Strong muscles around the knee can prevent recurrent hemorrhages and chronic synovitis. Active isometric resistive exercise is possible without the use of replacement therapy. Similarly, gentle active exercise and range of motion should be undertaken when elbow bleeds subside. The use of high-top boots or tennis shoes for recurrent ankle bleeds, particularly in toddlers and children, is helpful. Bleeding after inadvertent circumcision - Continue the use of topical pressure as long as feasible.
Inflamed tonsils can precipitate peritonsillar bleeding with serious results.
Similarly, continued coughing can cause pharyngeal and tracheal bleeding. Antibiotics should be employed freely together with a cool, liquid diet until the child recovers. If necessary to suppress cough, a codeine containing cough medicine is efficacious. A significant amount of blood leading to anemia and even shock can be lost within the large muscles of the thorax and back and in the retroperitoneal space. Unexplained pallor, weakness, or lethargy and lower abdominal pain may lead to the diagnosis of such problems and medical intervention.