<s>[INST] I have chronic kidney disease in right kidney, border line diabetic, age 48 my doctor put me on ramprill 2,5mg last month. I have problems with my gums, I see a hygienes every 6 months to keep it under control. But My gums have started to bleed badly and toungue is a slight yellow, could ramprill be causing this? [/INST] Hi, April is an angiotensin-converting enzyme inhibitor commonly prescribed to treat high blood pressure and also to protect kidneys in patients suffering from diabetes. Its common side effects include Chat Doctor.  It is not known to cause gum bleeding. Gum bleeding could be due to any bleeding disorders, hormonal changes, infection, vitamin C deficiency, or blood cancer such as leukemia. You are advised to consult your treating doctor to rule out the possible causes of gum bleeding and appropriate treatment. Hope I have answered your query. Let me know if I can assist you further. Take care  </s>