Articles on bleeding on probing

Top 5 Causes & Home Remedies to Treat Bleeding Gums

Dr. Surabhi Mahajan Malhotra, Dentist
Have you ever experienced sudden bleeding from mouth while eating or brushing? We often mistake that the blood is coming from teeth. Our teeth never bleeds, its the gums which bleed.This is an early sign of gingivitis (also known as pyrohhea). Some of the causes of bleeding gums are as follows:1. Plaque deposition – Generally deposits are seen in between the teeth & the gum area. This results in pocket formation & loosening of the gums. When gums are loose they tend to bleed easily. Even slight pressure of brush or finger may cause bleeding.2. Medical conditions like diabetes, heart disease, scurvy etc. may cause bleeding gums. Deficiency of vitamin C may trigger bleeding. Also seen more in bleeding & clotting disorders.3. Hard Brushing-  Sometimes using hard or worn off brush may lead to bleeding gums.4. Ill fitting dentures or mouth ulcers 5. Hormonal changes during pregnancy or menstruationHome remedies for bleeding gums 1. Maintain a good oral hygiene. Brush & floss daily.2. Use a soft bristled tooth brush. Change your brush after it is worn off.3. Incorporate a lot of vitamin c in your diet. Foods like amla, oranges are a good source. 4. Do warm saline rinses (warm water with a pinch of salt) after every meal.5. Massage your gums with fingers gently.Bleeding gums may be an early sign of gingivitis & should not be ignored. A professional dental scaling would be required. If left untreated it may proceed to severe inflammation of gums & further cause bone loss.Do not ignore bleeding gums. Make sure you visit your dentist for the correct diagnosis because prevention is always better than cure.

Seven Natural Methods to Prevent Bleeding Gums.

Dr. Prashant Ojha
Gum bleeding is very common now a days.  But most of the natural treatments at home can go a long way toward improving your oral health and stopping bleeding gums. like1) Clove oil - massage the gums with clove oil or just chew a piece of clove. it may cause burning sensation,but very helpful to prevent bleeding gums.2) Peppermint oil- peppermint oil (chamomile tincture). these oils are very beneficial for teeth and gums health. it has been used to treat gingivitis with positive outcomes.3) Tea tree oil- tea tree oil has anti-bacterial property . .tea tree oil is derived from the leaves of melaleuca alternifolia, it is soothing on application and eases away pain you may have on your gums. 4) Citrus fruits-  vitamin c is very important for the overall health of delicate gum tissue, because the vitamin c helps to prevent collagen from breaking down. without collagen, gums become extra tender, and thus susceptible to bleeding  orange, lemon,strawberries and kiwis,nuts and seeds,apples, celery, and other low-acid, fibrous foods and cabbage are the best and rich sources of vitamin c. use plenty of them.5) Probiotic Milk- It is rich in calcium and, therefore, can be used as an effective home remedy for bleeding gums.  It reduce symptoms of gingivitis and help heal and restore damaged bone tissues.6) Aloe Vera- It is very useful against inflammation of gums. It destroys bacteria responsible for gingivitis. It also helps in speeding up of the process of healing. Massage the aloe Vera gel into the gums. Aloe vera contains many potentially active constituents: Vitamins, enzymes, minerals, sugars, lignin, saponins, salicylic acids, and amino acids. Polysaccharides are considered to be the active ingredients of Aloe's anti-inflammation and immune-modulation effects.7) Saline Solution-  It improves blood circulation in mouth and reduces swelling. Using a saline solution to rinse in the morning and evening will effectively cure and prevent bleeding gums . Its high osmolality reduces inflammation and can be microbicidal. Warm saline rinses have been used successfully in post extraction cases. We have also been using it in post surgical periodontal cases for many years and the results have been excellent.

