Saliva Issues: When to Worry About Blood in Your Saliva

Saliva issues follow-up questions?

Thank you for your response, Doctor! Yes, as you mentioned, the blood is bright red, similar to fresh blood.
It mixed with the red yeast rice cookie, and when I lifted it with my tongue, it seemed to be blood from the saliva near the throat area.
At first, there was quite a bit, but it decreased after the second or third sip, and after rinsing a few times, it was gone.
I didn't see any blood when I intentionally cleared my throat or coughed up phlegm, so should I not be too worried about seeing a pulmonologist right now? I can observe and go if I feel uncomfortable or if it gets worse, right? I'm not sure if it could be bleeding from the upper throat area or from the gums, as I haven't been coughing, and it doesn't seem to fit the definition of coughing up blood.
Additionally, I would like to ask about the capsules that can cause esophagitis.
I drink a lot of water, but I still feel a bit of a lump or pain that takes a while to go away.
Could this be because I'm lying down? Thank you for your patient answers!

Mia, 20~29 year old female. Ask Date: 2021/08/21

Dr. Hong Yuanbin reply Internal Medicine

Hello, regarding the bleeding, it is likely that your gums are bleeding.
I recommend increasing your intake of fruits and vegetables, exercising more, and brushing your teeth gently.
This should help improve the situation.
It is probably not coughing up blood; if the bleeding decreases afterward, there may not be a need to see a doctor unless you feel uncomfortable.

As for the sensation of a capsule getting stuck in your throat, this is normal because capsules become sticky when they come into contact with water, which can create that feeling.
I suggest taking the capsule with more water and swallowing it all at once.
It is also advisable to sit up while swallowing to minimize this sensation.
Thank you for your question.

Reply Date: 2021/08/21

More Info

When it comes to concerns about blood in saliva, it's important to approach the situation with a clear understanding of potential causes and when to seek medical attention. Blood in saliva can arise from various sources, including the gums, throat, or even the esophagus. Given your description, it seems that the blood you observed was mixed with food and may have originated from minor bleeding in the gums or throat, especially if you did not experience any coughing or other symptoms typically associated with more serious conditions.

Firstly, it's essential to differentiate between blood that is a result of minor issues, such as gum disease or irritation, and blood that could indicate a more serious medical condition. If the blood was bright red and mixed with food, it is likely that it came from a superficial source, such as a small cut or irritation in the mouth or throat. This is often not a cause for alarm, especially if the bleeding was minimal and resolved quickly, as you described.

However, if you notice persistent bleeding, especially if it is accompanied by other symptoms such as pain, difficulty swallowing, or significant changes in your health, it would be prudent to consult a healthcare professional. Observing your symptoms is a good strategy; if the bleeding recurs or worsens, or if you develop new symptoms, seeking medical advice would be the next step.

Regarding your concern about esophageal irritation from swallowing capsules, it is not uncommon to experience a sensation of something being "stuck" in the throat or esophagus, especially if the capsule was not swallowed with enough water or if you were lying down. This can lead to discomfort and a feeling of tightness. It is advisable to drink plenty of water when taking capsules and to remain upright for a short period afterward to help facilitate the swallowing process. If this sensation persists or is accompanied by pain, it would be wise to consult a healthcare provider to rule out any underlying issues, such as esophagitis or other gastrointestinal concerns.

In summary, while the presence of blood in your saliva can be concerning, it is often related to minor issues that can resolve on their own. Monitoring your symptoms and maintaining good oral hygiene can help prevent further occurrences. If you experience any worsening symptoms or have ongoing concerns, do not hesitate to reach out to a healthcare professional for a thorough evaluation. Your health and peace of mind are paramount, and addressing these issues early can lead to better outcomes.

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