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Managing Side Effects of HIV TreatmentManaging Side Effects of HIV Treatment
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bleeding gums concern
Aug 23, 2006

I am hiv+. Never been sick or had complications. I have also been undetectable almost the entire time I have known I was positive. Over the last 2 years I have developed bleeding gums. They may bleed with i brush, or they may simply start to bleed on their own. I see a dentist regularly. I do not have peridontal disease. My routine cleanings go well as I develope very little plaque. I brush and floss regularly. I have changed tooth brushes, tooth paste, oral rinses and anything else the dentist can think of. No one can come up with a reason for my bleeding gums or find a solution to make it stop. Is there something someone may be overlooking? I have gone through 4 different dentists with no resolution.

Response from Dr. Henry

I assume you have no bleeding problems (platelets, coagulation parameters) or take aspirin or drugs like ibupfofen regularly (some patients sensitive to platelet effects of those drugs). Vitamin deficiencies sometimes can cause gum abnormalities (OK vit B12/folic acid?). Sometimes other systemic diseases can impact the gums/mouth like thyroid abnormalities so a good general medical evaluation might be helfpul if the problem persists. KH

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