and can occur without warning.

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  • Parents should notify a doctor if a child's bleeding does not stop, or bleeding is severe, or the child has severe headaches or becomes unresponsive.

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  • Bleeding in the GI tract can cause the stool (feces) to be darker than normal.

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  • The bleeding resulting from the condition can be stopped by applying compresses or direct pressure to the area.

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  • In some cases, estrogen therapy is used to reduce bleeding episodes.

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  • In most people, recurrent bleeding results in an iron deficiency.

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  • After the IV needle is removed, the site should be inspected for any signs of bleeding or infection.

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  • The major symptoms of most facial injuries are pain, swelling, bleeding, and bruising, although a fractured jaw also prevents the person from working his jaw properly.

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  • Symptoms of a fractured nose include black eyes and possible blockage of the airway due to swelling and bleeding.

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  • The child or adolescent is bleeding profusely.

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  • The doctor looks for signs of bruising and tissue swelling as well as bleeding and gently palpates, or touches, the various facial bones for movement and stability.

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  • The doctor should be informed of any previous nasal fractures, nasal surgery, or such chronic diseases as diabetes or bleeding disorders.

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  • Initially the nose may be packed to control bleeding and hold the shape.

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  • Wounds to the soft tissues of the mouth bleed freely, but the plentiful blood supply that leads to this heavy bleeding also helps healing.

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  • The ear is washed, a small incision made in the eardrum, the fluid sucked out, a tube inserted, and the ear packed with cotton to control bleeding.

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  • During pregnancy, a folic acid deficiency may lead to preeclampsia, premature birth, and increased bleeding after birth.

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  • It is most often caused by torn, bleeding veins as a result of a head trauma.

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  • Larger hematomas, however, can gradually get bigger even though the bleeding has stopped.

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  • Not all these head injuries involve subdural hematoma, but it is the most common type of bleeding in the brain to result from trauma.

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  • Children with blood clotting disorders are at an especially high risk of developing bleeding in the brain.

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  • The surgeon may have to open a section of skull (craniotomy) to remove a large clot and/or to tie off the bleeding vein.

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  • In some children, gingivitis and bleeding gums are among the early signs of leukemia.

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  • This form of gingivitis is characterized by painful, bleeding gums, and death (necrosis) and erosion of gums between the teeth.

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  • It causes tissue death and open sores on the gums and is often accompanied by fever, fatigue, and painful bleeding gums.

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  • Children who have chronically bleeding gums, open sores on the gums, or who complain of gum or tooth pain, should see a dentist promptly.

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  • Those with bleeding gums should see their pediatrician urgently, as this is also a symptom of leukemia in some children.

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  • Rarely, inflammations of the heart or kidneys, a drop in platelet count (causing episodes of difficult-to-control bleeding), or reactivation of an old tuberculosis infection can occur.

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  • Pressure should be applied to the puncture site until the bleeding stops to reduce bruising.

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  • A low Apgar score provides a warning signal that the baby may have hidden health problems, such as breathing difficulties or internal bleeding.

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  • Perinatal morbidity is associated with infections, reactions to anesthesia agents, blood clots, and bleeding.

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  • The mother experiences severe pain, possible bleeding, and her abdomen feels rock hard.

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  • With a complete previa, a c-section is mandatory as cervical dilation would cause bleeding.

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  • Women with partial previas will usually need a c-section due to bleeding problems, but those with marginal previas can often deliver vaginally.

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  • With the classical incision, there is more bleeding and a greater risk of abdominal infection.

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  • The mother is at risk for increased bleeding from two incision sites and a c-section usually has twice as much blood loss as a vaginal delivery during surgery.

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  • A burst blood vessel in the brain followed by uncontrolled bleeding (intracerebral hemorrhage) can cause a fetal stroke, or a clot (embolism) can obstruct a cerebral blood vessel.

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  • Infants who later develop CP, along with their mothers, are more likely than other mother-infant pairs to have coagulation disorders (coagulopathies) that put them at increased risk for bleeding episodes or blood clots.

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  • Both closed and penetrating head injuries can cause swirling movements throughout the brain, tearing nerve fibers and causing widespread bleeding or a blood clot in or around the brain.

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  • Bleeding (hemorrhage) inside the skull may accompany a head injury and cause additional damage to the brain.

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  • In other cases, bleeding may occur deeper inside the brain.

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  • If a concussion, bleeding inside the skull, or skull fracture is suspected, the person should be kept quiet in a darkened room, with head and shoulders raised slightly on pillow or blanket.

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  • If there is bleeding inside the skull, the blood may need to be surgically drained; if a clot has formed, it may need to be removed.

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  • Nasal trauma is defined as any injury to the nose or related structure that may result in bleeding, a physical deformity, a decreased ability to breathe normally because of obstruction, or an impaired sense of smell.

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  • Seventeen percent of these students reported medical complications from the piercing, ranging from skin or cartilage infections to periodic bleeding from the nose.

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  • Displacement of these magnets has been reported to cause bleeding and perforation of the nasal septum, while accidental swallowing of these magnets may require emergency surgery.

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  • Nasal injuries from piercing include bacterial infections of the skin and nasal cartilage, allergic reactions to the jewelry, tissue damage, and periodic bleeding.

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  • The child is bleeding profusely from the nose.

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  • Bleeding from the lower part of the nose is more common and usually less serious.

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  • Bleeding from the upper part of the nose closer to the throat is more serious because it can block the airway and because it may indicate that the child has a bleeding disorder rather than a traumatic injury.

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  • If the bleeding does not stop or if it appears to originate in the upper nose, the doctor will consult a head and neck surgeon or an otolaryngologist for specialized evaluation of the bleeding.

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  • Epistaxis-The medical term used to describe a bleeding from the nose.

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  • An open or compound fracture is often accompanied by bleeding or bruising.

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  • If an open fracture is accompanied by serious soft tissue injury, it may be necessary to control bleeding and the shock that can accompany loss of blood.

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  • Pressure from the clamp stops bleeding from blood vessels that supplied the foreskin.

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  • Bleeding occurs in half of the complications and is usually easy to control.

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  • Sometimes the victim suffers a severe reaction, including vomiting, diarrhea, hemorrhage (bleeding), a drop in blood pressure, and cardiac arrhythmia (disordered heart beat).

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  • The American Academy of Family Physicians recommends gently washing the wound with soap and water and then applying pressure to the injured area with a clean towel to stop the bleeding.

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  • Any dog bite that does not stop bleeding after 15 minutes of pressure must be seen by a medical professional.

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  • Get professional treatment if any injury is severe, such as a fracture, profuse bleeding, dislocated joint, prolonged swelling, or prolonged or severe pain.

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  • There are a number of diseases that cause excessive bleeding or bleeding from injuries too slight to have consequences in healthy people.

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  • An abnormal tendency to bleed may be due to hereditary bleeding disorders, certain prescription medications, diseases of the blood such as leukemia, and diseases that increase the fragility of blood vessels.

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  • Bruising that occurs around the navel may indicate dangerous internal bleeding; bruising behind the ear, called Battle's sign, may be due to a skull fracture; and raised bruises may point to autoimmune disease.

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  • A special device simultaneously makes the incision and clamps the edges to prevent bleeding.

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  • A baby with a rash that does not clear up within two to three days or a rash with blisters or bleeding should receive an evaluation and care from a healthcare professional.

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  • Symptoms include high fever, jaundice (yellow eyes and skin) and dark-colored vomit, a sign of internal bleeding.

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  • A natural process in which blood cells and fibrin strands clump together to stop bleeding after a blood vessel has been injured.

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  • Blunt or crush injuries can cause bleeding under the nail plate (subungual hematomas), which can be very painful.

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  • Bleeding from minor fingertip cuts often stop on its own with direct pressure applied to the wound with a clean cloth.

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  • If continuous pressure does not slow or stop the bleeding after 15 minutes, an emergency room visit is indicated.

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  • Long-term side effects of radiation treatment can include cataracts, vision problems, bleeding from the retina, and decreased growth of the bones on the side of the head.

