Bleeding gums- any alternate ideas other than gum disease? Tramadol use? Ibuprofen use?

I was taking the medication Tramadol for hip pain, and before that I was taking ibuprofen regularly. My gums are bleeding, but I don't think that it is gum disease or gingivitis since I brush regularly. Anyone have any ideas? Thank you.

Bleeding is the single most indicating sign of gum inflammation. and could be a result of periodontal disease. Brushing regularly would not help reducing bleeding or relieving inflammation if periodontal disease is already present. the contributing factors like (subginigival calculus) or under the gum tartal build up cannot be removed by brushing alone, and needs professional help, what's called deep cleaning.
Tramadol can cause dry mouth if used for prolonged periods, and dry mouth can certainly cause gingival (gum) inflammation,
you need to know that a very high number of population have periodontal disease, and not even aware of it. the best is to visit your dentist to make sure of the diagnosis, and get the proper treatment if needed.

floss regularly, it will bleed at lot at first, but if you keep it up it will stop.

you might have an infection somewhere

Tramadol can cause dry mouth - this can cause your gums to bleed.

You can try a toothpaste for dry mouth, Orajel makes one:

http://www.orajel.com/products/adult/dry...

There are also several oral solutions you can use - your doctor or dentist will need to prescribe them for you.

Otherwise, up your water intake, chew on sugarless gum or suck on sugarless candies to help stimulate saliva flow.

You can assess whether your brushing is effective using disclosing tablets. They are like little pieces of candy ... you chew them up for 30 seconds and the dye in them will stain your plaque. Do one of those after brushing and have a good look around. If your flossing and brushing are effective, the only discoloration will be on your teeth and gums.

bleeding gums are warning signs that you are under attack gum disease. be wary that signs of gum disease often appears in the advanced state. the best course of action is to seek the help of a dentist. be able to keep and pay attention to a good program of oral habits. if gum disease is left without any treatment, tooth loss will eventually happen. water can keep bad bacteria at bay, so better keep the mouth hydrated by drinking adequate amount of water. visit http://www.oramd.com for more gum care tips.