Which specialty should I see?
Hello Doctor: For about a week, my front teeth have been bleeding at the gaps, either briefly or when I brush my teeth.
Additionally, my throat feels very dry, and I only cough up phlegm with a coffee-black color in the morning after waking up; I do not experience this throughout the day.
My previous health report indicated thrombocytopenia, but the difference from the normal range is minimal, and I do not have symptoms like bruising or fever.
On the day of my follow-up appointment, I only experienced persistent eyelid twitching.
My family medicine doctor has scheduled another blood test for the end of the year.
Should I follow up with my family doctor or a dentist regarding this situation? Thank you for your guidance, Doctor.
99, 20~29 year old female. Ask Date: 2017/10/04
Dr. Liao Yaopan reply Family Medicine
Hello, if symptoms persist, dental follow-up is still necessary.
Changhua Hospital cares about you.
Reply Date: 2017/10/04
More Info
Based on your symptoms, it is important to consider both dental and medical aspects of your health. You mentioned experiencing bleeding from the gaps between your front teeth, which could indicate a dental issue such as gum disease or other periodontal problems. Additionally, the dry throat and the presence of dark-colored phlegm in the morning could suggest a separate issue, possibly related to your respiratory system or even a side effect of your oral health condition.
Dental Considerations
Given that you are experiencing bleeding from your gums, it is advisable to see a dentist first. Bleeding gums can be a sign of gingivitis or periodontitis, both of which are forms of gum disease. These conditions are often caused by plaque buildup and can lead to more serious dental issues if not treated promptly. A dentist can perform a thorough examination of your oral health, including checking for signs of gum disease, cavities, or other dental problems. They may also recommend a professional cleaning to remove plaque and tartar that regular brushing cannot eliminate.
Medical Considerations
On the other hand, the symptoms you described regarding your throat and the dark-colored phlegm should not be overlooked. The presence of dark phlegm can sometimes indicate the presence of blood or other substances that may require further investigation. Since you have a history of low platelet counts, it is crucial to monitor any bleeding or unusual symptoms closely. If your throat continues to feel dry or if you experience any other concerning symptoms, it would be wise to consult your family doctor. They can evaluate your overall health, including your blood work and any potential underlying conditions that could be contributing to your symptoms.
Recommendations
1. Visit the Dentist: Schedule an appointment with a dentist to address the bleeding gums. They can provide treatment for any dental issues and give you advice on maintaining good oral hygiene to prevent future problems.
2. Follow Up with Your Family Doctor: Since you have a history of low platelet counts and are experiencing dry throat and unusual phlegm, it is important to keep your family doctor informed. They may want to conduct further tests or monitor your blood levels more closely.
3. Monitor Symptoms: Keep track of any changes in your symptoms, such as increased bleeding, changes in the color or consistency of your phlegm, or any new symptoms that arise. This information will be helpful for both your dentist and your family doctor.
4. Maintain Good Oral Hygiene: In the meantime, continue practicing good oral hygiene by brushing and flossing regularly, and consider using an antibacterial mouthwash to help reduce plaque buildup.
5. Stay Hydrated: Ensure you are drinking enough water throughout the day to help alleviate dryness in your throat.
In conclusion, while both dental and medical issues could be at play, starting with a visit to the dentist seems most appropriate given your symptoms of bleeding gums. However, do not hesitate to follow up with your family doctor regarding your overall health and any concerns related to your blood counts and respiratory symptoms. Taking a proactive approach to both your dental and medical health will help ensure you receive the appropriate care and treatment.
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