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  • Some common complaints include fevers, rashes, abscesses, bleeding, and vomiting.

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  • The baby's brain hits the back of the skull if the child is thrown with even mild force and intracranial bleeding can result.

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  • However, excessive bleeding is the most common cause of severe anemia, and the speed with which blood loss occurs has a significant effect on the severity of symptoms.

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  • Any prolonged bleeding or sudden blood loss requires examination by a physician and testing for anemia.

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  • Surgery may be necessary to correct blood losses caused by injury or hemorrhage (nose bleeds, aneurysm, cerebral hemorrhage, bleeding ulcer) or childbirth.

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  • It occurs late in pregnancy and results in bleeding that may or may not establish an obstetrical emergency.

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  • Low blood cell counts caused by the effect of chemotherapy on the bone marrow can lead to anemia, infections, and easy bleeding and bruising.

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  • When an infant is vigorously shaken by the arms, legs, shoulders, or chest, the whiplash motion repeatedly jars the baby's brain with tremendous force, causing internal damage and bleeding.

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  • Hemorrhage-Severe, massive bleeding that is difficult to control.

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  • The bleeding may be internal or external.

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  • Besides the factors, which are all proteins, plasma (the fluid component of the blood) carries a number of other proteins that regulate bleeding.

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  • It is characterized by spontaneous musculoskeletal bleeding.

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  • Von Willebrand's disease, a hereditary disorder with prolonged bleeding time, is due to a clotting factor deficiency and impaired platelet function.

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  • Hemophilia C afflicts one in 100,000 people and is the second most common bleeding disorder among women.

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  • One in 500,000 people may be afflicted with this disorder that is often diagnosed in newborns because of bleeding into the brain as a result of traumatic delivery.

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  • Others show no apparent symptoms but carry the threat of severe internal bleeding.

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  • Some signs of hemophilia A are numerous large, deep bruises and painful, swollen joints caused by internal bleeding.

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  • A person with mild hemophilia may first discover the disorder with prolonged bleeding following a surgical procedure or injury.

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  • If there is bleeding into the neck, head, or digestive tract, or bleeding from an injury, emergency measures may be required.

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  • Bleeding can be spontaneous, occurring with no obvious trauma.

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  • Hemophilia B symptoms are similar to those of hemophilia A, including numerous, large, and deep bruises and prolonged bleeding.

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  • The more dangerous symptoms are those that represent possible internal bleeding, such as swelling of joints or bleeding into internal organs upon trauma.

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  • Symptoms may include minute spots of hemorrhage on the skin, and purple patches or hematomas caused by bleeding under the skin.

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  • Bleeding may occur at a surgical site or intravenous injection (IV) sites.

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  • Symptoms include sudden onset of small bruises or spots of hemorrhage on the skin or bleeding into mucous membranes (such as nosebleeds).

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  • The disorder may also be evident as blood in vomit or stools, bleeding during surgery, or heavy menstrual flow.

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  • Symptoms include easy bruising, bleeding in small cuts that stops and starts, abnormal bleeding after surgery, and abnormally heavy menstrual bleeding.

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  • Easy bruising, profuse nosebleeds, postpartum hemorrhage, excessively prolonged or heavy menstrual bleeding, and postsurgical hemorrhage may also result.

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  • Factor XI deficiency, or hemophilia C, is a bleeding disorder that occurs among certain ethnic groups.

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  • Some factor XI deficiencies may result in bleeding long after an injury, and some women experience prolonged bleeding after childbirth.

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  • A deficiency of factor VII may cause varying levels of bleeding severity in those affected.

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  • Women may experience heavy menstrual bleeding, bleeding from the gums or nose, bleeding deep within the skin, and episodes of bleeding into the stomach, intestines, and urinary tract.

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  • Bleeding into the joints is rare but may also occur in some individuals.

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  • Coagulation disorders are usually discovered when an injury or surgery initiates bleeding and the bleeding does not stop.

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  • Bleeding under the skin (hematoma), which looks like a severe bruise, should also be reported and medical care sought.

