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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Bleeding From The Mouth?

my alt was 1700.and this problem occour 15 days before the symptoms of hepatitus A.i am hostlied and i am student.....may it was due to the contaminated food.hepatitues cured after 2 months bud bleeding from mouth is still there.i consulted soo many doctors in islamabad pakistan.
Fri, 21 Apr 2017
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General Surgeon,  's  Response
Hi.
Thanks for your query.
Noted the history and understood the concerns.
Since you had hepatitis with Alt of 1700, in a hostel life can be due to Hepatitis A which took 2 months to get cured.
The bleeding from mouth can be due to many reasons as follows:
Hepatitis causing alteration in prothrombin time and gets cured with Vitamin K injections.
Another reasons can be intra-oral pathology like gingivitis, ulcer or so.
Hence I would advise you the following:
Tests of blood: CBC, bleeding time, clotting time, prothrombin time, platelet count and liver function tests to have a review.
Ultrasonography of the abdomen.
Clinical evaluation and examination by an ENT or Oral Surgeon to see for any local cause that may be found o that it can be treated appropriately.
Hence the basic is to get to know the exact cause to get a proper management.
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What Causes Bleeding From The Mouth?

Hi. Thanks for your query. Noted the history and understood the concerns. Since you had hepatitis with Alt of 1700, in a hostel life can be due to Hepatitis A which took 2 months to get cured. The bleeding from mouth can be due to many reasons as follows: Hepatitis causing alteration in prothrombin time and gets cured with Vitamin K injections. Another reasons can be intra-oral pathology like gingivitis, ulcer or so. Hence I would advise you the following: Tests of blood: CBC, bleeding time, clotting time, prothrombin time, platelet count and liver function tests to have a review. Ultrasonography of the abdomen. Clinical evaluation and examination by an ENT or Oral Surgeon to see for any local cause that may be found o that it can be treated appropriately. Hence the basic is to get to know the exact cause to get a proper management.