What should hemophilia teaching include?

• A. Avoid NSAIDs and trauma.
• B. Take iron supplements daily.
• C. Use NSAIDs regularly.
• D. Engage in contact sports without protection.

Answer: (A)

Bleeding risk management in hemophilia centers on avoiding factors that can trigger a bleed and reducing traumatic injury. NSAIDs inhibit platelet function and can worsen or provoke bleeding, so they should be avoided unless a clinician approves a safer alternative. Pain is usually managed with options that don’t impair clotting, such as acetaminophen, under medical guidance. Protecting joints and soft tissues from trauma is essential because bleeds into joints are common and damaging; this includes using protective gear, safe activity planning, and avoiding high-risk impacts. Iron supplements are not automatically needed for all with hemophilia and are only used if a deficiency is identified. Regular use of NSAIDs or engaging in contact sports without protection would increase bleeding risk, so they’re not appropriate as general teaching points.