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  • The sooner bleeding is controlled the better.

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  • Christmas disease involves an investigation of bleeding and clotting times, as well as determining factor IX deficiency.

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  • Tests for thrombocytopenia include coagulation tests that may reveal a decreased platelet count and prolonged bleeding time.

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  • Von Willebrand's disease is diagnosed by ordering laboratory tests that reveal a prolonged bleeding time, absent or reduced levels of factor VIII, and a normal platelet count.

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  • It is diagnosed most often after injury-related bleeding.

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  • In severe cases, bleeding may only stop if the clotting factor that is missing is replaced through infusion of human blood components containing concentrated amounts of specific clotting factors.

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  • With mild bleeding episodes in persons afflicted with hemophilia A, infusions of a drug called desmopressin (DDAVP) may be administered.

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  • Severe bleeding episodes require transfusions of human blood clotting factors.

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  • Hemophiliacs are encouraged to receive physical therapy to help damaged joints and to exercise through non-contact sports such as swimming, bicycle riding, or walking, to avoid injury that may lead to bleeding.

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  • When hemophiliac children are to receive immunizations, parents should inform medical personnel in advance so that bleeding problems can be avoided.

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  • If the patient is not already bleeding, this supportive treatment may correct DIC. However, if bleeding is already occurring, a combination of transfused blood, platelets, fresh frozen plasma, or other blood products may be needed.

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  • Von Willebrand's disease is treated by several methods to reduce bleeding time and to replace factor VIII, which then replaces the von Willebrand factor.

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  • Vitamin K may also be given to stimulate coagulation, and in bleeding episodes, fresh plasma products may be transfused.

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  • Without treatment of bleeding episodes, severe muscle and joint pain and eventually permanent damage can occur.

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  • Acquired bleeding disorders are caused by a variety of conditions, some related to other diseases.

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  • There is no single prevention method although treatment of the underlying disorder or disease may prevent episodes of bleeding and subsequent coagulation problems.

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  • Episodes of bleeding can be prevented by avoiding injury.

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  • People who have hemophilia A or B and other bleeding disorders are advised to avoid activities and contact sports that can cause severe injury.

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  • Knowledge that a child has an inherited or acquired coagulation disorder that may lead to potentially dangerous bleeding episodes is of great concern to parents.

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  • Pressure is applied to the blood-drawing site for a few minutes to prevent bleeding.

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  • The site of heel stick, finger stick, or venipuncture must be kept clean and dry and observed for any undue bleeding or bruising.

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  • Risks for this test are minimal but may include slight bleeding from the blood-drawing site or blood may accumulate under the puncture site (hematoma).

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  • A woman can assist the doctor in diagnosing the cause of oligomenorrhea by keeping a record of the time, frequency, length, and quantity of bleeding.

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  • While spotting in pregnancy is fairly common, bleeding following amnio should always be investigated.

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  • If there is excess bleeding, a doctor should be contacted.

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  • The tooth may be knocked out and the socket bleeding, or it may be loose.

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  • Bleeding may be controlled with direct pressure applied with clean gauze.

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  • Some infants are placed on a ventilator to help them breathe, and some receive transfusions of platelets, which help the blood clot when there is internal bleeding.

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  • Postoperative complications are common, including wound infections and lack of healing, persistent sepsis and bowel necrosis, and a serious internal bleeding disorder known as disseminated intravascular coagulation.

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  • Magnetic resonance imaging (MRI) or computed tomography (CT) scans may be done to ensure that a lesion or bleeding is not responsible for the symptoms.

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  • One example is vitamin K treatment of newborn infants to prevent bleeding.

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  • Depending on the degree of the disorder in the affected individual, uncontrolled bleeding may occur spontaneously with no known initiating event, or occur after specific events such as surgery, dental procedures, immunizations, or injury.

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  • When blood vessels are injured in a way that causes bleeding, platelets collect over the injured area, forming a temporary plug to prevent further bleeding.

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  • In the complex coagulation process, the absence or inactivity of just one clotting factor can greatly increase bleeding time.

