Most cases of
hemophilia are identified during infancy or early
childhood. Symptoms of bleeding in a child with hemophilia may include bruises
and/or pain, swelling, or reluctance to move a joint.
Adults and older children with hemophilia will learn with experience
what internal bleeding feels like. During the early stages, a warm and/or
tingling sensation, called an aura, is often felt. Bleeding is usually
recognized before there is any physical evidence.
It is important to begin infusion with
clotting factors as soon as possible once a bleeding
episode has started, before any physical signs develop.