Gum Bleeding: Causes, Concerns, and Care Tips

Q: Gum Bleeding: Causes, Concerns, and Care Tips

Hello： Mild gingivitis can cause temporary bleeding, which is a normal phenomenon that will resolve once the inflammation subsides. <br>However, it is important to monitor for other systemic diseases, such as diabetes, hypertension, or anemia, which may require further treatment.

Gum bleeding

Two days ago, I had inflammation on the inside of my tooth (a large area), and the doctor drained some pus and prescribed medication.
Originally, it didn't bleed yesterday, but today when I brushed my teeth, I accidentally poked it, and it started bleeding continuously.
There are a lot of blood clots, and the color is darker.
I've been bleeding for four hours (the amount is low), but it won't stop.
My entire mouth has a taste of blood.
Although the amount is low and it should be fine, I'm still a bit worried.
Is this normal?

Kaizhen, 10~19 year old female. Ask Date: 2019/05/26

Dr. Lin Jiayong reply Dentistry

Hello: Mild gingivitis can cause temporary bleeding, which is a normal phenomenon that will resolve once the inflammation subsides.
However, it is important to monitor for other systemic diseases, such as diabetes, hypertension, or anemia, which may require further treatment.
Thank you!

Reply Date: 2019/05/26

More Info

Gum bleeding can be a concerning symptom, especially if it persists for several hours. In your case, it seems that the bleeding started after you brushed your teeth and accidentally irritated the inflamed area. While some bleeding can be normal following dental procedures or trauma to the gums, prolonged bleeding, even if the volume is low, warrants attention.

Causes of Gum Bleeding
1. Gingivitis: This is the most common cause of gum bleeding. It occurs due to plaque buildup on the teeth, leading to inflammation of the gums. If left untreated, it can progress to periodontitis, a more severe form of gum disease.

2. Dental Procedures: As you mentioned, you recently had a dental procedure where pus was expressed from an inflamed area. This can cause temporary bleeding, especially if the area is still healing.

3. Trauma: Any injury to the gums, such as from brushing too hard or using a hard-bristled toothbrush, can lead to bleeding.

4. Medical Conditions: Certain medical conditions, such as blood disorders (e.g., thrombocytopenia), liver disease, or vitamin deficiencies (like Vitamin K or C), can also cause gum bleeding.

5. Medications: Blood thinners or anticoagulants can increase the likelihood of bleeding, including from the gums.

Concerns
While a small amount of bleeding can be normal, continuous bleeding for four hours is concerning. It is essential to monitor the situation closely. If the bleeding does not stop, or if you experience other symptoms such as swelling, pain, or fever, you should seek medical attention promptly.

Care Tips
1. Gentle Oral Hygiene: Continue to brush your teeth but do so gently. Use a soft-bristled toothbrush and avoid the inflamed area until it heals.

2. Salt Water Rinse: Rinsing your mouth with warm salt water can help reduce inflammation and promote healing. Mix about half a teaspoon of salt in a glass of warm water and rinse gently.

3. Avoid Irritants: Stay away from tobacco products and limit alcohol consumption, as these can irritate the gums further.

4. Stay Hydrated: Drink plenty of water to help keep your mouth moist and aid in the healing process.

5. Monitor the Bleeding: If the bleeding continues for more than 30 minutes despite applying gentle pressure with a clean cloth or gauze, or if it worsens, contact your dentist or healthcare provider.

6. Follow-Up with Your Dentist: Since you recently had a dental procedure, it’s crucial to follow up with your dentist. They can assess the area to ensure there are no complications, such as an infection or a need for further treatment.

Conclusion
While some bleeding from the gums can be normal, especially after dental work, persistent bleeding should not be ignored. It’s essential to take care of your oral hygiene gently and monitor the situation closely. If you have any doubts or if the bleeding continues, do not hesitate to reach out to your dentist or healthcare provider for further evaluation and management. Your health and peace of mind are paramount, and professional guidance can help ensure that any underlying issues are addressed promptly.

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