Bleeding gums are caused by inadequate removal of Plaque and Plaque is a thin biofilm that forms on the teeth which is made up of germs, these germs attack the gum tissue, the healthy issues around the teeth and cause inflammation of the gums and has been over a period of time to gums become red and swollen and irritated and that irritation what makes the gum bleed when we brush and when this bleeding is happening at the continuously every day, the breakdown of the tissues that is tissues with attached to the tooth that breakdown happens and then there is pocket formation between the teeth and gums and that pocket is where more and more germs harbour over the period time and this whole process is known as gingivitis when the gums bleed and that gingivitis when it is there for a long time and progression of the bleeding is happening it leads to something called as periodontitis. Periodontitis is nothing but when the gingivitis has advanced and it is involved the bone inside. So bone is the structure where the teeth are held together that's how we say that or if we having bone loss and tooth are getting loose not from cavities but from gum issues is from the plaque there. So that's when you need to consult a dentist. There are lot of other reasons also while gum bleeding happens, one of the most common reason we see during pregnancy it's called as per pregnancy gingivitis and that is because of hormonal changes that happen during pregnancy where immunity is lower to resist bacteria. So it is important to take care of gums during pregnancy and there is lot of other reasons such as Vitamin C deficiency, K deficiency, cavities in the teeth and obsess which form bleeding gums, then certain other conditions where bleeding disorders which probably have a genetic predisposition to them and some leukaemia also which cause gum bleeding. But to the best thing to manage it is the first sign you notice the gum bleeding is to consult your dentist. So that it is just check your teeth, gums and can show you how the plaque and tater on deposits that happened on the teeth they might advise some X ray to see the level of the bone and we can also sometimes to get some blood work done just to rule out anything else which can be more serious, so once that treatment plan if usually made and care is given.