Are You Troubled by Bleeding Gums? Here Are Its 7 Major Causes

Dr. Amit Berani, Dentist
It has long been said about links between bleeding gums and heart diseases. Though this has not been proved, the linking is due to similar nature of inflammation processes in the two cases. Tooth decay bacteria found in the mouth have been found in the inner walls of heart blood vessels. Good reason to take care of your teeth, isn’t it?Bleeding gums are more commonly seen in adults as an indication of a disease. And females are more prone to such infections; wherein released toxins cause inflammation and erosion of the gums.7 Causes Of Bleeding Gums: Oral AlertGingivitis, wherein a red line of blood can be noticed on the gum line. This might seem insignificant to many, but medical science has recorded direct relation of this to other forms of diseases like leukemia.Injury from trauma, like insertion of a foreign object in the mouth may lead to internal injuries. Or it may be caused by a physical blow, improper brushing, picking of tooth and so on.Bleeding gums can also be caused by chemicals in soft drinks, junk food, mouth fresheners, off-the-shelf dental whiteners and medicines. So when you hear someone warning you “…avoid outside food…” there is always that element of caution in it…Poor dental care and oral hygiene can lead to diseases that in turn can lead to bleeding gums. Discomfort may be caused by dental plaque formation, cavities, retracted gums, infections like mouth sores and weak gums.Blood disorders like hemophilia, clotting disorders, leukemia and thrombocytopenic purpura, etc. too can lead to gums bleeding. As well as excessive medication for procedures like chemotherapy can lead to bleeding from gums.Then there are bad food habits and unhealthy lifestyles that can cause bleeding in gums. Bad food habits lead to nutritional deficiencies that further lead to poor gums.Hormonal changes during pregnancy is another reason why women suffer from bleeding gums.Bleeding From Gums Is A Growing ConcernData from the Centers for Disease Control and Prevention in the US brings out an alarming trend for Oral and Dental Health. It says, that16% of children between the ages 6-19 years go with untreated dental caries while24% of adults (20-64) live with untreated dental caries and81% of children (2-17 age) have visited a dentist last year as compared toJust 61% of adults (61%) with a dental visitThe situation in urban India might be quite similar. With more people joining the fast lane of life, bleeding gums has become one of the major causes for a visit to a dentist. And good dental care will need to be accorded high priority by everyone, for better health and happier living.

Bleeding Gum? Try This Out!

Dr. Himani Sanwaria, Dentist
Oftentimes you notice a reddish tinge in the sink after you brushed your teeth. This happens mostly when you have bleeding gums. Bleeding gums should not be taken lightly, because this is a sign of inflammation of gums, the condition called as gingivitis. Unlike what is said on popular belief, it is not a normal condition. Gingivitis or bleeding gums can be easily treated. However, bleeding gums can also occur in more serious health problems like periodontitis (gum Infection), diabetes, HIV and other immune-compromised diseases. If you believe it is happening because of improper oral hygiene then do the same and wait & watch. If the gum bleeding still occurs after 2 weeks of proper brushing and flossing, in addition if you have other symptoms like foul smell from mouth, then it could be something more serious and you must be checked by your dentist. Listed below are some simple and easy steps to stop bleeding from gums-Brushing your teeth regularly: Brushing is the best way to keep your mouth healthy.  It is recommended to brush 2 to 3 times a day after meals. Your toothbrush and toothpaste play important roles in oral care. Choose a fluoride containing toothpaste. Teeth and gums get additional protection from fluoride. Use a soft bristled toothbrush. Use the brush in circular motions instead of back and forth. The convenience of back and forth motion increases the chances of gum bleeding  because gums get hurt due to strong brushing strokes.Do not skip flossing when you are in rush in the morning. Keeping between the teeth as clean as possible makes your gums healthy. It is advised to floss your teeth once a day, preferably at night before going to bed. If you do not know how to use floss properly, ask your dentists, he will be happy to teach you the correct way of flossing.Mouth wash can be used after brushing. Your dentist will tell you the alcohol free and fluoridated mouthwash. Alcohol in mouthwash can only stimulate bleeding from gums and dry mouth as well.Do not forget to brush your tongue. Tongue is an easy place for bacteria to grow and multiply. If bacteria become too large in number, they can easily attack the gums and teeth. The proper way of cleaning tongue is by brushing the top surface of tongue with back to front motion using a toothbrush.Choose to have a healthy diet. Diet is a major factor in keeping your gums and teeth in good condition. High fiber and low sugar diet are the best choices of food you can take in order to keep your mouth healthy. Sweet and sticky food encourages plaque deposition and bacterial encroachment on your gums and teeth. Dentists recommend food rich in vitamin B and C as well calcium for healthy teeth and gums.Please note, even if you are maintaining oral hygiene well at home, it may not be sufficient to keep your teeth and gums healthy. Nothing can replace a professional dental cleaning or scaling which removes stony hard deposits from deep below the gums. Therefore, you still need to go to the dentist at least once in six months. Your dentist will check the condition of your gums by using special tools and measure the depth of your gums. If he or she finds sign of gum disease, you may need to take antibiotic medicines to prevent further bone loss around the teeth.

