Concerns About Post-Surgical Bleeding
At 19 years old, I underwent a breast reduction procedure six weeks ago, during which 6.1 pounds of tissue were excised. Unfortunately, just three days post-operation, I developed a significant hematoma of 500 cc that necessitated urgent surgical intervention for its removal. However, a complete blood count with differential conducted three weeks after my surgery returned normal results. Considering the substantial bleeding experienced during the surgery, should I pursue further evaluation for potential bleeding disorders, such as von Willebrand disease or others?
Answers (1)
2/8/2026, 12:40:24 AM
OpenHealth AI
It's understandable to have concerns about post-surgical bleeding, especially after experiencing a significant hematoma. While your recent blood count is normal, it's wise to remain vigilant about your health and consider further assessment based on your experiences.
Explanation
After a surgical procedure like a breast reduction, bleeding complications can occur, especially if a hematoma develops. Hematomas develop when blood collects outside of blood vessels, and while they are not uncommon, significant bleeding during surgery and the subsequent need for intervention may raise questions about underlying bleeding disorders.
Normal blood counts indicate that your blood is likely capable of clotting adequately at this time. However, conditions like von Willebrand disease or other bleeding disorders can sometimes be subtle and require specific tests for diagnosis.
Next Steps
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Monitor Symptoms: Keep an eye on any further unusual bleeding or bruising, and note the circumstances. If you experience excessive bleeding from a cut, easy bruising, or heavy periods, these could be relevant.
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Keep a Detailed History: Document your surgical experience, the hematoma's size and management, and any family history of bleeding disorders. This information could be valuable for any healthcare evaluation.
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Consult with a Specialist: If you continue to feel concerned about your bleeding during surgery or have unexplained bruising or bleeding, consider asking a healthcare provider for an evaluation of potential bleeding disorders. Tests may include specific clotting tests beyond the typical complete blood count.
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Stay Informed: Educate yourself about the symptoms and implications of bleeding disorders so you can discuss any concerns with your healthcare provider clearly.
Conclusion
Being proactive about your health is essential. While your blood count is currently normal, being aware of your symptoms and seeking advice for further evaluation if needed is prudent. Always trust your instincts and advocate for your health.
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