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  • In hemophilia, certain clotting factors are either decreased in quantity, absent altogether, or improperly formed, preventing the formation of a clot and resulting in uncontrolled bleeding.

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  • Such individuals frequently experience spontaneous musculoskeletal bleeding into their joints, skin, and muscles.

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  • Individuals with 1-5 percent of normal factor VIII activity level have moderate hemophilia and are at risk for heavy bleeding after seemingly minor traumatic injuries.

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  • It involves reduced activity of factor XI and is characterized by mild bleeding such as nosebleeds (epistaxis) or prolonged menstrual bleeding, or mild bleeding after tonsillectomies or dental extractions.

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  • In the case of severe hemophilia, the first bleeding event usually occurs prior to 18 months of age.

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  • In some babies, hemophilia is suspected immediately when a routine circumcision (removal of the foreskin of the penis) results in unusually heavy bleeding.

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  • As a child becomes more active, bleeding may occur into the muscles, a much more painful and debilitating situation.

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  • Hemophilia B symptoms are similar to those of hemophilia A, including numerous large and deep bruises and prolonged bleeding.

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  • Repeated bleeding into joints can result in scarring within the joints and permanent deformities.

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  • A blow to the head, which might be totally insignificant in a normal child, can result in bleeding into the skull and brain.

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  • People with hemophilia are at very high risk of severe, heavy, uncontrollable bleeding (hemorrhage) from injuries such as motor vehicle accidents and also from surgery.

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  • Hemophilia is usually discovered when an injury initiates bleeding and the bleeding will not stop.

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  • In very young children, spontaneous musculoskeletal bleeding may occur around the time the child begins to walk; these episodes may be the first sign of hemophilia.

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  • In some children, a simple surgical procedure, such as a tooth extraction or injection, may present with uncontrolled bleeding.

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  • Any signs of deep bruises or the presence of prolonged bleeding after a bump or an injury that breaks the skin should be reported to a physician or emergency service immediately.

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  • Bleeding under the skin (hematoma), which looks like a severe bruise, should also be reported and medical care sought immediately.

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  • More severe disease will require regular treatment to avoid spontaneous bleeding.

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  • Hemophiliacs should also avoid medications or drugs that promote bleeding; aspirin is one such medication and many prescription drugs have anticoagulant properties.

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  • When a child has an inherited coagulation disorder such as hemophilia, parents will be concerned about the possibility of trauma or injury that may lead to potentially dangerous bleeding episodes.

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  • Gastrointestinal symptoms are a result of inflammation and bleeding of the capillaries in the gastrointestinal tract, including the mouth, esophagus, stomach, and intestines.

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  • Infants who are at high risk for IVH usually have an ultrasound taken of their brain in the first week after birth, followed by others if bleeding is detected.

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  • Menstruation is the vaginal bleeding that occurs in adolescent girls and women as a result of hormonal changes.

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  • Dysfunctional uterine bleeding (DUB) is prolonged or heavy bleeding that often occurs in a menstrual cycle where ovulation did not occur.

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  • Heavy bleeding is defined as more than 15 soaked pads or tampons per period, and prolonged bleeding is that which lasts for more than 8 to 10 days.

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  • Other causes of bleeding are sexually transmitted disease, an ectopic pregnancy, ovarian cysts, and uterine fibroids or polyps.

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  • Endometriosis-A condition in which the tissue that normally lines the uterus (endometrium) grows in other areas of the body, causing pain, irregular bleeding, and frequently, infertility.

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  • In this new stage they are called petechiae, which are tiny areas of bleeding under the skin (pinpoint hemorrhages).

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  • If signs of brain swelling or bleeding are seen on a CT or MRI scan, the athlete should not return to the sport for the rest of the season, or even indefinitely.

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  • Shigella bacteria are dangerous because they attack the intestinal wall and cause bleeding ulcers.

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  • Other than making sure the bleeding stops from the needle puncture site and watching for any signs of infection at the needle site, there is no specific aftercare involved with this blood test.

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  • The risks associated with drawing blood are minimal but may include bleeding from the puncture site, feeling faint or lightheaded after the blood is drawn, or blood accumulating under the puncture site (hematoma).

