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Why Do I Wake Up with Blood in My Mouth While Pregnant?

Published in Pregnancy Gum Health 3 mins read

Waking up with blood in your mouth while pregnant is often linked to gum issues, specifically pregnancy gingivitis.

Understanding Pregnancy Gingivitis

Pregnancy gingivitis is a common condition affecting many pregnant women. It involves swollen, sore gums that may bleed, particularly when brushing or flossing. This condition arises due to hormonal changes that increase the gums' sensitivity to plaque, a sticky film of bacteria that constantly forms on teeth.

What Causes Bleeding Gums During Pregnancy?

  • Hormonal Changes: During pregnancy, your body experiences significant hormonal fluctuations. These changes can make your gums more vulnerable to inflammation and bleeding.
  • Increased Blood Flow: Pregnancy increases blood flow throughout the body, including the gums, which can contribute to swelling and sensitivity.
  • Plaque Build-up: If not removed regularly, plaque irritates the gums, leading to inflammation and bleeding. Bleeding gums are caused by a build-up of plaque on the teeth.

Signs and Symptoms

Symptom Description
Swollen Gums Gums may appear red and puffy.
Soreness Gums might feel tender or painful, especially when touched.
Bleeding Noticeable bleeding during brushing, flossing, or even when eating.
Bad Breath Persistent bad breath, even after brushing, can be a sign of gum disease.
Receding Gums Gums may start to pull back, exposing more of the tooth.
Sensitivity to Food Increased sensitivity to hot, cold, or sweet foods and drinks, when accompanied by other symptoms, can indicate gum disease.

How Hormonal Changes Affect Gum Health

  1. Increased Sensitivity: Hormones like progesterone can increase the gums' sensitivity to plaque bacteria.
  2. Exaggerated Response: Your body's immune response to plaque may be heightened during pregnancy, leading to more inflammation than usual.
  3. Changes in Saliva: Some women experience changes in the composition of their saliva, which can affect oral health.

Tips for Managing Pregnancy Gingivitis

  • Oral Hygiene: Maintain excellent oral hygiene by brushing twice daily with fluoride toothpaste and flossing once a day.
  • Dental Check-ups: Visit your dentist for regular check-ups and cleanings. Inform them about your pregnancy.
  • Antimicrobial Mouthwash: Using an antimicrobial mouthwash can help reduce plaque and inflammation.
  • Diet: A balanced diet rich in vitamins and minerals supports gum health. Avoid sugary snacks and drinks.
  • Rinsing: Rinsing with saltwater can soothe sore gums and reduce inflammation.

When to See a Dentist

While mild bleeding can be normal during pregnancy, you should consult a dentist if:

  • Bleeding is severe or persistent.
  • You experience pain or discomfort.
  • You notice signs of gum disease, such as receding gums or loose teeth.

During pregnancy, it's crucial to address gum issues promptly, as untreated gum disease has been linked to complications such as preterm birth and low birth weight.

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