Liver disease to the extent that it is combined with coagulation disorders can lead to bleeding gums, but bleeding gums are not always related to liver disease, and related symptoms need to be seen and treated promptly. Liver disease is a condition caused by lesions in the liver. When bleeding gums occur in patients with liver disease, it is important to consider the combination of liver disease and blood clotting disorders. The liver is the main site for the synthesis of all types of clotting factors, and liver disease leads to a decrease in the synthesis of clotting factors, resulting in a tendency to bleed, which can lead to bleeding gums. This type of gum bleeding is spontaneous, relatively heavy and does not stop easily compared to bleeding caused by gum disease. Such patients need to be treated under the supervision of a doctor and require prompt use of hemostatic drugs such as intramuscular injection of pit viper hemagglutinin, vitamin K, etc. Treatment of primary liver disease is also required. Bleeding gums may also be related to gingivitis, periodontitis, and to a lesser extent, blood system diseases, etc. When bleeding gums occur, it should be promptly consulted and clearly diagnosed and treated by a doctor.