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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Had Fever, Bad Toothache. White Nodules On Gums. Blood In Mouth. Reason For Sudden Onset?

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 Jan 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 sue 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 freddy 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
Mon, 29 Apr 2013
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Dentist 's  Response
hello and welcome,

thanks for writing in.
the blood in gums usually arise due to gingivitis.

improper oral hygiene and systemic diseases are main cause for this.

I would suggest you to brush your teeth twice daily.
use chlorhexidine containing mouthrinses.
warm saline gargle may be helpful.
get deep scaling done in every 6 months.
get your bleeding time and clotting time monitored.
hope this helps.
I find this answer helpful
Dentist Dr. Qazi Ammara's  Response
Hi,

Thanks for asking the query,

Bleeding gums indicates infection in the gums known as gingivitis, it occurs due to poor oral hygiene, plague and calculus deposition , systemic conditions and hormonal imbalance.
I would suggest you to visit the Dentist and get the checkup done, take an x-ray of the tooth which is having pain, go for symptomatic treatment of complete mouth scaling nad polishing.
Tooth which is having pain can be treated with root canal treatment.
Brush the teeth twice daily, use antiseptic mouthwash rinses.
Take multivitamin suplements.
Drink plenty of water and keep yourself hydrated.

Hope this helps out.

Regards..
I find this answer helpful
Dentist Dr. Qazi Ammara's  Response
Hi,

Thanks for asking the query,

Bleeding gums indicates infection in the gums known as gingivitis, it occurs due to poor oral hygiene, plague and calculus deposition , systemic conditions and hormonal imbalance.
I would suggest you to visit the Dentist and get the checkup done, take an x-ray of the tooth which is having pain, go for symptomatic treatment of complete mouth scaling nad polishing.
Tooth which is having pain can be treated with root canal treatment.
Brush the teeth twice daily, use antiseptic mouthwash rinses.
Take multivitamin suplements.
Drink plenty of water and keep yourself hydrated.

Hope this helps out.

Regards..
I find this answer helpful

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Had Fever, Bad Toothache. White Nodules On Gums. Blood In Mouth. Reason For Sudden Onset?

hello and welcome, thanks for writing in. the blood in gums usually arise due to gingivitis. improper oral hygiene and systemic diseases are main cause for this. I would suggest you to brush your teeth twice daily. use chlorhexidine containing mouthrinses. warm saline gargle may be helpful. get deep scaling done in every 6 months. get your bleeding time and clotting time monitored. hope this helps.