Introduction and Background: Psychological stress is found to be increasing in the present era because of the number of factors. One of the causes of psychological stress is their concern and anxiety for their child, be it their study or health. Hemophilia is a blood genetic disease which not only carries stress to the patient, but a cause of psychological stress to parents owing to its severity and high-cost management. Stress coping and management becomes difficult for such parents. Therefore this study was undertaken to examine the role of homeopathic medicine in managing psychological stress in parents of people with hemophilia (PWH). Materials and Methods: 100 parents of PWH were selected by randomized sampling technique from the period 2014-2016 at homeopathy in hemophilia research centre, Nashik. FISC-MR scale was used to measure the levels of stress in 10 different aspects of the life of parents of PWH. Result: For each scale, the mean difference in before and after treatment was highly significant at P = 0.0001. Conclusion: Parents of PWH suffer from stress associated with children's health condition. It affects parental IPR and relationship with society. This study has shown that homeopathic medicines are effective in coping with psychological stress among parents of PWH. It has markedly increased the interpersonal relationship and social relationship.

Background: Hemarthrosis is a common clinical presentation of patients with severe and moderately severe hemophilia. Severe pain, swelling, and loss of function involving knee, ankle, elbow, and shoulder joints are commonly seen. In India, except for paracetamol and some non-steroidal anti-inflammatory drugs (NSAIDs), opiate analgesics are not easily available even in the mainstay of treatment; i.e., factor concentrates are also not available regularly. Hence, there is an unmet need for exploring alternative management strategies in this condition in India. Objective: To assess the effect of homeopathic medicines on pain and acute hemarthrosis in hemophilia when factor concentrates are not available and paracetamol in adequate doses proves inadequate. Patients: 343 patients with hemophilia (PWH) from Nashik, Mumbai, and Surat presenting with hemarthrosis were prescribed homeopathic medicines in addition to paracetamol and RICE (rest, immobilization, cold application, and elevation). They were assessed using standard techniques. Results: 1,679 episodes of hemarthrosis in major joints were encountered between December 2007 and March 2014, in 343 patients. In 1,580 of the 1,679 hemarthrosis episodes (94.1%), bleeding/inflammation was arrested and pain relieved with homeopathic medication. Additional factor concentrate was required in 99 patients (4.48%). The mean pain score improved from 6.88 ± 2.118 to 1.5 ± 0.34 over 6-24 h following the homeopathic medicines (p < 0.0001). The swellings were also substantially reduced (p < 0.001). The number of joint bleeds per month was reduced significantly under the influence of therapy (p < 0.0001), showing the long-term disease-modifying effect of the treatment. Conclusion: Homeopathic medicines without factor concentrates appeared to reduce bleeding and pain in PWH presenting with hemarthrosis and could have influenced the long-term frequency of bleeding.

Introduction and background:Haemophilia is an X-linked inherited genetic disorder that impairs the body's ability to make blood clots. It results in spontaneous uncontrolled bleeding. Maximum of its manifestation are acute and require immediate intervention. Therefore this study is aimed at focusing on impact of telemedicine in emergency management of haemophilia in remote areas. Materials and methods: At Multicentric HIH centres the patients are prescribed with homoeopathic medicines as per the symptom similarity which is the base for homoeopathic treatment, and given constitution medicines in Fleiss kappa manner, on monthly basis. Patients are provided with emergency kits which consist of around 30 medicines which have been formulated considering haemorrhagic diathesis, and articulation problems, oedema, ecchymosis, pain, inflammation, bleeding, tenderness etc. This tool employed in telemedicine in remote areas to manage acute conditions on the proper time.Result: Total number of interactions of these patients with a team of HIH is 22926, out of which 43.59% was telephonically managed emergencies. In Thane, Surat and Amravati, around 75% of interactions are dealt with the use of social media that is17722 emergencies have been managed telephonically. Conclusion:Telemedicine has efficiently helped to manage and control acute episodes of people with haemophilia and thereby increasing their quality of life as well as the quality of healthcare with homoeopathic medicines.

This article is an Evidence based case study of adjuvant Homoeopathic therapy of scrotal hematocele along with standard factor management. Add on Homoeopathic medicine substantially resolved the scrotal hematocele in the severe haemophilia patient.

Idiopathic Thrombocytopenic purpura (ITP) is an autoimmune disorder characterized by decrease in platelets count in blood, leading to manifestations like spontaneous bleeding such as epistaxis, petechiae, ecchymotic patches or painful bruises, gum bleeding or fatal haemorrhages. Here we present three cases of ITP, its manifestation and homoeopathic management. Wong Baker pain rating scale, Adaptive and Maladaptive behavioral scale were used for assessment. A Naranjo criterion for homoeopathy, casual attribution (MONARCH) inventory was used to assess individual curative response of each case, which elucidated the role of homoeopathy in management of ITP. Homeopathic medicine effectively managed the episodes of bleeding and other symptoms in case of chronic pediatric Idiopathic Thrombocytopenic purpura (ITP).