Hematology focuses on diseases of the blood, bone marrow, and lymphatic system. Learn about the diagnosis and treatment of anemia, leukemia, and lymphoma.
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For patients with hemophilia, “recovery” usually refers to recovering from an acute bleed, while “follow-up” is a lifelong process of maintenance. Hemophilia is a chronic condition that requires continuous vigilance. The goal of long-term care is to prevent complications, specifically joint destruction and infection, and to ensure the patient transitions successfully through life stages. A comprehensive follow-up plan encompasses physical health, dental hygiene, and psychosocial well-being.
After a joint bleed, rehabilitation is crucial. Once the acute pain subsides, physiotherapy helps restore range of motion and muscle strength.
Without proper rehab, joints can become permanently stiff (contractures). Strengthening the muscles around the joint protects it from future bleeds.
Chronic inflammation of the joint lining (synovitis) may require removal of the lining (synovectomy), either through radioisotope injection or surgery, to stop the cycle of bleeding.
Good dental hygiene is critical to prevent gum disease and the need for extractions, which can be complicated by bleeding.
Regular check-ups are essential. Deep cleaning or surgery requires coordination with the hematologist to administer factor or antifibrinolytics (tranexamic acid) beforehand to prevent hemorrhage.
Sedentary behavior is detrimental to bone density and muscle strength. Patients are encouraged to be active.
Low-impact sports like swimming, cycling, and walking are highly recommended. Contact sports like football, boxing, or wrestling are generally prohibited due to the risk of head injury and severe trauma.
Using helmets, knee pads, and elbow guards is mandatory for active children to minimize injury risk.
Moving from pediatric to adult care is a critical time where adherence to treatment often drops.
By adolescence, patients should be proficient in self-infusion and managing their own supply of medication.
Follow-up includes discussing career choices that are physically safe and compatible with the condition.
Patients should receive all standard vaccinations. Hepatitis A and B vaccines are particularly important due to the theoretical risk (though now minimal) associated with blood products.
Vaccines should be given subcutaneously (under the skin) rather than intramuscularly (into the muscle) whenever possible to prevent deep muscle bleeds (hematomas).
Patients should wear a medical alert bracelet or necklace indicating their diagnosis and severe allergies.
When traveling, patients must carry enough factor concentrate for the duration of the trip plus extra for emergencies, and a letter from their doctor explaining their condition and necessary treatment for airport security.
Living with a bleeding disorder can be anxiety-inducing for both patients and parents.
Access to psychologists or social workers helps families cope with the fear of bleeds, the financial burden of treatment, and the social isolation that can occur.
Hemophilia is a complex condition that requires precision, consistency, and a deep understanding of hematology. At Liv Hospital, our Hematology Department serves as a dedicated partner in your journey. We offer comprehensive care that goes beyond factor replacement. Our multidisciplinary team includes expert hematologists, orthopedists specialized in hemophilic joints, and dedicated physiotherapists who work together to preserve your mobility. We provide access to the latest recombinant therapies, genetic counseling for families, and cutting-edge management for inhibitor complications. Whether you are managing a child’s new diagnosis or seeking advanced care for adult hemophilia, Liv Hospital provides a safe, state-of-the-art environment focused on empowering you to live a life undefined by limitations.
Send us all your questions or requests, and our expert team will assist you.
A urologist is a surgeon trained to treat conditions of the urinary tract in both men and women. A urogynecologist has specific training in female pelvic medicine and reconstructive surgery, focusing on conditions like bladder prolapse and female incontinence.
The bladder lining (urothelium) has a high regenerative capacity and heals quickly after minor trauma or infection. However, the muscle layer (detrusor) does not regenerate well. If the muscle is damaged by chronic overdistention or fibrosis, the loss of function is often permanent.
Yes, psychological stress can exacerbate bladder symptoms. The bladder has many nerve receptors sensitive to stress hormones. “Stress incontinence” refers to physical pressure (coughing/sneezing), but anxiety can trigger “urgency” and frequency, mimicking Overactive Bladder symptoms.
Yes, the bladder’s functional capacity tends to decrease with age. Furthermore, the elasticity of the bladder wall reduces, and the kidneys produce more urine at night (nocturnal polyuria), leading to increased nighttime urination in older adults.
Neurogenic bladder is a term used when the nerve control of the bladder is disrupted due to a brain, spinal cord, or nerve condition (like diabetes or MS). This can cause the bladder to either be unable to hold urine (incontinence) or unable to empty it (retention).
Hemophilia is a rare genetic disorder that makes blood hard to clot. It was once seen as a lifelong condition. But, groundbreaking advances in gene
Hemophilia is a genetic disorder that affects blood clotting. It can cause prolonged bleeding, leading to serious health problems. About 1 in 5,000 males worldwide
Hemophilia is a rare disorder where the blood doesn’t clot properly. This is because there’s a lack of clotting factors. It greatly affects the daily
Hemophilia is a rare genetic disorder. It makes blood unable to clot properly, leading to prolonged or spontaneous bleeding. This happens because of a lack
Hemophilia is a genetic disorder that makes it hard for the body to form blood clots. This can cause prolonged bleeding. Recent studies have found
Hemophilia is a rare genetic disorder that makes it hard for the body to form blood clots. Clots are essential to stop bleeding. People with
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