Bleeding in Early Pregnancy

Dr. Pallavi Vasal, Gynecologist/Obstetrician
Vaginal bleeding in early stages of pregnancy is common. It can be due to many reasons.The important causes  are-1) IMPLANTATION BLEEDING- bleeding due to attachment of the newly formed fertilized mass of cells which are destined to form the baby to the womb. It usually occurs at the time of expected period. It is normal and is not heavy bleed.2) MISCARRIAGE- 1 in 5 pregnancies(20%) has the risk of miscarriage in the first three months. Most miscarriages occur as a "one -off"(sporadic) event and there is a good chance of having a successful pregnancy in the future. Most common cause is chromosomal problems. Chromosomes are tiny thread like structures which make our body cells. Risk of miscarriage increases with increasing age, health problems like poorly controlled diabetes and lifestyle factors like smoking and heavy drinking. It can be managed by -                   (a) Expectant management- Letting the nature take its course                   (b) Medical management- Taking tablets                   (c) Surgical management- Having an operation called D & E(dilatation and evacuation)Depending on your case doctor will offer you treatment most suitable for you.3) ECTOPIC PREGNANCY- It is when the pregnancy is growing outside the womb; usually in the fallopian tubes. A pregnancy cannot survive in this situation and sadly cannot lead to birth of a baby. You may have symptoms like abnormal bleeding, pain in lower tummy, pain in the tip of the shoulder, upset tummy, severe pain/collapse. If you had previous ectopic, previous surgery over fallopian tube, using progesterone only pills for contraception, IUD/Coil, IVF, are more than 40 yrs or smoker you are at high risk of having an ectopic pregnancy. It can be managed in three ways-(a) Expectant management- Letting nature take its course, but with serial blood tests for beta HCG (pregnancy hormone) and ultrasound monitoring (b) Medical management- with injection Methotrexate which is an anti cancer drug which also dissolves the pregnancy tissue. This is also given with proper monitoring and serial blood tests and ultrasound. (c) Surgical management-usually done laparoscopically (key hole) surgery and removal of the tube may be required.Your doctor will offer you treatment according to your condition considering all pros and cons.4) MOLAR PREGNANCY- It is much rarer condition where the placenta is abnormal. Once diagnosed this pregnancy needs to be terminated and requires long follow-ups.5) LOCAL CAUSES- Can be due to local injury, cervical (neck of the womb) erosion.When you see your doctor for bleeding in early pregnancy, your doctor will offer you-A) Consultation and Examination- which will include details of your symptoms, date of last menstrual period and your medical history. Vaginal examination to see where the bleeding is coming from. A vaginal examination will not cause you to miscarry.B) Tests-            Urine test to confirm pregnancy            Test for Chlamydia             Blood tests to check your blood group and pregnancy hormone (beta-hcg) levelsC) Ultrasound - Either Transvaginal or Tranabdominal Scan. Repeat scan may be necessary after 7-10 days if the pregnancy is very small or has not been seen.WARNING SINGS-1) Heavy bleeding2) Severe pain not relieved by pain reliving drugs3) Smelly vaginal discharge4) Shivering or flu like symptoms5) Feeling faint6) Have pain in your shoulderIf you have any of the above , please consult your doctor immediately.

Are You Suffering From Bleeding Gums?

