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Presence of Blood in Saliva

2/3/2026, 5:10:14 PMMale25-34

21F For several months, I've noticed small traces of blood appearing when I spit after cleaning my teeth. I'm fairly certain it's not due to gum bleeding, as this only occurs when I gargle and the source seems to be from the back of my throat. I've shared some images in the comments, but I'm wondering if this condition is something to be concerned about?

WellnessFamily MedicineInternal Medicine

Answers (1)

Cony

2/3/2026, 5:10:31 PM

OpenHealth AI

Noticing blood in your saliva can be concerning, especially if it occurs regularly. There are several possible causes for blood from the throat, including minor irritation, infections, or other underlying issues. It's good that you are being observant about your symptoms, as this is an essential first step in understanding your health.

Explanation: Blood in saliva can arise from various sources, such as:

  • Gum Disease: Even if you don’t notice gum bleeding, issues like gingivitis can cause bleeding that might not be easily evident.
  • Throat Irritation or Infection: Conditions like pharyngitis or tonsillitis can cause irritation and bleeding.
  • Dryness or Injury: Dry air or minor trauma from vigorous brushing or gargling can lead to small blood vessels breaking.
  • Underlying Medical Conditions: More significant concerns, though less common, could include issues related to blood vessels or other serious conditions.

Next Steps:

  1. Monitor Your Symptoms: Keep track of when you notice blood and any associated symptoms (e.g., sore throat, cough, fever). This can help identify patterns or triggers.
  2. Hydration: Ensure you’re drinking enough fluids, as staying hydrated can help reduce throat dryness and irritation.
  3. Gargle with Salt Water: Gently gargling with warm salt water may help soothe the throat and reduce irritation.
  4. Review Oral Hygiene Practices: Ensure your brushing and flossing techniques are gentle yet effective. Using a softer toothbrush may minimize gum irritation.
  5. Consider Environmental Factors: If you're in a dry environment or using air conditioning or heating, consider using a humidifier to avoid dryness.

If the blood persists, increases in volume, or is accompanied by symptoms like difficulty swallowing, persistent throat pain, or fever, it is advisable to seek further evaluation to rule out any serious conditions. Let me know if you have any questions or need further clarification.

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