Question: Why have my gums started bleeding suddenly?
Explanation: Sudden gum bleeding is most often caused by gingivitis, inflammation from plaque accumulation at the gum margin. Healthy gums do not bleed when brushed. Other causes include a change in medication such as anticoagulants, pregnancy hormonal changes, vitamin deficiency, smoking cessation, and, less commonly, blood disorders including leukaemia. Bleeding accompanied by widespread bruising, fatigue, recurrent infections, or bleeding from other sites requires medical investigation. Bleeding confined to the gums usually resolves within two weeks of thorough plaque removal and improved brushing and flossing.
Related Questions:
Should I stop brushing if my gums bleed?
No, this is precisely the wrong response. Bleeding indicates inflammation caused by plaque. Stopping brushing allows more plaque to accumulate and worsens the inflammation. Brush gently but thoroughly along the gum margin and clean between the teeth daily. Bleeding usually subsides within two weeks.
Can bleeding gums indicate a serious medical condition?
Occasionally. Leukaemia, thrombocytopenia, and clotting disorders can present with gum bleeding. The distinguishing features are bleeding disproportionate to plaque levels, spontaneous bleeding, bleeding elsewhere in the body, unexplained bruising, fatigue, or fever. These warrant prompt medical assessment.
Why do my gums bleed more during pregnancy?
Elevated progesterone increases gingival vascular permeability and exaggerates the inflammatory response to plaque. Pregnancy gingivitis affects a majority of pregnant women. It is not caused by pregnancy alone. Plaque is still required. Meticulous oral hygiene and professional cleaning manage it effectively.
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