### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I am a 34 yr old healthy female! In November 2012 I strated feeling the sensation that my throat was closing up and had a burning sensation.   I went to the doctor and was advised I had a vitamin b12 deficiency, immediately strated taking a supplement every two weeks and was put on a acid reflux medication.  This did not work and the problem continued I went to see a ear, nose and throat specialist who advised me I have swollen tissue due to acid reflux and stress and it should get better...I have had a scope and it has remained the same buy now I have in addition to the above I now have a white substance on the back of my tongue which bleeds and I have very tender gums where my wisdom teeth were plus very bad breathe? I use a mouth guard but that doesnt help, I also brush my teeth two times a day and floss with no bleeding.Please help meTanya

### output:

Hi, Thanks for asking the query, Bleeding gums, bad breath occurs due to poor oral hygiene maintainenece resulting in plague and food debris accumulation, nutritional deficiencies, immunological disorders, faulty appliances, hormonal imbalance.  I would suggest you to visit the Dentist and get a checkup done. Take an OPG radiograph which will give entire picture of gums, bone loss and wisdom tooth. Go for symptomatic treatment of complete mouth scaling and polishing. Take multivitamin tablets. Use chlorhexidine mouthwash regularly. Include vitamin, vitB12 containing food in your diet like lemon, oranges. As you have mentioned you have GIT problems get a checkup done by a Gastroenterologist. Also check your menstrual cycle, blood sugar level to know whether you are diabetic or not. You might be having Peritonitis around the wisdom tooth, Get checkup done and if needed to get the tooth extracted. Maintain a good oral hygiene. Hope this helps out. Regards...