I have gone through your query, and I understand your concern.
Yes, an individual can have gum disease without spitting blood. However, the presence of blood in the saliva while spitting is the initial stage of gum disease called gingivitis, and prolonged gingivitis progresses to periodontitis. In this disease, there are signs of gingival receding without the presence of blood in the saliva.
I hope this has helped you out.
Kindly follow up if you have further doubts.
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