Last month, a middle-aged male patient came to the ward with underlying cirrhosis and portal hypertension and developed vomiting of blood and black stools, and was admitted as “upper gastrointestinal bleeding”. When I asked him what the reason for his illness was, he said he was helping his family and lifting heavy things. I quickly told him not to do that in the future because it could trigger bleeding. So what can patients with cirrhotic portal hypertension do to prevent bleeding? First of all, we need to understand the causes of bleeding. There are many causes of gastrointestinal bleeding in patients with cirrhosis. One of the most common is bleeding from ruptured esophagogastric fundic varices, which is a very dangerous condition that can result in massive vomiting of blood or blood in stool, and life threatening shock when bleeding is heavy. For this situation, how to prevent it in life? 1.Avoid the factors that increase the abdominal pressure, such as lifting heavy objects, straining to defecate, laughing, coughing violently, etc. 2, avoid cutting through the veins of various factors, such as fish spines, coarse food, other hard food. 3.Medication prevention: Insulin can lower the portal pressure, and you should go to the doctor regularly to adjust the medication. In addition, you should closely detect the bleeding, if there are signs of nausea, dark stools, dizziness, etc., go to the hospital immediately.