by Jenna Richard, Senior RN, Central Virginia Center for Coagulation Disorders at VCU School of Medicine
Q: I am scheduled for dental work soon and have a bleeding disorder. What do I need to know to stay safe during procedures like this or others that might cause bleeding?
A: Planning ahead is the most important step. Whether it is dental surgery, a biopsy, a joint injection, an endoscopy, a colonoscopy, or another invasive procedure, letting your care team know early helps us keep you safe.
Always Notify Your Hematology Team First
As soon as you know about a procedure, call your bleeding disorders clinic. We will work with your dentist or surgeon and the pharmacy to create a treatment plan that minimizes bleeding risks.
Plan Ahead for Elective Procedures
If you or your child has an upcoming elective procedure or surgery, we ask that you notify us at least three weeks in advance. This gives us time to coordinate with your providers, arrange medication, and have any necessary factor products ready.For more complex surgeries, such as orthopedic procedures or major dental work, four weeks’ notice is even better. Without this notice, we cannot always guarantee the right planning or medication coordination in time.
You May Need Factor or Medication Support
Depending on your condition, you may need factor replacement, DDAVP, or antifibrinolytics before and after the procedure. We will create a schedule that supports both the procedure and your healing afterward.
What to Share with Your Provider
- The type and severity of your bleeding disorder
- Any past issues with bleeding during procedures
- Your current treatment or prophylaxis schedule
- How to reach your Hemophilia Treatment Center
Watch for Signs of Trouble
Even with planning, bleeding can still happen. Contact us right away if you notice:
- Persistent oozing or swelling
- Blood in your stool or urine
- Large bruises around the site
- Fever or signs of infection
We Are Here for You
Letting us know early ensures you have a safe, well-coordinated plan for your care. If you have a procedure scheduled, reach out as soon as possible so we can support you every step of the way.
— Jenna Richard, Senior RN