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  • If there is excess bleeding from the needle puncture site, or if hours to days later, the puncture site looks infected (red and swollen), then a doctor should be contacted.

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  • Older children or adolescents who try to remove earwax themselves with hair pins or similar objects run the risk of perforating the eardrum or damaging the fragile skin covering the ear canal, causing bleeding and the risk of infection.

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  • Eosinophilic gastroenteropathies are not known to be fatal, but some types cause such severe bleeding or nutritional deficiency that the condition may be life-threatening if not treated with appropriate medications and support measures.

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  • Swelling, redness, bleeding from the surface blood vessels, sensitivity to light, and sudden vision problems are all symptoms of foreign matter in the eyes.

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  • In the case of swallowed objects, the doctor examine the inside of the child's mouth and throat to look for signs of tissue damage and bleeding.

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  • Blood tests are not usually necessary unless the doctor suspects that the foreign body has caused an infection or bleeding.

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  • The deficiency begins when the body's store of iron is depleted and more iron is being lost through bleeding or malabsorption than is derived from food and other sources.

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  • Children seem to stay in balance unless a bleeding disorder of some kind exists, either hereditary (hemophilia or von Willebrand's) or related to hookworm infection or another illness.

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  • Iron deficiency occurs most often through chronic blood loss, more often in adults than in children, although the sources of bleeding can apply to people of all ages.

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  • Blood losses from gastrointestinal bleeding, excessive menstrual bleeding, and infection with hookworm can deplete iron and lead to iron deficiency anemia.

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  • The hookworm damages the villi, resulting in blood loss; they simultaneously produce anti-coagulants that promote continued bleeding.

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  • Several genetic diseases also lead to bleeding disorders.

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  • These include the coagulation disorders hemophilia A and hemophilia B, and von Willebrand's disease, a bleeding disorder caused by a deficiency in von Willebrand factor, an essential component of the coagulation system.

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  • The presence of occult blood found in a stool examination may indicate gastrointestinal bleeding or other causes of bleeding such as aspirin-induced or a bleeding ulcer.

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  • The physician then needs to examine the gastrointestinal tract to determine the cause and location of bleeding.

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  • A barium-enhanced x ray of the intestines may also be used to detect abnormalities that can cause bleeding.

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  • When iron deficiency is provoked by hemorrhoids or gastrointestinal bleeding, for example, surgery may be required to prevent recurrent iron deficiency anemia.

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  • When iron deficiency is provoked by bleeding due to aspirin ingestion, aspirin is discontinued.

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  • Deficiencies in one nutrient do occur, however, such as in populations living in iodine-poor regions, and in iron deficient persons who lose excess iron by abnormal bleeding.

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  • Iron deficiency can also be caused by excess phosphorus in the diet, chronic intestinal bleeding, poor digestion and absorption, prolonged illness, ulcers, and the use of antacids.

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  • Von Willebrand disease is caused by a deficiency or an abnormality in a protein called von Willebrand factor and is characterized by prolonged bleeding.

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  • In 1926, von Willebrand noticed that many male and female members of a large family from the Aland Islands had increased bruising (bleeding into the skin) and prolonged episodes of bleeding.

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  • The severity of the bleeding varied among family members and ranged from mild to severe and typically involved the mouth, nose, genital and urinary tracts, and occasionally the intestinal tract.

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  • Some women in the family also experienced excessive menstrual bleeding.

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  • What differentiated this bleeding disorder from classical hemophilia was that it appeared not to be associated with muscle and joint bleeding and affected women and men rather than just men.

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  • In most cases the bleeding is due to an obvious injury, although it sometimes occurs spontaneously.

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  • Approximately one out of 100 people are affected with VWD, making it the most common inherited bleeding disorder.

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  • Type 1, the mildest form of VWD, is usually associated with easy bruising, recurrent nosebleeds, heavy menstrual periods, and prolonged bleeding after surgeries and invasive work.

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  • Many people with type 1 VWD do not have any noticeable symptoms or only have prolonged bleeding after surgery or significant trauma.

