Talk with your doctor before you take any medicines, herbs, or other supplements. Do not take aspirin, ibuprofen (Motrin, Advil), naproxen (Aleve), or other medicines unless your doctor tells you it is OK.

Be careful not to cut yourself.

• Do not walk barefoot.
• Use only an electric razor.
• Use knives, scissors, and other tools carefully.
• Do not blow your nose hard.
• Do not cut your nails. Use an emery board instead.

Take care of your teeth.

• Use a toothbrush with soft bristles.
• Do not use dental floss.
• Talk with your doctor before getting any dental work done. You may need to delay the work or take special care if you have it done.

Try to avoid constipation.

• Drink plenty of fluids.
• Eat plenty of fiber with your meals.
• Talk with your doctor about using stool softeners or laxatives if you are straining when you have bowel movements.

To further prevent bleeding:

• Avoid heavy lifting or playing contact sports.
• Do not drink alcohol.
• Do not use enemas, rectal suppositories, or vaginal douches.

Women should not use tampons. Call your doctor if your periods are heavier than normal.

If you cut yourself:

• Put pressure on the cut with gauze for a few minutes.
• Place ice on top of the gauze to help slow the bleeding.
• Call your doctor if the bleeding does not stop after 10 minutes or if the bleeding is very heavy.

If you have a nosebleed:

• Sit up and lean forward.
• Pinch your nostrils, just below the bridge of your nose (about two-thirds down).
• Place ice wrapped in a washcloth on your nose to help slow the bleeding.
• Call your doctor if the bleeding gets worse or if it does not stop after 30 minutes.

When to call the doctor

Call your doctor if you have any of these symptoms: