Gum bleeding
Hello, Doctor: I would like to inquire about my recent issue with bleeding gums.
This has happened before, and I visited a dentist but I can't remember if they mentioned that I have periodontal disease.
My gums are slightly swollen, and I notice a bit of blood only when I rub them or brush my teeth, but it stops quickly.
Could this be a sign of periodontal disease? I have read many articles online that mention gum bleeding could also be a sign of leukemia.
I am a kidney transplant recipient and go to the hospital every two months for blood tests.
During my last check-up, there were no abnormalities in my white blood cell count, but I still feel anxious about it.
Ke Lao De, 30~39 year old female. Ask Date: 2013/12/28
Dr. Zeng Guanghui reply Dentistry
Hello: It is advisable to visit a hospital for a consultation.
Wishing you good health.
Reply Date: 2013/12/28
More Info
Gum bleeding can be a concerning symptom, and it's understandable that you're worried about the potential underlying causes. Based on your description, it seems that you may be experiencing symptoms consistent with gingivitis, which is an early form of periodontal disease. Gingivitis is characterized by inflammation of the gums, leading to symptoms such as redness, swelling, and bleeding, particularly when brushing or flossing. If left untreated, gingivitis can progress to periodontitis, a more severe form of gum disease that can lead to tooth loss and other complications.
The fact that you have a history of kidney issues and are undergoing regular blood tests is important. While your blood tests may not have indicated any abnormalities in your white blood cell count, it's crucial to consider that gum bleeding can sometimes be associated with systemic conditions, including blood disorders like leukemia. However, it's important to note that gum bleeding is much more commonly associated with local factors such as plaque buildup, poor oral hygiene, or hormonal changes rather than systemic diseases.
In your case, the presence of swollen gums and bleeding during brushing suggests that there may be plaque accumulation or gingivitis. It's essential to maintain good oral hygiene practices, including regular brushing with fluoride toothpaste, flossing daily, and possibly using an antibacterial mouthwash to help reduce plaque and bacteria in the mouth. Additionally, regular dental check-ups are crucial for monitoring your gum health and addressing any issues early on.
If you notice that the bleeding persists despite improving your oral hygiene, or if you experience additional symptoms such as persistent pain, swelling, or changes in the appearance of your gums, it would be wise to consult a dental professional. They can perform a thorough examination, possibly including periodontal probing, to assess the health of your gums and determine if you have periodontal disease or if there are other underlying issues that need to be addressed.
Regarding your concerns about leukemia, while it is true that certain blood disorders can manifest with oral symptoms, the likelihood of gum bleeding being solely due to leukemia is relatively low, especially if your recent blood tests have shown normal results. However, if you continue to feel anxious about this possibility, discussing your concerns with your healthcare provider can provide reassurance and help determine if further investigation is warranted.
In summary, while your symptoms may indicate gingivitis or early periodontal disease, it's essential to maintain good oral hygiene and seek professional dental care if symptoms persist. Your medical history and regular check-ups are valuable in monitoring your overall health, and any new or concerning symptoms should be discussed with your healthcare provider to ensure comprehensive care.
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