<s>[INST] respected sir,i am mr.patel.i m 58 years of age suffering from diabetes since last 5 years.also suffered from hypoglacemia 4 months back.recently i have developed swollen gums which are bleeding sometimes and there is presence of pus also in it.i am a regular bidi smoker.please guide [/INST] Thanks for your query, I have gone through your query.The swollen gums, the bleeding and pus could be because of the gum infection secondary to deposits over the teeth.The incidence of gum infection and periodontal abscess is more in case of diabetics. Consult a oral physician and get yourself examined and get the teeth cleaned.You can take a course of antibiotics and analgesics like amoxicillin 500mg and metronidazole 400mg tid for 5 days (if you are not allergic). You have to get your blood investigations (to check the blood glucose level) done and radiographs like OPG done to rule out any tooth infection and see the status of the surrounding bone.Then you can get the scaling and root laning done, and if there is abscess that can be drained under local anesthesia.I hope my answer will help you, take care. </s>