Bleeding gums

Category: Head, Eyes, Ears, Nose & Throat · All head & senses symptoms

Bleeding gums — Head, Eyes, Ears, Nose & Throat

What it can feel like

Bleeding gums means the gums bleed on brushing, flossing or eating, and look red or puffy rather than pale pink and firm. It is usually a sign of gum inflammation (gingivitis) from plaque build-up, and it improves with cleaning — gums that bleed should be cleaned more carefully, not less.

Possible causes

A symptom can have many causes, and most are not serious. The lists below group conditions this symptom can be associated with — common causes first. They are possibilities to discuss with a clinician, not a diagnosis.

Common causes

Bleeding gums can be associated with plaque and inflamed gums, brushing too hard, new flossing routines, pregnancy hormone changes, and vitamin C deficiency in restricted diets.

Other possible causes

Bleeding gums can also occur with more advanced gum disease loosening the teeth, with blood-thinning medicines, and occasionally with blood conditions affecting platelets or clotting — particularly when bruising and bleeding appear elsewhere too.

Red flags — when to seek help promptly

  • Bleeding gums with widespread bruising, nosebleeds or blood in urine or stool
  • Bleeding gums with loose teeth, gum swelling or a bad taste — dental review
  • Bleeding that does not stop, in someone on blood thinners
  • Bleeding gums with fever and feeling generally unwell

What a clinician may do

A dentist will examine the gums and measure the pockets around the teeth, review cleaning technique and arrange professional cleaning. If bleeding is generalised or accompanied by bleeding elsewhere, blood tests for blood count and clotting are arranged.

Frequently asked questions

Should I stop flossing if my gums bleed?

No — bleeding is the inflammation talking, and gentle daily flossing with good technique is how it settles, usually within one to two weeks. Stopping lets plaque mature and inflammation deepen.

When are bleeding gums not about teeth?

When they arrive with easy bruising, tiny skin bleeds (pinpoint spots), nosebleeds or heavy periods, the problem may be the blood itself — platelet or clotting problems — and blood tests take priority over dentistry.

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Please note: This page is educational information about a symptom. A symptom alone cannot diagnose any condition, and the causes listed here are possibilities, not a diagnosis. If you are worried about a symptom — especially one that is new, severe, getting worse or not going away — please see your own clinician, who can examine you and arrange tests. In an emergency, call your local emergency number.