An important step in home treatment of hemophilia is the early recognition of a bleed. Bleeding is obvious when it is external, as in the cases of cuts and nosebleeds; however, when bleeding is internal, as in a joint bleed or head bleed, early recognition is not as easy.
In general, bleeds are accompanied by feelings of pain, tingling, or warmth. If you suspect a bleed, follow the appropriate instructions listed below. Note that infusion will always be required following serious injuries and following any injury that has required infusions in the past. The presence of localized pain, swelling, tingling, or warmth are strong indicators that infusion will be necessary.