Hemophilia results in bleeding disorders that can be rare or frequent. Many begin to recognize signs of bleeding within a or two and visit the doctor. But children who have been diagnosed with hemophilia should be monitored regularly as they might not be able to explain the symptoms. Bleeding in the mouth, nose or even a bruise will go away in its own and will not need medical intervention unless the bleeding fails to stop. The internal bleeding that occurs in the head, eyes, neck, stomach or kidney will need immediate medical assistance. Doctors will assess the size of the bleed and recommend necessary intervention. They will also recommend an overnight stay in the clinic if the symptoms do not improve.

The symptoms of internal bleeding are:

In the brain:

• A headache that refuses to go away with treatment
• Vomiting
• Double Vision
• Lethargy
• Sudden appearances of bruises
• Clumsiness – unable to do basic jobs
• Seizures.

In the abdomen:

• Abdominal pain
• Feeling weak and pale skin
• Vomiting with traces of blood
• Dark stools or blood in stools
• Sudden bruises or change in the color of skin

In the eye:

• Swelling around the eye
• Pain
• The color around the eye will change or appearance of bruises
• Double vision

In the neck:

• Swelling
• Frequent choking
• Difficulty while swallowing saliva, food or liquids
• Difficulty in breathing
• Change in color of skin and sudden bruises
• Vomiting blood
• Change in voice

In the joints:

• Swelling
• Tingling sensation in the joints
• The joint feels warm compared to other parts of the body
• Pain and discomfort in the joint
• Loss of motion in joints and also stiffness.

Symptoms of internal bleeding in children
Since infants might not be able to point out symptoms, there are visible signs that parents can take a note of. They include:

• Bruises on chest, buttocks and also on the back
• Lethargy on the inclination to crawl or walk
• Red colored urine
• Dark stool and blood in feces and vomit
• Dizziness after a head injury
• Hesitation and refusal to use a particular limb

Once you notice any of these symptoms, you should contact the doctor who specializes in hematology. The treatment would be the administration of the missing factor into the bloodstream. Once the factor reaches the injured spot, it stops the bleeding.

As soon as the symptoms are noticed, one should go for treatment. The faster the factor concentrates are administered into the body, the quicker the bleeding will stop and the symptoms will improve.