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Medical Forum / General / Dentistry / August 2005Can't stop bleeding after surgery
I had 10 teeth extracted Wednesday (3 days ago). It took about 7-8 hrs for the major bleeding to stop, but has been oozing blood since then and doesn't seem to want to stop. My surgeon recommended using moist tea bags (the tannic acid supposedly helps blood clot) but that does not seem to be helping. PLEASE help. Anyone have any other suggestions? >I had 10 teeth extracted Wednesday (3 days ago). It took about 7-8 hrs for >the [quoted text clipped - 7 lines] > > PLEASE help. Anyone have any other suggestions? Get yourself to the Emergency dept. ASAP Are you on aspirin or warfarin or have liver damage? Did they use surgicel or place horizontal mattress sutures? "�������������������������" wrote: > Get yourself to the Emergency dept. ASAP Like I said the major bleeding is over with. I did have to go to the emergency room the night of the surgery (5hrs after surgery it was still bleeding pretty bad). I spent the night in the emergency room until major bleeding stopped. It's been minor oozing since. > Are you on aspirin or warfarin or have liver damage? No. > Did they use surgicel or place horizontal mattress sutures? Not sure, to be honest. I just know that they are the desolvable kind (if that helps). > I had 10 teeth extracted Wednesday (3 days ago). It took about 7-8 hrs for the > major bleeding to stop, but has been oozing blood since then and doesn't seem [quoted text clipped - 4 lines] > > PLEASE help. Anyone have any other suggestions? Go back to the surgeon. Continued oozing after 3 days shouldn't happen. You might also report this incident to your physician. I'm assuming of course that you aren't on any anticoagulants, which could easily explain the bleeding. Steve  SignatureMark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001 > Go back to the surgeon. Continued oozing after 3 days shouldn't > happen. I went to see him yesterday since it was still oozing. He didn't seem overly concerned. In your opinion, how critical is this? > You might also report this incident to your physician. Unfortunalty I don't really have a regular physician. I'm assuming > of course that you aren't on any anticoagulants, which could easily > explain the bleeding. No I am not on any kind of medicine whatsoever (besides the pain killers/antibiotics for the surgery of course). >> Go back to the surgeon. Continued oozing after 3 days shouldn't >>happen. > > I went to see him yesterday since it was still oozing. He didn't seem overly > concerned. In your opinion, how critical is this? There are two issues--one, the particular amount of blood you're losing. You are the best judge of that. If the dentist wasn't concerned that the bleeding is serious (and your surgeon knows what he's doing) I assume you're OK. The second issue is whether you have some kind of bleeding problem, which could be a health issue down the road. I would get it checked when you can. Steve >> You might also report this incident to your physician. > [quoted text clipped - 7 lines] > No I am not on any kind of medicine whatsoever (besides the pain > killers/antibiotics for the surgery of course). SignatureCut the nonsense to reply Contact your dentist immediately. Whatever the cause, don't worry -- the bleeding can be stopped. But your dentist is the best one to evaluate this as he/she did the surgery. DON'T WAIT, THOUGH -- CALL RIGHT NOW, AND IF HE'S NOT THERE, THEN GO TO THE HOSPITAL EMERGENCY ROOM. > I had 10 teeth extracted Wednesday (3 days ago). It took about 7-8 hrs for the > major bleeding to stop, but has been oozing blood since then and doesn't seem [quoted text clipped - 4 lines] > > PLEASE help. Anyone have any other suggestions? > Contact your dentist immediately. Whatever the cause, don't worry -- the > bleeding can be stopped. But your dentist is the best one to evaluate this > as he/she did the surgery. DON'T WAIT, THOUGH -- CALL RIGHT NOW, AND IF > HE'S NOT THERE, THEN GO TO THE HOSPITAL EMERGENCY ROOM. Most hospitals can put you in touch with an oral and maxillofacial surgeon on call. Phone the hospital and perhaps they will page the surgeon for you. Do keep the tea bags in with as much pressure as you can put onto them (pain-wise) and use cold water to moisten them. When you sleep, raise your head with two or three pillows. A little cold compress on the outer lip area can't hurt either. HTH. It would be gracious of you to report back here with the final diagnosis as to why you are still bleeding. Your personal MD or the OMFS could order some tests of your clotting ability. SP SignatureFinally: take out the TRASHH > Most hospitals can put you in touch with an oral and maxillofacial > surgeon on call. Phone the hospital and perhaps they will page the > surgeon for you. Do keep the tea bags in with as much pressure as you > can put onto them (pain-wise) and use cold water to moisten them. Yeah I have been doing this.. as much as I hate tea :) > When you sleep, raise your head with two or three pillows. A little cold > compress on the outer lip area can't hurt either. Have been doing this as well. As far as the latter part, I have been using ice on both sides. This at least seems to have helped the swelling a little. > HTH. > > It would be gracious of you to report back here with the final diagnosis > as to why you are still bleeding. Your personal MD or the OMFS could > order some tests of your clotting ability. When I saw my surgeon yesterday for a checkup (came in since it was still oozing), he said that they had performed clotting tests and that my results were "normal". I'm sure it will be fine. The blood you