Sublingual Hematoma: Care Instructions

Your Care Instructions

Bleeding and swelling under the tongue is called a sublingual hematoma. It can happen after some kind of tooth surgery or implant. Or it can happen after a mouth or tongue injury.

This problem can be very serious if the swelling increases and blocks your airway. If that happens, you need to be watched and treated in a hospital.

Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. It's also a good idea to know your test results and keep a list of the medicines you take.

How can you care for yourself at home?

  • Follow your doctor's instructions to prevent more swelling and reduce pain.
  • If your doctor suggests it, put ice or a cold pack under your chin for 10 to 20 minutes at a time. Put a thin cloth between the ice and your skin.
  • If your doctor prescribed antibiotics, take them as directed. Do not stop taking them just because you feel better. You need to take the full course of antibiotics.
  • Be safe with medicines. Read and follow all instructions on the label.
    • If the doctor gave you a prescription medicine for pain, take it as prescribed.
    • If you are not taking a prescription pain medicine, ask your doctor if you can take an over-the-counter medicine.

When should you call for help?

Call 911 anytime you think you may need emergency care. For example, call if:

  • You have trouble breathing.

Call your doctor now or seek immediate medical care if:

  • You have trouble swallowing.
  • You have new or worse symptoms of infection, such as:
    • Increased pain, swelling, warmth, or redness.
    • Pus draining from the area.
    • A fever.

Watch closely for changes in your health, and be sure to contact your doctor if:

  • You do not get better as expected.