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What Does Blood In Spit Suggest?

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Posted on Fri, 8 May 2015
Question: i have been spitting up blood in my saliva. Some air bubbles present. Sinous pain. Stopped smoking 7 weeks ago. Gums and tongue sometimes bleed when I brush my teeth.
doctor
Answered by Dr. Shafi Ullah Khan (24 minutes later)
Brief Answer:
gingivitis, sinusitis and rule out any major internal pathologies

Detailed Answer:
Hi. I have read your question and can understand your concern.
The location of bleed which you have mentioned needs to determined whether it is coming from buccal mucosa or from internal organs.
I can assure you if it's only coming from gingiva (gums)then it's not a serious issue. Condition is called gingivitis. Can be due to poor hygiene, Your previous smoking habits or due to poor technique of brushing.
If this cause can be ruled out ,then in my clinic i specifically recommend Pt/apt , full blood counts and chest xray ( keeping in view your smoking history) also xray PNS (for sinusitis)
In short I would advice you to visit your doctor and get your self checked. In my opinion it seems to be a local pathology. You can discuss above mentioned investigations and condition with your doctor.
If you have any query left feel free to ask again. Thanks
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shafi Ullah Khan (6 minutes later)
thank you. should i be worried that this is cancer? or Im bleeding in my throat? I feel sinous pressure but also occasional spitting blood and blood in feces.
doctor
Answered by Dr. Shafi Ullah Khan (26 minutes later)
Brief Answer:
Cancer unlikely, Bleeding work up however needed

Detailed Answer:
Thank you for getting back to me

Cancer is the last resort and rarer entity. When it presents blood in saliva is not the only presentation so dont worry about rarest. Think commonest and treat them.
As i mentioned smoking cessation recently has been the likely cause of the oral bleeding but now that you mentioned blood in stools as well. I would strongly suggest a work up of a complete bleeding profile as i mentioned earlier too and also an endoscopy of the lower GI tract to sort out the cause of the bleeding.

Meanwhile garlic water and aspirin mouth rinses will help the oral spitting mucosa and underlying likely inflammation and hygiene. And earlier consult to a gastroenterologist would be advised if the bleeding per rectum recurrs.

I hope it helps.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shafi Ullah Khan (4 minutes later)
thank you
doctor
Answered by Dr. Shafi Ullah Khan (0 minute later)
Brief Answer:
:)

Detailed Answer:
You are welcome
I will be here for you if you need me.

Regards
Khan
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Shafi Ullah Khan

General & Family Physician

Practicing since :2012

Answered : 3613 Questions

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What Does Blood In Spit Suggest?

Brief Answer: gingivitis, sinusitis and rule out any major internal pathologies Detailed Answer: Hi. I have read your question and can understand your concern. The location of bleed which you have mentioned needs to determined whether it is coming from buccal mucosa or from internal organs. I can assure you if it's only coming from gingiva (gums)then it's not a serious issue. Condition is called gingivitis. Can be due to poor hygiene, Your previous smoking habits or due to poor technique of brushing. If this cause can be ruled out ,then in my clinic i specifically recommend Pt/apt , full blood counts and chest xray ( keeping in view your smoking history) also xray PNS (for sinusitis) In short I would advice you to visit your doctor and get your self checked. In my opinion it seems to be a local pathology. You can discuss above mentioned investigations and condition with your doctor. If you have any query left feel free to ask again. Thanks