Throat Bleeding: Causes and Recovery Tips

The issue of having blood in the throat?

Hello, Dr.
Hong.
Recently, I had a tonsil stone, and after using a cotton swab to try to remove it myself, it seemed to get inflamed and painful.
I visited an otolaryngologist twice, and it eventually got better.
The doctor advised me not to attempt to remove it myself as it could easily lead to inflammation; he used suction to help.
However, last night I suddenly felt an itch in my throat and naturally expelled a stone.
But this morning, I noticed that there were streaks of blood in my saliva or phlegm when I used my tongue on the inner side of my throat, which has a droplet shape.
The last time I consulted the otolaryngologist, he mentioned that there was inflammation in the area he examined with a mirror, and he advised me not to keep using my tongue excessively, to get plenty of rest, take medication, and eat a light diet to recover.
I would like to ask if the bleeding is related to the stone coming out, as I felt the stone was in that area.
Also, is it normal to have this bleeding? It seems more pronounced in the morning, but after drinking water, it appears to lessen.
If I use my tongue gently, it doesn't seem to happen.
I'm unsure if I should get a nasopharyngoscopy, but the previous doctors said everything looked fine, so they advised me not to worry too much.
How long can I expect this condition to last, and is it related to staying up late? Thank you for your help!

Moe, 20~29 year old female. Ask Date: 2021/10/02

Dr. Hong Yuanbin reply Internal Medicine

Hello, based on your description, since the stone has already passed, it is indeed advisable to avoid using your tongue to poke at the area.
The blood streaks should gradually resolve in a few days.
As for staying up late, having an irregular schedule, and lack of exercise, these factors can indeed affect the body's healing ability.
It is recommended to maintain a regular routine and engage in regular exercise.
There is no need to worry excessively; your body should naturally recover in a few days.
Thank you for your inquiry.

Reply Date: 2021/10/02

More Info

Throat bleeding can be a concerning symptom, especially after experiencing issues like tonsil stones. It’s important to understand the potential causes and recovery strategies to ensure proper healing and to alleviate any anxiety you may have regarding this condition.

From your description, it seems that the bleeding may be related to the irritation or inflammation caused by the tonsil stones and your attempts to remove them. When you use a cotton swab or any other object to manipulate the area, it can lead to trauma, which may cause small blood vessels to rupture, resulting in blood-tinged saliva or phlegm. This is particularly common in the throat area, where the tissues are delicate and can easily become inflamed or injured.

The fact that you noticed blood after expelling a tonsil stone suggests that the area may have been irritated or slightly damaged during the process. The inflammation you mentioned, as noted by your ENT doctor, can also contribute to bleeding. Inflammation can make the tissues more fragile, and even minor movements or pressure can lead to bleeding.

In terms of recovery, here are some tips to help manage your symptoms and promote healing:
1. Rest and Hydration: Ensure you are getting plenty of rest and staying well-hydrated. Drinking water can help soothe the throat and keep the tissues moist, which may reduce irritation.

2. Avoid Irritants: Stay away from irritants such as smoke, strong odors, and spicy foods that can exacerbate throat irritation. Stick to a bland diet that is easy to swallow.

3. Gentle Care: Avoid using your tongue or any objects to probe the throat area. Allow the tissues to heal naturally without additional trauma.

4. Medications: If your doctor has prescribed anti-inflammatory medications or throat lozenges, be sure to follow their recommendations. Over-the-counter pain relievers can also help manage discomfort.

5. Monitor Symptoms: Keep an eye on your symptoms. If the bleeding persists, increases, or if you experience significant pain, difficulty swallowing, or other concerning symptoms, it’s important to seek medical attention promptly.

6. Follow-Up: Since you have already seen an ENT specialist, it may be beneficial to schedule a follow-up appointment if symptoms do not improve within a few days. They may recommend further evaluation, such as a nasopharyngoscopy, to assess the area more thoroughly.

Regarding your concern about the duration of recovery, it can vary depending on the extent of the irritation and your overall health. Typically, minor throat injuries can heal within a few days to a week. However, if you notice that symptoms persist beyond this timeframe, or if you have any additional concerns, it is advisable to consult your healthcare provider for further evaluation.

As for your question about whether late nights affect your throat condition, lack of sleep can weaken your immune system and may contribute to inflammation. Ensuring you get adequate rest can support your recovery process.

In summary, while throat bleeding can be alarming, it is often manageable with proper care and attention. By following the recommendations above and staying in communication with your healthcare provider, you can help facilitate healing and reduce the risk of further complications. If you have any lingering doubts or if your symptoms worsen, don’t hesitate to seek medical advice.

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