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  • The amount of vWF produced by the body increases during pregnancy, so prolonged bleeding during delivery is uncommon in people with type 1 VWD.

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  • These children usually experience prolonged bleeding from cuts, easy bruising, nosebleeds, skin hematomas, and prolonged bleeding from the gums following tooth extraction and minor trauma.

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  • Gastrointestinal bleeding is rare but can be life-threatening.

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  • Some women with type 2 VWD exhibit prolonged bleeding during delivery.

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  • Type 3 VWD can be quite severe and is associated with bruising and bleeding from the mouth, nose, and from the intestinal, genital, and urinary tracts.

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  • Type 3 is also associated with spontaneous bleeding into the muscles and joints, which can result in joint deformities.

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  • Some women with type 3 VWD experience prolonged bleeding during delivery.

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  • If a child frequently experiences significant bleeding, takes longer than normal to stop bleeding, or experiences easy bruising, then the doctor should be consulted.

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  • Many children with VWD have mild symptoms or symptoms that can be confused with other bleeding disorders, making it difficult for a doctor to diagnose VWD based on clinical symptoms.

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  • Children with type 1 VWD usually have an increased bleeding time, but they may have an intermittently normal time.

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  • Children with type 2 VWD have a prolonged bleeding time and decreased activity of vWF; they may also have decreased amounts of vWF and factor VIII and decreased factor VIII activity.

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  • Treatment with blood products or DDAVP may be started in response to uncontrollable bleeding or may be administered before procedures such as surgeries or dental work.

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  • If the factor VIII concentrates are unable to manage a severe bleeding episode, then blood products called cryoprecipitates, which contain concentrated amounts of vWF, or platelet concentrates should be considered.

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  • Medications called fibrinolytic inhibitors can be helpful in controlling intestinal, mouth, and nose bleeding.

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  • Patients with VWD should avoid taking aspirin, which can increase their susceptibility to bleeding.

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  • Special care should be taken before surgical or dental procedures to ensure that severe bleeding does not occur.

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  • Bleeding is the biggest risk for ECMO patients, since blood thinners (most often heparin) are given to guard against blood clots.

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  • Bleeding can occur anywhere in the body but is most serious when it occurs in the brain.

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  • Stroke, which may be caused by bleeding or blood clots in the brain, has occurred in some children undergoing ECMO.

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  • If bleeding becomes a problem, the patient may require frequent blood or platelet transfusions or operations to control the bleeding.

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  • If the bleeding cannot be stopped, ECMO is withdrawn.

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  • Notify a doctor if the child on ECMO is not behaving as expected (sedated and quiet), appears less pink (or bluer than normal), or is bleeding.

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  • Nutrient loss can be accelerated by bleeding, diarrhea, abnormally high blood sugar levels (glycosuria), kidney disease, malabsorption disorders, and other factors.

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  • Control bleeding using direct pressure; minimize or avoid contact with blood and other body fluids.

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  • Pressure to the puncture site until the bleeding stops reduces bruising; warm packs relieve discomfort.

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  • Rarely excess bleeding, or infection of the puncture site occurs.

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  • If the bleeding does not stop at the needle puncture site, or if hours to days later, there appears to be infection (redness and swelling), then parents should contact a doctor.

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  • The other complication is called intraventricular hemorrhage; this is bleeding into the cavities (ventricles) of the brain, which may be fatal.

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  • There is a risk of bleeding into the lungs from surfactant treatment; about 10 percent of the smallest infants are affected.

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  • Bleeding into the brain is a very serious condition that worsens the outlook for an infant with RDS.

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  • If the infant does develop RDS, the risk of bleeding into the brain will be much less if the mother has been given a dose of steroid.

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  • Steroids are the strongest class of asthma medications and can cause numerous side-effects, including bleeding from the stomach, loss of calcium from bones, cataracts in the eye, and a diabetes-like state.

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  • The skin is examined for discoloration, scarring, bleeding, infection, or ulceration.

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  • If the mark begins bleeding, parents should apply pressure firmly to control the bleeding.

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