Patients with advanced hepatocellular carcinoma who have gum bleeding should go to the hospital for further examination as soon as possible to check the coagulation index and platelet status. If the patient has abnormal coagulation function and very low platelets, gum bleeding is considered to be caused by abnormal coagulation function and should be treated as soon as possible, and further investigation should be done to find out whether there is bleeding from other areas, such as oral mucosa, skin, digestive tract, etc.
If the patient’s gingival bleeding is not taken seriously, the bleeding may be further aggravated with blood in the stool, vomiting blood, etc. The condition of vomiting blood and blood in the stool is considered to be caused by portal hypertension, rupture of esophagogastric fundic varices, and once this occurs, the condition progresses rapidly and can be stopped by endoscopic and interventional treatment, but the symptomatic effect is mostly unsatisfactory because of the patient’s heavy condition and high bleeding. It may further cause hemorrhagic shock and ultimately endanger the patient’s life.
Gum bleeding in advanced hepatocellular carcinoma is one of the manifestations of abnormal coagulation. Simple gum bleeding treated early will not endanger the patient’s life, but if the bleeding is further aggravated and gastrointestinal bleeding occurs in addition to gum and oral mucosa, the condition is more serious and often endangers the patient’s life, so patients with advanced hepatocellular carcinoma must pay attention to the prevention and control of bleeding.