Blood in saliva early in the morning can be due to several causes. If it is fresh, red and comes while you are brushing then maybe you have infection in your gums, teeth or Vitamin C deficiency. It’s difficult to say without examining. You will need to see a dentist about this and vitamin C pills.
Ulcers in the stomach or esophagus too bring blood in saliva as they keep bleeding. However, this blood is rust colored or brownish red. Sinusitis with post nasal drip mixed with blood could also appear as blood in saliva. There are other causes too like TB and cancer of the lungs, mouth or food pipe.
You need an ENT Specialist (who will look into the throat from inside with the help of some instruments) and a dental consultation first.
And after examination, further tests are done.
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Annual Checkup
It is recommended that all individuals see a Family Doctor for a full medical examination annually. Adults should get their blood pressure checked (US Preventive Task Force), a flu vaccine (CDC) and more each year.
The American Dental Association recommends dental cleanings for adults at least twice annually. Some stains can only be removed by a professional cleaning.
It’s recommended by the American Academy of Ophthalmology that every adult between the ages of 18 and 80 does an eye examination at least once every two years.
It's recommended by the American Cancer Association that every adult between the age of 20 and 80 does an annual skin screening by a licensed dermatologist.
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