Why do my gums bleed so bad when i brush

Bleeding while brushing usually reflects inflamed gums from plaque, although trauma and medical causes also need consideration.

Plaque irritates the gingival margin and makes inflamed tissue bleed when touched. Hard brushing, tartar, ill-fitting dental work, smoking, and some medicines can add to the problem.

Use a soft brush with fluoride toothpaste and clean between the teeth daily with floss or an interdental brush. Keep cleaning gently rather than avoiding the bleeding areas, and arrange professional removal of tartar when present.

Arrange a dental examination if bleeding persists, is heavy, happens without brushing, or comes with swelling, bad breath, loose teeth, bruising, or fatigue. Seek urgent care for facial swelling, fever, or difficulty swallowing or breathing.

Ask whether the bleeding comes from gingivitis, periodontitis, trauma, medication, or another condition. Ask whether you need periodontal measurements, professional cleaning, radiographs, or a medical review.