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Getting blood in mouth, hard bumps at the base of gums with fever and dry eye. Had fibromyalgia

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I am waking up with a mouth coated in blood -including clots or gobs stuck to my teeth, my tongue, you name it. I can literally scrap layers of gooey blood from my cheeks, teeth or inside my mouth anywhere. This has been a recent development. Started about 3 weeks ago with a sudden on set of fever. My teeth and mouth ached so badly I think I would have rather pulled them out. I assumed it was an infection and used antibacterial mouth wash to no avail(prescribed post wisdom tooth removal XXXXXXX 2012) . I am also noticing hard bumps at the base of my gum line mostly above my upper front, top teeth. I had the four quadrant gum cleaning a year ago (with wisdom teeth removal) and dentist says gum health is improving. My concern is the sudden onset. Prior to the quadrant gum cleaning I never experience this. I am not XXXXXXX where to start as this is not just a little bit of blood. Its is dark gooey copious amounts every night and bleeding throughout the most of the day is occurring as well. I have a history of fibromyalgia (based on lack of factual evidence indicating a more finite diagnosis - not convinced as I feel it is a catch all). PC thinks sjogrens or RA will eventually be the diagnosis, but no SSa or SSb antibodies were detected during the parotid and minor salivary gland biopsy. Nor have any antibodies confirmed a diagnosis. I am in no hurry to have an ailment! However the bloody bloody mouth is concerning. My blood work is never normal and the bloody mouth is really concerning me. However my experience with doctors deters any seeking of advice. I addressed this with my PC on Friday and he seemed like it was normal. while addressing the white nodules forming on my gums. What can cause this? Sudden onset and with high fever (norm 97F. was 103f lasting abut 48hrs but gum pain continues and bloody mouth upon waking is what I am left with. Yet another symptom. I was similar to flu symptoms but obviously not such. Aching in my hips and legs along with wanting to rip my teeth out did not quite equate flu. I do have mild stenosis central spinal canal (C-5) along with osteophyte complexes-which also has never been addressed nor did anyone take the time to discuss the results. All is written of to chronic inflammation (in Dr lingo-i made it up)! Severe gastroparesis has also been diagnosed. Not slowed digestion but lack of. Severe dry eye and skin as well. Last but not least is the diagnosis for amenorrhea (cerebral originating at the pituitary gland) So XXXXXXX cougar bloody mouth upon waking, persistent now for a few weeks with hard noduals forming?I have suffered from gingivitis and nothing like this has ever occurred, and again the random onset is what is worrying me. Any ideas minus seeing a doctor? Please off other suggestions minus gingivitis as much as I would like that to be the case the dark gooey blood. combined with horrible stomach problems (have had pulmonary edema as well) I am in the medical field so I am knowledgeable relatively speaking. Idiopathic and science often appear to me as an oxymoron - apparently I am an idiopath!
Thank you. Please if your only offer is to see a doctor than Id rather not pay the 15. Thanks in advance
Posted Wed, 27 Mar 2013 in Dental Health
Answered by Dr. Bindiya Bhaskar 2 hours later

Thanks for posting your query.

As per the details produced, you are showing the symptoms of sjogren's syndrome.

This occurs due to -genetic,hormonal,infectious and immunologic factors.

Mostly shown symptoms are-

dry eyes,dry mouth,mild fever,swelling of major salivary glands,,anxiety,stress or depression,systemic disorder,trauma,surgery or medication.

In such cases, instillation of ocular lubricants such as artificial tears containing methylcellulose has to be given for keratoconjunctivitis/dry eyes.
Dry mouth is treated with saliva substitutes.
Frequent topical fluoride application has to be done to prevent caries incidence.

Regarding the dark blood discharge from your top front teeth in the morning, may be associated with localized periodontitis due to development of periodontal pocket and bone loss.
The gums may be soft at the site and tender causing bleeding.

The hard bumps may be aroused due to accumulation of pus due to periapical infection.
A radiograph has to be done to rule out the periapical infection.
Also get your blood-sugar level,menstrual bleeding,bleeding time and clotting time checked.

If there is abscess, curettage and root canal treatment is required.
Take iron and vitamin-B supplements since you are anemic.
To improve your gingival health,brush your teeth twice daily using soft-interdental toothbrush,in back-forth,up-down motion.
Rinse your mouth after every meal.
Take nutritious XXXXXXX food and fluids to keep yourself nourished.
If gum inflammation is very severe,gingivoplasty/gingivectomy has to be done.
Oral hygiene maintenance is necessary in your case since your gums are weak.
Hope this helps.

I will be happy to help you out if you have further concerns.
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