What should I do if my coagulation function is found to be poor during a physical examination

Physical examination reveals poor coagulation function, which can be improved by adjusting diet, supplementing vitamin K, avoiding trauma, medication treatment, and regular monitoring. Abnormal coagulation function may be related to factors such as vitamin K deficiency, liver disease, genetic coagulation factor deficiency, drug effects, and blood diseases.

1. Adjusting diet

Properly increasing foods rich in vitamin K can help improve coagulation function, such as spinach, broccoli, animal liver, etc. Vitamin K is an essential substance for synthesizing clotting factors, and can be combined with healthy fats such as olive oil in daily diet to promote absorption. Avoid long-term dieting or selective eating that can lead to malnutrition and coagulation disorders.

2. Supplementing with Vitamin K

For coagulation abnormalities caused by vitamin K deficiency, vitamin K1 injection or vitamin K4 tablets can be used under the guidance of a doctor. Vitamin K1 injection has a fast onset of action and is suitable for acute bleeding situations; Vitamin K4 tablets are commonly used for maintenance treatment of chronic deficiencies. Regular check of coagulation indicators is required during use.

3. Avoid Trauma

Individuals with abnormal coagulation function should avoid external injuries such as bumps and cuts, and wear protective gear during vigorous exercise. Use a soft bristled toothbrush to avoid gum bleeding when brushing teeth, and use an electric shaver to reduce skin damage when shaving. Women need to strengthen the observation of bleeding volume during their menstrual period and use medical hemostatic tampons if necessary.

4. Drug therapy

Pathological coagulation disorders need to be treated according to the cause. For example, patients with liver disease can follow the doctor's advice to use injectable thrombin; Hemophilia patients need to supplement recombinant human coagulation factor VIII; When there is an overdose of anticoagulant drugs, it can be neutralized with fish protein injection. It is strictly prohibited to self administer drugs such as aspirin that affect platelet function.

5. Regular monitoring

Check coagulation parameters, platelet function, and other indicators every 3-6 months, and compare changes with previous test results. Record daily bleeding conditions such as frequency of skin bruising, number of nosebleeds, etc. If severe bleeding symptoms such as joint hematoma and vomiting occur, emergency treatment should be immediately sought. Individuals with abnormal coagulation function should maintain a regular daily routine and avoid staying up late and overexertion. Pay attention to joint protection during daily activities, and the temperature of the bath water should not be too high to prevent blood vessel dilation and bleeding. Long term use of anticoagulants such as warfarin requires stable intake of vitamin K and regular monitoring of INR values. It is recommended to carry a medical warning card indicating the type of coagulation disorder with you, so that emergency personnel can quickly assess it in case of emergencies. When experiencing abnormal bleeding symptoms such as continuous gum bleeding and black stool, it is necessary to seek timely medical attention from a hematology department.