Dr. Mukesh K Asrani, Dentist
Have you ever noticed bleeding from your gums while brushing or biting on an apple or any food? If yes, then better get alert, this is a sign of some underlying disease. Let us discuss some common causes of gum bleeding and methods to overcome them.Gum disease like Gingivitis or Periodontitis - This is the most common cause of bleeding gums. It is caused by deposition of plaque and tartar on the teeth near the gum line. Many people will also have bad odor and sensitive teeth along with gum bleeding. This disease should be treated as early as possible as ignorance may lead to loosening of teeth and eventually tooth loss.Hard toothbrush - Many people think that using a hard toothbrush helps in better cleaning of teeth. In fact, hard toothbrush causes trauma to the gums and often causes them to bleed.Vitamin C deficiency - This vitamin plays an important role in maintaining integrity of gums and thus its deficiency causes swelling in gums and bleeding.Pregnancy - Hormonal changes during pregnancy are often a cause of gum bleeding. This can be prevented by maintaining proper oral care.Other conditions like Purpura, Hemophilia, Leukemia, vitamin K deficiency, etc can also cause bleeding gums but these are quiet rare and can be diagnosed by blood examination.Tips to manage bleeding gumsProfessional teeth cleaning - If you notice even a single drop of blood from your gums, get a dental advice and  get your teeth cleaned so that gum disease can be prevented as well as managed at the earliest.Use a soft to medium toothbrush, brush twice a day and floss daily.Massage your gums with mustard oil or olive oil mixed with a pinch of salt.Eat more of citrus fruits.Visit your dentist every six months.Good oral health will lead to good general health. Let your healthy smile be an inspiration to the world. Stay healthy. Stay blessed.

7 Everyday Tips for Taking Care of Your Bleeding Gums

Dr. Parul, Cardiac Surgeon
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Blood in Stool

Dr. Kumar Parth, Gastroenterologist
Blood in the stool means there is bleeding somewhere in your digestive tract. It may be a local bleed or may be bleeding from digestive tract (stomach, small/Large bowel) Bleeding may be associated with / without pain.Common diseases which accounts for bleeding have been summarize below with their presentations.PILES (HEMORRHOIDS) – One of the most common causes for lower Gastrointestinal bleed.Presentation: Most of them are painless and often seen following passage of stool with quantity ranging from 2ml -100 ml /day.Causes:  Most common – following constipation (passage of hard stool), during pregnancy,drug induced. Generally happens due to swelling of blood vessels (veins) along the anal canal and erosion to that leads to bleeding.Most of the early piles are managed by medicines, but once get chronic (recurrent attacks) may need surgical cure.FISSURE –IN –ANO – A small cut or tear in the tissue lining the anus similar to the cracks that occur in chapped lips or a paper cut.Presentation: Always be associated with pain while passage of stool.Bleeding is not much as seen in Piles (Generally stool is blood stained, with few drops of blood following passage of stool.Causes: Passage of hard stool, following constipation, during pregnancy, prolong immobilization(Bed ridden patients, local injury.Generally get cured with medicines and lifestyle modifications, may need surgical cure when becomes chronic/severe pain with bleeding.FISTULA-IN-ANO - An ano-rectal fistula (Fistula-in-Ano) is an abnormal communication between the anus and the Peri-anal skin.Causes: Anal canal glands situated in anal canal afford a path for infecting organisms to reach the intramuscular spaces. Fistulas can occur spontaneously or secondary to a Peri-anal (or Peri-rectal) abscess.Presentations: Mucus/ pus discharge from inside of anus or from surrounding skin of anus,associated with / without painDIVERTICULAR DISEASE- Diverticula are small pouches that project from the colon wall. Usually diverticula don't cause problems, but sometimes they can bleed or become infected, then require surgical care.COLITIS  - Inflammation of the colon.Among the more common causes are infections or inflammatory bowel disease (Autoimmune causes), namely Ulcerative colitis /Crohns diseases.Managed with Immuno-suppressant medicines, but may require surgery when gets complicated / cancerous changes.POLYPS:These are out pouching of mucosa of anal canal, when get eroded with hard stool causes bleeding. Polyps may be simple or may be cancerous.CANCERS OF ANAL CANAL: Mostly seen after age of forty. May present with active bleeding (mostly painless) or present as occult bleeding (patient presents with Anemia (low hemoglobin), and on stool examination shows presence of RBCs (blood cells). Few patients present  as recent  onset of constipation, particularly who didn’t had constipation before.Basic Evaluation Needed: Local examination of area by Physician, Chemical Tests of stool for Occult (Hidden) bleeding, Colonoscopy (scope passed from anus up to junction of small and large bowel to see entire colon and part of small intestine. Scanning (CT Scan/MRI) may be helpful following colonoscopy if suspicion of cancer arises.Courtesy: Dr. Kumar Parth(MBBS; MNAMS; FMAS; FAIS; FACRSI  (Colo-Rectal Surgery)DNB; FSGE (Surgical Gastroenterology)Consultant Surgical Gastroenterologist (Bangalore), drkparth9@gmail.com, WWW.DRPARTHGASTRO.COM

