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Suggest Treatment For Blood Stained Saliva And Allergies

Posted on Mon, 15 Jun 2015

Question: For the past year and a half sometimes when I randomly spit I spit out blood stained saliva like in the picture. I also have bad allergies. Could this be sinuses or something worse like cancer.

Answered by Dr. Baranidharan Kuselan (2 hours later)

Brief Answer:
Different causes given below

Detailed Answer:
Hi there,
Thanks for posting in HCM.

There are many different causes for presence of blood when you spit.
It is not always due to cancer.
It could be from the oral cavity. Examination of the oral cavity should be done first.
If no source of bleeding could be found in the oral cavity, then other causes should be looked in to.
These include lung infections like tuberculosis, bronchitis, autoimmune conditions involving lungs. Sometimes the source could be in the nose or the stomach.

So the first step is to get the oral cavity examined and also get a chest xray done.

I hope that answers your query.
Let me know if you have any more questions.
Regards,
Dr.Barani

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Baranidharan Kuselan (1 hour later)

I go to the dentist every 6 months everything is good I went to my doctor yesterday for my yearly all was good he said it's sinuses but it worried me it is only tinted for a few spits and returns to normal it happens when I suck the back of my throat too

Do you think it could be leukemia or throat cancer

Answered by Dr. Baranidharan Kuselan (21 hours later)

Brief Answer:
Throat cancer less likely

Detailed Answer:
Hi,
Since the oral cavity if good, then other sources should be looked for.
As mentioned earlier, a chest xray should be done. Sinus and stomach can be examined.
Thraot cancer is unlikely as you do not have other symptoms like cough, difficulty in swallowing and change of voice.

To know whether it is due to leukemia, a complete blood count and a peripheral blood smear test may be done.

Let me know if you have any more questions.
Regards,
Dr.Barani

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Baranidharan Kuselan (44 minutes later)

I had blood work last May and all my cbc counts were good. I had the blood in my spit 6 months prior to the lab test

Answered by Dr. Baranidharan Kuselan (9 hours later)

Brief Answer:
Leukemia less likely

Detailed Answer:
Hi,
if the blood work including CBC is normal, the leukemia is also less likely.
So you need to look for other sources and as advised earlier get a chest xray done and also get the stomach and sinuses examined.

Regards,
Dr.Barani

Above answer was peer-reviewed by : Dr. Shanthi.E

Follow up: Dr. Baranidharan Kuselan (2 hours later)

Thanks sir so more then likely not cancer

What would cause me to this up on and off for the last 18 months

Answered by Dr. Baranidharan Kuselan (2 days later)

Brief Answer:
Sources in lungs or stomach

Detailed Answer:
Hi,

As mentioned earlier sources in the lungs and stomach should be looked in to.

A chest xray and an upper GI endoscopy should be done.
Sometimes you may need a bronchoscopy.

Regards,
Dr.Barani

Above answer was peer-reviewed by : Dr. Shanthi.E

Follow up: Dr. Baranidharan Kuselan (3 days later)

Ok thanks sir I use Skoal so I'm worried it's throat cancer but I have no other symptoms

Answered by Dr. Baranidharan Kuselan (8 hours later)

Brief Answer:
Laryngoscopy may be done

Detailed Answer:
Hi,
Since you use Skoal and are worried about throat cancer, a laryngoscopy test may be done.

This test will help to know whether you have throat cancer or not.

But as said earlier it is unlikely as you do not have cough, difficulty in swallowing and change of voice.

Let me know if you have any more questions.
Regards,
Dr.Barani

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj