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Why is my puppy's gums bleeding?

The most common cause of a puppy's gums bleeding is teething — baby teeth loosening and falling out between around three and six months old can leave a small, temporary bloody patch on a chew toy or in their water bowl. But bleeding gums can also mean an injury, an object stuck between the teeth, or early gum disease, so it's worth looking a little closer rather than assuming.

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This is worth a call to your vet rather than waiting to see how it goes, particularly if it has lasted more than a day or your pet is otherwise off-colour.

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Teething is the most likely explanation

Puppies lose their baby teeth in a fairly predictable window, usually starting around three to four months old and finishing by around six months, and it's completely normal to find a spot of blood on a chew toy, a bed, or in their water during this stage. The gum around a wobbly or recently-lost tooth can bleed a little, much the same way a child's gum does when a milk tooth comes out.

This kind of bleeding is usually small, doesn't recur constantly from the same spot, and comes with other teething signs — increased chewing, a bit of drooling, and mild irritability. A puppy who is otherwise bright, eating normally and playing as usual, with the odd fleck of blood during this age window, is very unlikely to need anything beyond safe things to chew on.

Other causes worth ruling out

A cut or graze inside the mouth from chewing something sharp — a stick, a stone, a piece of plastic — is a common non-teething cause, and usually shows as bleeding from one specific spot rather than generally around the gum line. Something stuck between the teeth or wedged against the gum can also cause localised bleeding and discomfort until it's removed.

Less commonly, early gum disease, a viral illness, or a puppy eating something toxic can also show up as bleeding gums alongside other signs. None of these are things to try to tell apart yourself from a description alone — that's exactly what a vet examination is for.

When it's more than teething

Get your puppy seen the same day if the bleeding is heavy, comes from more than one area, doesn't stop within a few minutes, or comes with other symptoms — swelling, a smell from the mouth, reluctance to eat, lethargy, or bleeding anywhere else on the body. Bleeding gums alongside any of those is a reason to ring your vet rather than wait and see.

If you're not sure whether what you're looking at is ordinary teething or something else, it is always reasonable to call your vet and describe it — most practices are used to exactly this question from puppy owners and can tell you over the phone whether it needs a same-day look.

Making teething easier

Giving a teething puppy safe, appropriately sized things to chew on redirects the urge away from furniture, skirting boards and fingers, and can ease some of the discomfort that comes with a tooth working loose. Textured rubber chew toys and rope toys are a common choice during this stage.

Avoid anything hard enough to crack a puppy tooth — antlers, real bones and very hard nylon chews are best kept for once the adult teeth are fully in, since a puppy's baby teeth and still-forming adult teeth beneath them are more fragile than they look.

A cool, slightly damp chew toy kept in the fridge for a while can be soothing on sore gums in the same way a cold flannel helps a teething baby, and is a simple, low-cost thing to try alongside their normal chews during the more uncomfortable stretch of losing back teeth.

Checking a puppy's mouth safely

It's worth gently getting your puppy used to having their mouth looked at during this stage, lifting the lip briefly to check for a lost tooth, swelling, or anything caught between the teeth, rather than only reacting when you spot blood elsewhere. Keep it brief and reward calm behaviour so it doesn't become something your puppy dreads.

It's completely normal to occasionally find a tiny baby tooth on the floor or in a chew toy during this stage — a puppy usually loses them without any fuss and the gap fills in with the adult tooth over the following weeks. If you're ever concerned about what you're seeing in your puppy's mouth, your vet can take a proper look and put your mind at rest either way.

What can help

Things we stock that owners commonly use alongside a vet’s advice — not a substitute for it.

Interactive Activity Ball Dog Toy with Cover

Interactive Activity Ball Dog Toy with Cover

From£23.99

Self-Moving Chew-Resistant Dog Ball

Self-Moving Chew-Resistant Dog Ball

£15.99

Inflatable Herding Ball for Dogs with Pump

Inflatable Herding Ball for Dogs with Pump

From£19.99

Common questions

Is it normal for a teething puppy's gums to bleed?
A small amount of bleeding around a loose or recently lost baby tooth is normal during teething, which usually runs from around three to six months old. It should be minor and short-lived rather than heavy or repeated from the same spot.
How do I know if my puppy is just teething or something is wrong?
Teething bleeding tends to be minor, doesn't come with other symptoms, and happens in a puppy who is otherwise bright and eating normally. Heavy bleeding, swelling, bad breath, reluctance to eat or a generally unwell puppy point to something other than teething, and are reasons to call your vet.
What age do puppies stop teething?
Most puppies have all of their adult teeth in by around six months old, though this varies a little by breed and individual dog. Chewing often continues well beyond this as a normal puppy behaviour even once the teeth themselves have settled.
Should I take my puppy to the vet for bleeding gums?
If the bleeding is minor, brief and your puppy seems otherwise well and within the usual teething age, it's reasonable to keep an eye on it at home. Ring your vet if the bleeding is heavy, persistent, comes from more than one spot, or your puppy seems unwell in any other way.

Related

Sources

Written against guidance published by UK veterinary and welfare organisations. Always confirm specifics with your own vet.

Written by Matt Garnett, who runs Giddy Pets and is a lifelong pet owner — not a vet. This is general information, not veterinary advice, and it cannot replace an examination by the vet who knows your animal. How we write these guides.