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What Do Bleeding Gums Indicate?

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Posted on Mon, 16 Jan 2017
Question: MY QUESTION IS THAT I AM ON XARELTO FOR MY FIFTH WEEK SO FAR, AND MY LOWER GUMS BLEED AT NIGHT, WITH MY LOWER LIP COATED WITH DRIED BLOOD. I WOULD COMMENT THAT IN THE DAYTIME MY GUMS SHOULD ALSO BLEED BUT NOT SO MUCH AT NIGHT. I HAVE DENTAL IMPLANTS AND SEVERAL TEETH CAPPED. THANK YOU.
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Answered by Dr. Michelle Gibson James (1 hour later)
Brief Answer:
should speak to your doctor about any unusual bleeding

Detailed Answer:
HI, thanks for using healthcare magic

If you had no episodes of gum or other bleeding prior to the use of the xarelto then you need to consider reporting these bleeds to your doctor.

The medical information on xarelto indicates that any unusual bleeds including gum bleeds should be reported to the doctor involved.

At the moment xarelto does not have an antidote though drug companies are currently working on it. This means that at the moment there is no medication that can be given to help reverse the xarelto if the person is at risk.

Based on your history above, you definitely need an anticoagulant to prevent any future clots but if you are having new onset bleeds, your doctor may need to consider an alternative.
There are other new anti coagulant such as pradaxa or eliquis.

Pradaxa has an antidote that can be given if there is excess bleeding,unfortunately it would interact with the coreg.

Eliquis does not have an antidote but it is possible that you may react differently to it if your doctor does not like the gum bleeding

I hope this helps, feel free to ask any other questions
Note: Find out which dental treatment will work best for your teeth. Ask here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Michelle Gibson James

General & Family Physician

Practicing since :2001

Answered : 16808 Questions

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What Do Bleeding Gums Indicate?

Brief Answer: should speak to your doctor about any unusual bleeding Detailed Answer: HI, thanks for using healthcare magic If you had no episodes of gum or other bleeding prior to the use of the xarelto then you need to consider reporting these bleeds to your doctor. The medical information on xarelto indicates that any unusual bleeds including gum bleeds should be reported to the doctor involved. At the moment xarelto does not have an antidote though drug companies are currently working on it. This means that at the moment there is no medication that can be given to help reverse the xarelto if the person is at risk. Based on your history above, you definitely need an anticoagulant to prevent any future clots but if you are having new onset bleeds, your doctor may need to consider an alternative. There are other new anti coagulant such as pradaxa or eliquis. Pradaxa has an antidote that can be given if there is excess bleeding,unfortunately it would interact with the coreg. Eliquis does not have an antidote but it is possible that you may react differently to it if your doctor does not like the gum bleeding I hope this helps, feel free to ask any other questions