Gum Bleeding: Causes and Care Tips for Oral Health

There is slight bleeding near the gums?

Hello Dr.
Hong: I was fine during dinner, but after eating kiwi, I felt a small area in my mouth, particularly on the inside of my gums, that seemed to be peeling.
There was also slight bleeding for about 3 minutes.
I'm not sure why this happened suddenly.
Could it be due to frequent rinsing, brushing, or possibly scraping while eating something acidic? Additionally, should I pull off that skin myself? I'm worried I might accidentally swallow it while sleeping, but I'm also concerned about infection if I touch it.
Should I just leave it alone? Although I can't feel it much now, I'm not sure if I brushed it away while brushing my teeth.
Is it necessary to apply an oral ointment, or would rinsing with mouthwash before bed suffice? I suspect the slight stinging sensation is from a small wound in that area.
Is it normal for bleeding to last around 3 minutes in the mouth due to slower clotting? Thank you for your help, doctor.

Bo, 20~29 year old female. Ask Date: 2020/06/03

Dr. Hong Yuanbin reply Internal Medicine

Hello,
1.
Gums can easily bleed due to biting hard objects or brushing too vigorously.
Some individuals may also experience bleeding due to irregular sleep patterns or insufficient vitamin intake.
However, if it is just a temporary occurrence, there is no need to worry as it will heal on its own.

2.
If there is a surface layer, do not pull on it; allow the body to heal naturally.

3.
Under normal circumstances, there may be slight oozing of blood that will gradually stop, so there is no need to apply pressure to the wound; it should heal naturally over time.
If there is pain, you can apply an oral ointment.
If there is no sensation, medication is not necessarily required unless there is persistent heavy bleeding, in which case medical attention should be sought.

Thank you for your inquiry.

Reply Date: 2020/06/03

More Info

Hello! It sounds like you're experiencing some discomfort and bleeding in your gums after eating kiwi and brushing your teeth. Let's break down the potential causes and care tips for your oral health.

Understanding Gum Bleeding
Gum bleeding can occur for several reasons, and it’s essential to identify the underlying cause to address it effectively. Here are some common causes:
1. Gingivitis: This is an inflammation of the gums often caused by plaque buildup. If you haven't been maintaining optimal oral hygiene, this could lead to bleeding, especially when brushing or flossing.

2. Trauma: Eating acidic foods like kiwi can sometimes irritate the gums, especially if there are pre-existing conditions like gingivitis or if you have brushed too aggressively. The acidity can also soften the gum tissue, making it more susceptible to injury.

3. Vitamin Deficiencies: Lack of certain vitamins, particularly Vitamin C (ascorbic acid), can lead to gum problems. If your diet lacks essential nutrients, it may contribute to gum bleeding.

4. Underlying Health Conditions: Conditions such as diabetes or blood disorders can also lead to increased bleeding in the gums. If you have any health concerns, it’s worth discussing them with your healthcare provider.

Care Tips for Oral Health
1. Gentle Brushing: Ensure that you are using a soft-bristled toothbrush and brushing gently. Aggressive brushing can damage the gum tissue and lead to bleeding.

2. Flossing: Regular flossing is crucial to remove plaque and food particles between teeth. If your gums bleed while flossing, it may indicate inflammation. Continue to floss gently, as this can help improve gum health over time.

3. Rinse with Salt Water: A warm saltwater rinse can help soothe irritated gums and promote healing. Mix about half a teaspoon of salt in a glass of warm water and rinse your mouth gently.

4. Avoid Irritants: If you notice that certain foods (like acidic fruits) trigger discomfort, it may be best to avoid them until your gums heal.

5. Topical Treatments: If you have a small area of irritation, using an over-the-counter oral gel or ointment can help protect the area and promote healing. However, avoid pulling at any loose tissue, as this can lead to further irritation or infection.

6. Mouthwash: Using an alcohol-free mouthwash can help keep your mouth clean without causing additional irritation. Look for mouthwashes that contain antibacterial properties to help reduce plaque buildup.

7. Monitor Symptoms: If the bleeding persists beyond a few days or worsens, it’s essential to consult a dentist. They can provide a thorough examination and determine if there’s an underlying issue that needs to be addressed.

Conclusion
In summary, gum bleeding can arise from various factors, including trauma, inflammation, or dietary issues. It’s crucial to maintain good oral hygiene practices and be gentle with your brushing and flossing. If the bleeding continues or you experience increased pain, seeking professional dental advice is the best course of action. Remember, early intervention can prevent more severe dental issues down the line. Take care of your oral health, and don’t hesitate to reach out to a dental professional for further assistance!

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