Care for someone with a hemorrhaging disorder by making sure they have regular treatment two to three times a week, either at home or in a doctor's office. If treating at home, make sure to keep prescriptions current and keep them with the person when they go out. Help keep the home free of clutter and sharp objects and assist with protective gear for physical activity. Also, be sure to attend to even a minor injury right away.
Lisa Mills, MD
- internal medicine
Location and Office HoursSummit Medical Group Oncology Center
1 Diamond Hill
Berkeley Heights, NJ 07922
- BlueCross BlueShield
- First Health
- Great-West Healthcare Cigna
- Health Net
- Horizon BlueCross BlueShield
- Independence BlueCross BlueShield
- United Healthcare
- Morristown Memorial Hospital
- Newark Beth Israel Medical Center
- Overlook Hospital
- Saint Barnabas Medical Center
- Trinitas Hospital, Williamson Campus
How do I care for someone with a hemorrhaging disorder?
Piedmont Heart Institute answered
What are blood stem cells?
Discovery Health answered
Blood stem cells are immature blood cells. They are capable of producing more blood-forming stem cells, or they can mature into white blood cells, platelets or red blood cells. They can be taken from bone marrow, the umbilical cord, or the bloodstream. Stem cells that are within bone marrow - that is, the spongy tissue inside of bones -- produce blood cells. Bone marrow which is infused into the blood stream can fill cavities in depleted bones and resume production of normal blood cells.
What medications help prevent blood clots?
Anthony Komaroff, MD, Internal Medicine, answeredBelow is a list of anticlotting medications that doctors may prescribe:
- warfarin (Coumadin, Jantoven): Side effects include bleeding from any tissue or organ. It is not recommended for people who have active ulcers. It requires routine blood testing. Certain medications including antibiotics, nonsteroidal anti-inflammatory drugs (NSAIDs), and barbiturates may boost the bleeding effect of warfarin.
- dabigatran (Pradaxa): Side effects include stomach pain, heartburn, nausea. Serious side effects include bleeding, joint pain or swelling, headache, swelling of the arms or lower legs. It is a useful alternative to warfarin for people with atrial fibrillation who are at risk of stroke. Not for use in people with certain kidney diseases, liver disease, or those with a mechanical heart valve.
- clopidogrel (Plavix): Side effects include stomach pain, nausea, headache, and dizziness. Serious side effects include bleeding, hives, rash, liver dysfunction, and swelling of the face, hands, and feet. It may be less effective in people taking heartburn drugs such as omeprazole (Prilosec) and esomeprazole (Nexium). About 3% of whites and blacks and up to 20% of East Asians have a genetic variation that diminishes the drug's effectiveness. Genetic tests are available to identify people with this variant.
- prasugrel (Effient): Side effects include dizziness, excessive tiredness, headache, or pain in the back, arms, or legs. Serious side effects include shortness of breath and a slow, fast, or irregular heartbeat. Should not be taken by people who have a history of ulcers or other internal bleeding, or who have had recent surgery, a stroke or a mini-stroke, or liver disease.
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- abciximab (ReoPro): Side effects include bleeding, dizziness, nausea, vomiting, headache, back pain, slow heart rate. Unsafe for people with recent bleeding episodes, bleeding problems, who have had recent surgery, or who have had a stroke within two years.
- tirofiban (Aggrastat): It is unsafe for people with kidney problems.
- eptifibatide (Integrilin): Dosage should be monitored and adjusted carefully in people with kidney problems.