Favism and Blood Issues: Your Health Questions Answered

excuse me?

Hello, Doctor: I have some questions I would like to ask, and I hope to gain some insights.
Thank you.

1.
I have a classmate who has mild hearing impairment, and I learned from a health survey that he has favism! I was really shocked.
What is favism? Is it contagious to others (such as through saliva or...)? What should I be aware of?
2.
Regarding my situation: Every time I brush my teeth, I bleed at certain spots.
I want to check if I might have sepsis! Should I see a hematologist for testing, or which specialty should I consult? Additionally, I have a history of psychoneurosis; during middle school, I had ulcers in my groin area that resembled blisters, and I suspected I might have syphilis but was too afraid to see a doctor, and it eventually healed.
I wonder if this is why my nervous system was affected, leading to mental illness! How can I address both of these concerns, and which specialty should I consult? Thank you, Doctor.

Xiao Jie, 20~29 year old female. Ask Date: 2004/09/24

Dr. Xie Yonghui reply Internal Medicine

If you experience bleeding when brushing your teeth in a specific area, you should first consult a dentist.
If dental diseases are ruled out as the cause of the bleeding, then consider the possibility of a coagulation disorder leading to a bleeding tendency.
Based on the symptoms and concerns you described, we recommend that you visit a large hospital and see a family medicine specialist.
Inform the physician about your symptoms and worries so they can assist you.
If a referral to a specialized department is necessary, the family medicine physician will facilitate that referral.

Reply Date: 2004/09/24

More Info

Favism, also known as fava bean disease, is a genetic condition that primarily affects individuals of Mediterranean descent, although it can occur in other populations as well. It is caused by a deficiency of the enzyme glucose-6-phosphate dehydrogenase (G6PD), which plays a crucial role in the protection of red blood cells from oxidative damage. When individuals with G6PD deficiency consume fava beans or are exposed to certain infections, medications, or chemicals, they may experience hemolytic anemia, which is the destruction of red blood cells leading to symptoms such as fatigue, jaundice, dark urine, and shortness of breath.

To address your first question regarding the transmission of favism, it is important to clarify that favism is not contagious. It is an inherited condition, meaning it is passed down through genes from parents to their children. Therefore, it cannot be transmitted through saliva or any other means of casual contact. Individuals with G6PD deficiency should be aware of their condition and avoid triggers such as fava beans and certain medications (like sulfa drugs and some antibiotics) that can provoke hemolysis.

In terms of management, individuals with favism should maintain a healthy lifestyle, avoid known triggers, and regularly consult with healthcare providers for monitoring and guidance. Genetic counseling may also be beneficial for affected individuals and their families to understand the implications of the condition.

Now, regarding your concerns about bleeding while brushing your teeth, this symptom is often indicative of gum disease, which can range from gingivitis to more severe periodontal disease. It is crucial to see a dentist for a thorough examination and appropriate treatment. The bleeding may not be related to sepsis (blood poisoning) as you mentioned; rather, it is likely a localized issue in your oral health.
If you are concerned about your overall health, including your mental health history and any past skin issues, it would be wise to consult a healthcare provider who specializes in both dentistry and general medicine. A dentist can address your oral health concerns, while a primary care physician or a specialist in infectious diseases can evaluate your past medical history and any potential underlying conditions.

For your mental health concerns, especially given your history of psychosomatic symptoms, it may be beneficial to speak with a mental health professional. They can help you explore any connections between your physical symptoms and psychological well-being.
In summary, for your friend with favism, it is essential to educate them about their condition and encourage them to avoid triggers. For your own health concerns, prioritize seeing a dentist for your bleeding gums and a primary care physician for a comprehensive evaluation of your overall health, including any mental health issues. Early intervention and proper management can significantly improve health outcomes and quality of life.

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