Your Solution to Bleeding Gums

Dr. Khushbu J. Virvadia, Dentist
One fine morning when you woke up from sleep and started brushing your teeth, you realised that you were spitting a slight amount of blood with the foam. After a while, you may notice the bleeding even while eating or at times spontaneously.If you’re wondering why your gums bleed, here is the solution with understanding related to its causes,treatment and prevention.Bleeding gums are caused by inadequate plaque removal. Plaque contains germs-a bacterial biofilm which accumulates around your gum line and attacks  the healthy tissue around the teeth,this will cause the gums to become inflamed and irritated ,which may then  bleed when brushing or flossing.This is called GINGIVITIS and is the first sign of gum disease. Gum disease usually isn't painful, so many people don't know they have it until it advances.Top 10 Causes of Bleeding gums1. Poor oral hygiene-most common causeGums may bleed when they get inflamed and this occurs when people fail to keep their teeth clean. A lot of people don`t brush or floss properly and this leads to build up of plaque and tartar on the teeth. The gums get irritated and are red, swollen and painful.The gums may then bleed at the slightest provocation.2. Malpositioned teethThis may make cleaning teeth very difficult through routine brushing and may lead to gum bleeding. The crooked teeth can also lead to food getting trapped between two teeth. This again causes the gum to become inflamed and bleeding.Sometimes ill-fitting dentures and faulty dental appliances can lead to gum bleeding too.3. Trauma to the gumsThis may occur due to overzealous brushing or using a hard bristled toothbrush which may traumatize the gums.4. Medications Certain medications such as aspirin,clopidogrel etc. which are given to patients at risk of heart attacks or stroke, drugs given for epilepsy, cancer chemotherapy etc. may cause the gums to bleed.5. Hormonal changes in womenThese occur at various stages in a woman’s life such as when she reaches puberty, during pregnancy orthe postmenopausal phase. These changes also occur regularly during her periods or during use of oral contraceptive pills and during any hormone replacement therapy.These hormonal changes increase the chances of bleeding from the gums.Some other systemic causes:6. Vitamin C deficiency7. Hormonal diseases like diabetes mellitus,8. Bleeding disorders  and coagulation defects.9. Liver disease10. CancersTREATMENT & PREVENTION:1. Brush your teeth at least twice each day- Make sure you follow proper brushing technique. If you're not sure what to do, ask your dentist for a quick lesson at your next appointment.Use a soft/medium bristle toothbrush which is gentle on your gums.Change your toothbrush every 3 months.2. Floss daily- It doesn't take more than a few minutes, but flossing may be the most important thing you can do to prevent gum problems now and in the future.3. Rinse with mouthwash- Use an antiseptic mouthwash prescribed by dentist,it helps kill bacteria that cause gum disease.Gum astringent gels prescribed by dentist  can also be used to massage gums. A rinse of warm salt water can help soothe swollen gums that bleed easily.4. Eat a well-balanced diet- A balanced diet, including plenty of vitamin C and calcium, may minimize the likelihood you'll have gum problems.5. Drink plenty of water- Drinking water, especially after eating, can help wash food off your teeth and make it less likely that bacteria will form plaque-damaging gum.6. Schedule a professional dental cleaning– Getting your teeth clean bi annually goes in a long way for having  a good oral health.7. Advance Gum Care- Routine cleanings are for people with healthy teeth and gums. Infected gums require specialized care, often utilizing advanced instruments and medicaments as well as treatment protocols that are specifically tailored for the periodontally involved patients..Some of the commonly carried out treatments are -curettage,root planning,or some flap surgeries with bone graftings in advanced cases.8. Say no to tobacco- gums may bleed if you smoke cigarettes or use other tobacco products, try to quit.9. Be relaxed- Being stressed out raises levels of the stress hormone cortisol, increasing the likelihood of inflammation throughout your body,including in your gums10.Schedule an general health check up- To determine if dental health is not the underlying issue causing your bleeding gums. A complete physical examination and blood work can help determine the cause of your bleeding. Treatment will vary accordingly.