Oral Bleeding: Causes and When to Seek Dental Care - Dentistry

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I have blood in my mouth?


Doctor, what is this? It looks like bleeding.
I just noticed it today and it doesn't hurt.
It won't come off when I try to pick at it.

A Bu, 20~29 year old female. Ask Date: 2013/11/01

Dr. Zhuang Suhui reply Dentistry


Hello, it could be a vascular tumor or possibly an infection causing the skin breakdown.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
Information from the internet should only be used as a reference; if necessary, it is important to seek medical attention at a healthcare facility.
The Department of Health, Taitung Hospital, cares about you.

Reply Date: 2013/11/01

More Info


Oral bleeding can be a concerning symptom, and understanding its causes is essential for determining when to seek dental care. Based on the information provided, there are several potential reasons for bleeding in the mouth, which can range from minor issues to more serious conditions.


Common Causes of Oral Bleeding
1. Gingivitis and Periodontal Disease: One of the most common causes of bleeding gums is gingivitis, an inflammation of the gums often caused by plaque buildup. If left untreated, it can progress to periodontal disease, which can lead to tooth loss. Symptoms include swollen, red gums that bleed during brushing or flossing.

2. Trauma or Injury: Any injury to the oral cavity, whether from brushing too hard, biting down on something hard, or even dental procedures, can cause bleeding. If you notice bleeding after an injury, it is usually localized and should resolve with proper care.

3. Oral Ulcers: These can appear as painful sores in the mouth and may bleed if irritated. They can be caused by various factors, including stress, certain foods, or underlying health conditions.

4. Dental Issues: Cavities or abscesses can lead to bleeding if they affect the gums or surrounding tissues. If you have a history of dental problems, such as untreated cavities, this could be a contributing factor.

5. Systemic Conditions: Conditions such as blood disorders, vitamin deficiencies (like Vitamin K or C), or systemic diseases can also manifest as oral bleeding. If you have other symptoms or a history of such conditions, it’s crucial to consult a healthcare provider.

6. Medications: Certain medications, especially blood thinners, can increase the likelihood of bleeding in the mouth. If you are on medication, consider discussing this with your doctor or dentist.


When to Seek Dental Care
- Persistent Bleeding: If you notice that the bleeding does not stop after a short period or is recurrent, it is essential to seek dental care.

- Accompanied Symptoms: If the bleeding is accompanied by pain, swelling, or other unusual symptoms (such as fever or difficulty swallowing), you should see a dentist or doctor promptly.

- Changes in Oral Health: If you notice changes in your oral health, such as new sores, swelling, or changes in the appearance of your gums, it’s wise to get a professional evaluation.

- Underlying Conditions: If you have a history of systemic health issues or are on medications that affect bleeding, it’s advisable to consult a healthcare professional.


Recommendations for Care
1. Maintain Oral Hygiene: Regular brushing and flossing can help prevent gum disease and other oral health issues. Use a soft-bristled toothbrush to avoid trauma to the gums.

2. Dietary Considerations: Ensure you are getting adequate nutrition, including vitamins that support oral health. Avoiding overly spicy or hard foods can help prevent irritation.

3. Regular Dental Visits: Regular check-ups with your dentist can help catch issues early before they lead to more significant problems.

4. Avoid Irritants: If you smoke or use tobacco products, consider quitting, as these can exacerbate oral health issues.

In conclusion, while occasional minor bleeding may not be a cause for alarm, persistent or severe bleeding should not be ignored. It is always better to err on the side of caution and consult a dental professional for an accurate diagnosis and appropriate treatment. Your oral health is closely linked to your overall health, and timely intervention can prevent complications down the line.

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