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What Causes Blood In Saliva?

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Posted on Sat, 9 Apr 2016
Question: Blood comes out while spitting
doctor
Answered by Dr. Sumit Bhatti (1 hour later)
Brief Answer:
If the blood is very little, there is no cause for worry.

Detailed Answer:
Hi,

Thank you for your query.

1. If there is only a blood tinged sputum (very small amount of fresh, red blood in the spit), there is no cause for worry.

2. If there is no cold, fever or cough, get the throat examined. Usually the delicate tissues in the throat and nose bleed slightly with cold, cough and fever.

3. If there are no symptoms, also get the sputum examined and cultured for 3 consecutive days and a chest X-ray.

4. Avoid tobacco and alcohol. Eat bland food. Get examined if this persists.

I hope that I have answered your query . If you have any more questions I will be available to answer them.

Regards.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sumit Bhatti (1 hour later)
A blood stinged saliva comes when i suck the deep saliva and spit. I observed it first 6-8 months back.

I consulted a doctor 3 months back. He told it might be due to cleaning of touge with fingers in morning and told to do salt water gargle. I did that it went away for 2 months.

Its stated again now even though i stopped cleaning my tongue with fingers.

Again i consulted a doctor last week. He did chest and nose x-ray with cbs, ESR blood test.

By seeing x-ray its clear. In ESR i got 27 mm/1 hr.

Now the doctor is saying to do bronchoscopy.

I am very much worried now as it may lead to cancer or so.. please advise me



doctor
Answered by Dr. Sumit Bhatti (7 hours later)
Brief Answer:
This is highly unlikely to be cancer.

Detailed Answer:
Hi,

Thank you for writing back.

1. This is highly unlikely to be cancer.

2. Sucking hard and spitting along with tongue trauma while cleaning causes blood tinged sputum very commonly.

3. Get a Videolaryngoscopy (VL'Scopy) done first. Bonchoscopy can be done later. Non-invasive tests such as Chest X-rays, HRCT Chest Scan should be done first.

4. A high ESR signifies chronic infection, inflammation among other causes. It has a prognostic value and requires serial estimations. Hence future levels will help guide your doctors.

I hope that I have answered your query. If you have any further questions, I will be available to answer them.

Regards.
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
Dr.
Dr. Sumit Bhatti

Otolaryngologist / ENT Specialist

Practicing since :1991

Answered : 2686 Questions

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What Causes Blood In Saliva?

Brief Answer: If the blood is very little, there is no cause for worry. Detailed Answer: Hi, Thank you for your query. 1. If there is only a blood tinged sputum (very small amount of fresh, red blood in the spit), there is no cause for worry. 2. If there is no cold, fever or cough, get the throat examined. Usually the delicate tissues in the throat and nose bleed slightly with cold, cough and fever. 3. If there are no symptoms, also get the sputum examined and cultured for 3 consecutive days and a chest X-ray. 4. Avoid tobacco and alcohol. Eat bland food. Get examined if this persists. I hope that I have answered your query . If you have any more questions I will be available to answer them. Regards.