Is there cancer?
Hello Doctor: I would like to ask about my mother.
She mentioned that when she brushes her gums, there is noticeable bleeding, but when she doesn't do it intentionally, it's not as bad.
She has also been experiencing small bubbles in her urine since early September, which appear intermittently.
Since it's not a continuous issue, she only just complained to me, and now I'm worried about the possibility of leukemia.
Xiao Jie, 10~19 year old female. Ask Date: 2011/12/24
Dr. Chen Junyi reply Oncology
Common causes of gum bleeding include: 1.
Periodontal disease or poor oral hygiene; 2.
Issues with blood coagulation, such as liver cirrhosis, patients on dialysis, autoimmune diseases, or even the possibility of cancer.
It is recommended that if periodontal disease is ruled out, you should visit a hospital for further examination.
Reply Date: 2011/12/24
More Info
When it comes to concerns about symptoms such as bleeding gums and abnormal urine, it is understandable to worry about serious conditions like leukemia. Your mother's symptoms, particularly the noticeable bleeding from her gums and the presence of bubbles in her urine, warrant further investigation, but they do not necessarily indicate leukemia.
Bleeding gums can be caused by a variety of factors. The most common reasons include poor dental hygiene, gum disease (gingivitis or periodontitis), or the use of certain medications that affect blood clotting, such as anticoagulants. In some cases, systemic conditions that affect blood clotting, such as liver disease or platelet disorders, can also lead to gum bleeding. If your mother has not been maintaining good oral hygiene, it would be prudent to consult a dentist to rule out periodontal disease.
On the other hand, the presence of bubbles in urine can be attributed to several benign causes, such as dehydration, the presence of protein in the urine (proteinuria), or even the way urine is expelled. If the bubbles are persistent or accompanied by other symptoms such as swelling, fatigue, or changes in urination patterns, it would be advisable to seek medical attention. A urinalysis can help determine if there is an underlying issue that needs to be addressed.
While leukemia can present with symptoms such as bleeding due to low platelet counts or abnormal blood counts, it is essential to consider the broader context of your mother's health. In leukemia, patients often experience a range of symptoms, including fatigue, frequent infections, unexplained bruising, and significant changes in blood counts. If your mother has not exhibited these additional symptoms, the likelihood of leukemia being the cause of her current issues may be lower.
Given the complexity of these symptoms, it would be wise for your mother to undergo a thorough medical evaluation. This evaluation should include a complete blood count (CBC) to assess her white blood cell, red blood cell, and platelet levels, as well as additional tests to evaluate her kidney function and check for any signs of infection or other underlying conditions. If necessary, a referral to a hematologist may be warranted to further investigate her blood counts and any potential hematological issues.
In summary, while your concerns about leukemia are valid, it is crucial to approach this situation with a comprehensive perspective. Bleeding gums and abnormal urine can arise from various causes, many of which are not related to leukemia. Encouraging your mother to seek medical advice and undergo appropriate testing will provide clarity and help address any underlying health issues. Early intervention and proper management can significantly improve health outcomes, so it is essential to act promptly.
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