All About Mild Hemophilia
The severity of hemophilia is decided with respect to the activity of clotting factor in the blood. When clotting factor activity lies in the range of 5% to 40% it is termed as mild hemophilia. These can be ascertained with the help of clotting factor activity tests of the blood and the time the blood takes to clot.
Mild hemophilia is generally diagnosed later in life, in event of a surgery where the bleeding does not stop or in case of a minor dentistry which leads to emergency room complications. Apart from such external traumas, it is difficult to diagnosis mild hemophilia and many cases remain undiagnosed for years.
The symptoms in case of mild hemophilia are not so prominent and hence go unnoticed many a times, if the ailment does not run in the family. The characteristic symptoms of hemophilia like bleeding spontaneously and bleeding into joints generally in absent in cases of mild hemophilia. Mild hemophilia patients generally do not bleed spontaneously or bleed in to the joints. These may however vary from patient to patient. If the patient lies towards the lower border range, he may be more inclined towards exhibiting moderate hemophilia traits, while for those lying on the upper range may hardly experience any traumas due to external injuries, if any.
Patients who suffer from mild hemophilia do not need replacement therapies and preventive measures. They generally are able to enjoy a normal life. However, care should always be taken to avoid any emergency scenarios. Mild hemophilia treatment can involve intake of dessopressin. Dessopressin is an artificial hormone that boosts the level of clotting factor in blood. It mobilizes the stored clotting factor present in the lining of blood vessels to promote clotting. It is taken as a nasal infusion or a pill may also be available. It is generally taken by mild hemophilia patients prior to a surgery to avoid complications that may arise due to blood loss. However, regular intake of dessopressin is not advisable. Since, after a few dosages the effectiveness of the drug decreases and it does not accelerate clotting.
Mild hemophilia patients can also develop inhibitors towards clotting factors due to overexposure towards them. The immune system of the body attacks the clotting factors when they are infused rendering them ineffective. Compounds of other clotting factors apart from VIII and IX are given to such patients to promote clotting.
Women who are carriers of the defected gene also exhibit traits found in mild hemophilia patients. Hence, they are called symptomatic carriers since they exhibit symptoms of mild hemophilia but are only carriers and not affected. This however has been greatly disputed. Women who are carriers complain of their ailment being taken lightly and not as sensitively as a male mild hemophilia patient’s would have been. In women, major complications might arise in case of labor or menorrhagia.
There are less physical activity restrictions for mild hemophilia patients as compared to the severe hemophilia patients. But they cannot be ignored. Mild hemophilia patients should also be careful about not indulging in physically stressful exercises. Avoiding contact sports and taking precautions while riding a bike and maintaining good healthy habits is always a safe thing to do.
Though there will be less requirement of replacement clotting factors, it is always wise to store the factor at your home refrigerator as a precautionary measure. Clotting factors can be stored easily at low temperatures and are also easy to use and infuse. All hemophilia patients, where suffering from mild or severe symptoms should know how to self treat themselves in cases of emergency.