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Severe bleeding of the gums while brushing. What is the reason? - Online Doctor Chats

Date : 09-Jun-2013
User rating for this question
Very Good Posted in: Dental Health
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2308 Questions
Doctor:How can I help you?
User:regaring my Teeth gum bleeding while brushing
User:and bad breath
User:while talking
Doctor:May I know your age?
Doctor:Since when are you facing this problem?
User:3-4 months
Doctor:Do you have history of diabetes, high blood pressure, bleeding tendancy?
Doctor:and gastric problems?
Doctor:Are you on any regular medications?
Doctor:Do you smoke?
User:I am not under any medication
User:don;t smoke
User:when i checked last year Diabetes , BP all are normal
Doctor:Let me brief you.
Doctor:Bleeding while brushing can be related to use of a hard bristle tooth brush.
Doctor:It can also be an indication of unhealthy gums such as inflammation, nutritional deficiency, recent infection, side effects of medications such as phenytoin.
Doctor:Since you also report bad breath, it is possible that you may have an underlying dental problem / unhealthy gums.
User:How do i fix this unhealthy gums/
Doctor:If you have been tested by a dentist recently and no such problems were found then the bad breath could be related hyperacidity/reflux gastritis.
Doctor:With this information, let me give you the measures you need to follow:
Doctor:1. Brush your teeth with soft bristle tooth brush, preferably twice a day and floss them once a day.
User:I forgot to tell you... i do have Gastritis problem.... frequently get
Doctor:Yes, gastritis problems especially GERD can be the reason for bad breathe.
Doctor:In some cases when the stomach contents come upto the mouth, the can affect both gums and teeth to cause unhealthy gums.
User:please let me know the rest of measures to be followed
Doctor:I shall include the measures to take care of this. So please follow.
Doctor:2. Apart from brushing and flossing twice daily, use antiseptic mouth wash regularly preferably after every meal.
Doctor:3. Take antacid syrups such as Syp Gelusil MPS trice a day before food for 2 weeks.
Doctor:4. Avoid taking any food which is spicy and hot. Restrict consumption of beverages such as coffee, tea and other soft drinks.
Doctor:4. Avoid eating to the full. And after dinner avoid going to the bed within an hour.
Doctor:5. Sleep with the head end slightly elevated.
Doctor:6. Take plenty of fruits and vegetables. They have positive effects both on gastritis as well as gums.
Doctor:7. You can take vitamin b and c supplements available over the counter at any nearby pharmacy.
Doctor:These supplements can be taken once a day for a month.
Doctor:8. Lastly involve in physical exercise concentrated on loosing weight.
Doctor:All these have positive role in controlling gastritis and gum health.
Doctor:If gum problems bleeding and bad breathe persist despite of these measures, you are requested to consult a dentist.
Doctor:Local examination of gums as well as coagulation profile test might be needed.
Doctor:Have you followed?
User:I am taking Green Tea twice a day, will it be ok? Will above measures takes care of nutritional deficiency also?
User:I have not consulted dentist for any reason so far in my life
User:So no idea..... no dental problem so far... (touch wood)... only this gum bleeding and bad breath i am worried
Doctor:Green tea has both antioxidant effects which is good. In addition, this also unknown to control calorie intake.
Doctor:You can continue the same.
Doctor:The gum bleeds and bad breathe is most likely the effects of gastritis leading to unhealthy gums and wrong choice of tooth brush.
Doctor:you should feel better with the measures that I suggested.
Doctor:In case, the symptoms do not improve, then you are suggested to visit a dentist for a check up.
User:Yes, I will start these measures and wait for 15 - 30 day to result to come out
Doctor:Keep us updated about your progress after a month and we can take this forward.
Doctor:Hope that makes sense.
Doctor:Do you have any other query?
User:Yes, I will do it....
User:I will revert to you i month later
User:That's it for the day
Doctor:Thanks for consulting me.
User:Thank you very much....
Doctor:Bye for now.
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