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Beyond Bruises: The Surprising Symptoms of Von Willebrand Disease
Published: Sep 07, 2023
Von Willebrand Disease (VWD) is known as a bleeding disorder, but its symptoms can be surprisingly varied and sometimes subtle. Understanding these signs is crucial for early diagnosis and treatment.
The Usual Suspects: Common Bleeding Symptoms
The most recognizable symptoms of VWD involve excessive bleeding. This can include easy bruising, frequent or prolonged nosebleeds, and bleeding gums. For women, heavy menstrual periods (lasting more than 7 days or requiring frequent pad changes) are a common sign. It's like your body's natural 'stop bleeding' signal is faulty, leading to these issues.
Hidden Troubles: Less Obvious Symptoms
VWD can also cause less obvious bleeding problems. These might include prolonged bleeding from small cuts or after dental procedures. Some people experience gastrointestinal bleeding, which can lead to anemia. In severe cases, there might be joint or muscle bleeding. Think of it as internal 'leaks' that aren't always visible from the outside.
Life Stages and VWD Symptoms
VWD symptoms can vary throughout a person's life. In infants, prolonged bleeding from circumcision or heel pricks might be a sign. Adolescents might notice heavy nosebleeds or excessive bruising. For adult women, postpartum hemorrhage can be a serious complication. It's like VWD adapts its challenges to different life stages.
When to Worry: Red Flags
While many VWD symptoms are manageable, some require immediate medical attention. These include uncontrollable bleeding, blood in urine or stool, or spontaneous bruising without injury. For women, soaking through a pad or tampon every hour during menstruation is concerning. These are like warning bells that shouldn't be ignored.
Frequently Asked Questions
Severe VWD can rarely cause bleeding in the brain, leading to headaches.
It can delay healing due to prolonged bleeding at wound sites.
Yes, symptoms can vary in severity over time and with different situations.
Not always, but frequent or prolonged nosebleeds can be a symptom.
Stress can potentially worsen bleeding symptoms in some people with VWD.
Connecting the Dots
Recognizing the diverse symptoms of VWD is key to getting proper diagnosis and treatment.
References
- Nichols WL, et al. von Willebrand disease (VWD): evidence-based diagnosis and management guidelines, the National Heart, Lung, and Blood Institute (NHLBI) Expert Panel report (USA). Haemophilia 2008; 14:171.
- Laffan MA, et al. The diagnosis and management of von Willebrand disease: a United Kingdom Haemophilia Centre Doctors Organization guideline approved by the British Committee for Standards in Haematology. Br J Haematol 2014; 167:453.
- James PD, et al. ASH ISTH NHF WFH 2021 guidelines on the diagnosis of von Willebrand disease. Blood Adv 2021; 5:280.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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