I would like to share my experience here: Had a patient who was a middle aged Bengali patient around 44/M, uncomplicated well-controlled hypertensive under my care on an outpatient basis. He was on S-amlodipine 5 mg OD, Telmisartan 40 mg HS, and Aspirin 75 mg OD. One fine day, he developed bleeding gums. I stopped Aspirin. (He never had retinopathy, microalbuminuria and coronary or ECG events in the past). I routinely work up my hypertensive patients for incipient organ damage on a yearly basis, after proper counselling, wherever feasible.
His bleeding gums did not settle down. Got his CBC done, subsequently, his coags, and eventually his platelet volume and morphology, nothing was abnormal. Referred him to my dentist, who told me that he had granular lesions on his gums and they should stop after some time. But they did not. My patient was getting agitated by now. On his own he went…