see is mixed with saliva, making it look like more than it is. Do you smoke? If you do, STOP!! Also, what are you taking for pain -- I hope not aspirin, as that can interfere with clotting, and some other medicines can as well, but I'd imagine your oral surgeon put you on the correct medicine. Keep in mind that NONE of us can really give you any sort of accurate diagnosis/treatment without seeing you. If you had the surgery last Wednesday, I'd really consider stopping the ice, and it might be better to use moist heat [take a wash cloth in a bowl of water and put it in the microwave until it's warm -- NOT too hot -- and put it on your cheek, or wherever the swelling is. But before you do this, it would be wise to check with your dentist again, as I have not examined you. Good luck -- it will all work out! EVERTHING HEALS!! > > Most hospitals can put you in touch with an oral and maxillofacial > > surgeon on call. Phone the hospital and perhaps they will page the [quoted text clipped - 18 lines] > oozing), he said that they had performed clotting tests and that my results > were "normal". > I'm sure it will be fine. The blood you see is mixed with saliva, making it > look like more than it is. Do you smoke? Yes, but I haven't since the surgery. I know the risks of dry sockets, etc. DEFINITELY not worth the risk. If you do, STOP!! Also, what are > you taking for pain Hydrocodone Bitartrate & APAP 7.5mg/500mg -- I hope not aspirin, as that can interfere with > clotting, and some other medicines can as well, but I'd imagine your oral > surgeon put you on the correct medicine. Keep in mind that NONE of us can [quoted text clipped - 3 lines] > water and put it in the microwave until it's warm -- NOT too hot -- and put > it on your cheek, or wherever the swelling is. Yeah my post-operative instructions say to use moist heat after the ice, but I was unsure whether that was dependant on the bleeding being stopped completely. I know cold helps the blood clot better than warm, which is why I was hesitant to make the switch. But before you do this, it > would be wise to check with your dentist again, as I have not examined you. > Good luck -- it will all work out! EVERTHING HEALS!! Thanks very much to you and everyone else that has answered my questions. 'Tis greatly appreciated. > I had 10 teeth extracted Wednesday (3 days ago). It took about 7-8 hrs for the > major bleeding to stop, but has been oozing blood since then and doesn't seem [quoted text clipped - 4 lines] > > PLEASE help. Anyone have any other suggestions? I am not a dentist, but I had a similar experience after dental surgery a few years ago. The tea bags/tannic acid didn't work for me either. I ended up having to meet the dentist on an emergency basis on the weekend and he had to re-do some of the surgery. I noticed that one thing that definitely made the bleeding WORSE was when I made the mistake of rinsing my mouth with water. Don't rinse. Does applying sterile gauze with pressure help? I think you should definitely go to the ER or back to your dentist. One more thing. . . Not long ago, I had some sinus surgery. I didn't take any aspirin or extra vitamin E for two weeks prior to the surgery, but I ended up bleeding profusely. I think part of the problem may have been from the other supplements I take that can function as anticoagulants. I believe that fish oil and other omega-3 fatty acids prevent clotting to some extent. Also, even the small amount of vitamin E in a multi-vitamin may be too much (it was definitely too much for me!). Recently I read that certain antidepressants, especially the SSRI's (serotonin reuptake inhibitors) can cause excessive bleeding, particularly gastrointestinal bleeding. I read about several stroke patients who were given anticoagulants after the stroke as well as the antidepressant Zoloft, to combat post-stroke depression, which is very common. These patients developed massive GI (gastrointestinal bleeds). I don't mean to be an alarmist. The point I'm trying to make is that even if you're not on Aspirin or warfarin, there are a number of substances (and I suspect some foods as well) that can function as anticoagulants. Anyway, if the bleeding hasn't stopped by now, get thee to the Emergency Room! Good advice Alice, except for the emergency room part, except in life-threatening circumstance! There are techniques that I use while removing teeth that minimiz post-op bleeding. Gelfoam and suturing should be used as necessary. good health history and observation of other dental procedures ofte familiarizes us with the patient's ability to clot, and conversely, th failure to do so. Joel Alice Wrote: > > I had 10 teeth extracted Wednesday (3 days ago). It took about 7- > hrs for the [quoted text clipped - 13 lines] > Anyway, if the bleeding hasn't stopped by now, get thee to the > Emergency Room -- Joel34 Two things have become practically certain in life. Taxes and anti-depressants. Aspirin finally is being limited. But the possible unknown damage of anti-depressants is still a secret even to the pharmaceuticals. By the time children are tested for intelligence when entering school instead of letting them develop as children at their own pace, (unless there is a natural problem) no child will be left behind. they will all need medication. Green tea is a blood thinner and as everyone knows so is garlic. Gail > > I had 10 teeth extracted Wednesday (3 days ago). It took about 7-8 hrs for the > > major bleeding to stop, but has been oozing blood since then and doesn't seem [quoted text clipped - 33 lines] > Anyway, if the bleeding hasn't stopped by now, get thee to the > Emergency Room! |
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