In late autumn and early winter, the climate is unpredictable and the temperature difference between day and night is large, so the chances of upper gastrointestinal bleeding in cirrhotic patients also increase, so we would like to remind cirrhotic patients that they should pay attention to maintenance in winter to prevent upper gastrointestinal bleeding. Upper gastrointestinal bleeding is one of the common complications of cirrhosis, and is also the most dangerous complication, which often comes on fiercely without warning, and a large amount of bleeding can be instantly fatal. When it comes to upper gastrointestinal bleeding, it is important to mention esophagogastric fundic varices. The main blood vessel supplying the liver is the portal vein, which in turn is connected to the esophageal vein. When cirrhotic disease develops to a certain extent, the esophageal vein will be under certain pressure, varices and thinning of the esophageal wall will occur, and it will be easy to rupture and bleed under external force. First, the diet, winter melon seeds, peanuts and other nuts and fried food is more popular, such food is rough, dregs, hard, through the esophagus and stomach is easy to cut the already varicose veins, triggering upper gastrointestinal bleeding. At the same time, the cold season, most people like to eat spicy food, increasing the stimulation of the gastric mucosa. In winter, there are many festivals and friends and family gatherings, and it is inevitable that they will be cheered by alcohol, which is a great temptation for many patients, but we must think about our own health condition and avoid the pleasure of the moment. Because alcohol can stimulate the gastrointestinal mucosa and cause damage to liver function. In addition, celery and leeks are not easy to digest due to their high crude fiber content, and it is also best for cirrhotic patients to eat less. And foods like tofu, milk, soy milk, meat cakes, fresh fruits, fresh vegetables and other daily foods that are easy to digest are good choices for cirrhosis patients. Second, due to the climate and dietary characteristics, many people suffer from constipation in winter. If patients with cirrhosis have poor bowel movements and exert too much force when going to the toilet, it will cause a sharp increase in abdominal pressure and aggravation or even rupture of the esophagogastric fundic varices, thus triggering upper gastrointestinal bleeding. Third, people generally wear more in winter, layers of clothing wrapped, plus the belt tightening, the human abdominal pressure will become larger, the portal vein and esophageal vein pressure will also be greater, easy to induce upper gastrointestinal bleeding. In addition, winter is the high incidence of respiratory infections, and patients with cirrhosis are more prone to infection due to low immunity. After the disease, germs will enter through the respiratory tract and harm the mucous membrane of the digestive tract, so cirrhotic patients should try to go to less crowded places in winter to strictly prevent respiratory infections. Therefore, we suggest that patients with cirrhosis should try not to eat too much greasy things in winter to avoid increasing the burden on the liver and gastrointestinal tract. When eating, it is advisable to chew and swallow slowly, avoid overeating or too fast, so as not to hurt the stomach induced gastrointestinal bleeding. Usually pay attention to keep the bowel movement smooth, you can eat appropriate honey laxative. Belt as loose as possible, pay attention to the prevention of respiratory tract infections. Once a patient with cirrhosis develops gastrointestinal bleeding, the timing of treatment and measures are crucial to save the patient’s life. As long as timely medical treatment and effective resuscitation measures are taken, the success rate of resuscitation can be more than 90%. How to achieve timely and effective resuscitation? On the one hand, early detection is necessary. Patients with cirrhosis present with upper gastrointestinal bleeding, mostly in the form of vomiting blood or black stools. It can also be accompanied by or only appear fatigue, dizziness, palpitations, thirst, nausea, irritability, or even slow reaction, cold limbs, fainting and other shock manifestations, suggesting that gastrointestinal bleeding may have occurred, but the blood in the gastrointestinal tract has not yet been discharged from the body. On the other hand, early treatment is necessary. Patients with cirrhosis must seek medical attention promptly if the above-mentioned conditions occur. Before seeking medical attention, patients should be comforted immediately to eliminate their nervousness, pay attention to keeping warm, keep them lying on their sides, and when vomiting blood, the patient’s head should be tilted to the side to avoid suffocation caused by blood inhalation into the trachea. Prohibit drinking and eating, move the patient less, and do not let the patient walk around. At the same time, closely observe the patient’s consciousness, breathing and pulse, and quickly notify the emergency center. Keep the patient’s vomit or stool temporarily, roughly estimate the total amount, and keep some specimens for testing.