Hello and welcome to health care magic, I am Dr Sriram Nathan an ENT surgeon and I have understood that your symptoms of blood in saliva can be quite stressful to you. Though there a a multitude of causes for blood in saliva, in all probability you may have reflux. In any case if it is just a few drops of blood you do not have to be very concerned. Let me assure you first that in our fast paced life with the stress involved, one of the most common problems we suffer is that of reflux which in fact can be silent! Additionally, the spot of blood in saliva is a common presentation of reflux and is quite treatable. I have seen thousands of patients who have been successfully treated by me so rest assured you do not have to worry. Now you need to do and ponder on these: - take a bland non spicy and non oily food for the next two weeks or so - I would routinely also start a course of anti reflux medication like Pantoprazole for my patients. Your doctor will know about this - do not rub or brush your teeth and gums harshly especially when you brush them - have your food at proper timings and do not skip a meal especially breakfast - do not immediately lie down after a meal especially dinner - avoid taking much of painkiller and other strong medications which increase reflux and symptoms - check if your teeth and gums are fine and there are no soft bruised area, if in doubt you can also consult your dentist - add also a multivitamin like zincovit in consultation with your doctor - reduce your stress levels. the dry mouth is a direct relation to stress. Keep yourself well hydrated also, make sure you do not have nose block. If you do then that can explain your dry throat and blood. For this you must arrange for a ENT consult Finally if the above do not help you in a period of minimum two weeks and above then you must take a full blood profile and upper GI endoscopy and get back to me or any ENT with the reports Hope this helps and if you have any more queries I would be happy to answer them get well soon regards Dr Sriram Nathan -

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Brief Answer: not necessary Detailed Answer: Hello again, The nose block and sleep apnoea can happen in deviation of nasal septum. Even the blood can be from the nose into saliva. Your sleep study and subsequent evaluation will confirm that. Cough may or may not be associated with reflux. Like I said it is a silent disease. You definitely need to reduce and finally stop smoking. It will have a good impact on both apnea and reflux. Hope this helps Regards Dr Sriram Nathan

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Brief Answer: no problem Detailed Answer: Hello again, If you do not smoke then it's fine The spot on tonsils are common and nothing to worry about. The tonsils have small holes called crypts and such spots are common without any problems whatsoever. In any case when you have an ENT consult you can show the spot. Hope this helps Regards Dr Sriram Nathan

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