Treating a bleed

Treatment depends on the missing factor, inhibitor status, and what the centre can supply in Nepal this month.

On-demand and prophylaxis

On-demand treatment means factor or another medicine when a bleed starts or before a planned procedure. Prophylaxis means regular treatment to prevent bleeds before they damage joints.

In Nepal, not every child receives prophylaxis yet. NHS advocates for wider access. Your centre decides what is possible with current stock.

What you should not do alone

Do not increase dose because a bleed feels worse without calling the centre. Do not switch brands because another family uses a different product.

Do not use aspirin or ibuprofen unless the centre approves. Do not buy factor from informal sellers — unsafe plasma products carry infection risk.

While you travel to care

Rest, ice, compression, and elevation may ease pain while you reach help. They do not replace factor for a significant joint or muscle bleed.

For minor surface bleeding, direct pressure helps. For anything involving head, neck, belly, or a joint that will not move — go to emergency care.

Recording every treatment

Ask the centre to write product name, batch, dose, and time. Records matter for inhibitor monitoring, surgery planning, and blood safety advocacy nationwide.

This page is general information from Nepal Hemophilia Society. It is not a diagnosis or a treatment plan. A bleed, a head injury, or bleeding after an accident needs urgent hospital care. Ask your treatment centre before you change any treatment.