Patients returning with prolonged bleeding from an #extraction socket are relatively common problem it is not always a real #emergency except when the patient have an underlying missed #bleeding disorder.
A little drops of blood mixed with saliva may seem to be a great blood loss and is so alarming to the patient , always patients overestimate the case especially when they wake up with their pillow having a blood spot .
You cannot underestimate the problem as the patient may have a real emergency.
What to do?
First, reassure the patient and the accompanying persons
Second, give the patient local anaesthesia and clean the mouth from blood traces well using suction and a piece of gauze over the socket to identify the source of bleeding.
Third , a small piece of fibrin gauze can be used over the socket for a while until bleeding slow down
Fourth, squeeze the socket edges and suture it well .
This is not all ...
When every thing is ok you have to ask the patient for any family history of bleeding tendency or any other cause of haemorrhaging disease.and if found ask the patient to do further investigations or refer him to his physician with a referral request describing what happened.
Finally , keep the patient under observation for a while to assure that the bleeding is controlled , but continued oozing of blood from the socket or a family history may suggest that the patient refereed to the hospital for further assessment .
A little drops of blood mixed with saliva may seem to be a great blood loss and is so alarming to the patient , always patients overestimate the case especially when they wake up with their pillow having a blood spot .
You cannot underestimate the problem as the patient may have a real emergency.
What to do?
First, reassure the patient and the accompanying persons
Second, give the patient local anaesthesia and clean the mouth from blood traces well using suction and a piece of gauze over the socket to identify the source of bleeding.
Third , a small piece of fibrin gauze can be used over the socket for a while until bleeding slow down
Fourth, squeeze the socket edges and suture it well .
This is not all ...
When every thing is ok you have to ask the patient for any family history of bleeding tendency or any other cause of haemorrhaging disease.and if found ask the patient to do further investigations or refer him to his physician with a referral request describing what happened.
Finally , keep the patient under observation for a while to assure that the bleeding is controlled , but continued oozing of blood from the socket or a family history may suggest that the patient refereed to the hospital for further assessment .
