There is no so-called best treatment for recurrent bleeding in cirrhosis, the treatment method varies according to the patient’s condition. The cause of recurrent bleeding in cirrhosis is usually due to hepatic decompensation and portal hypertension, which can be dealt with through entecavir antiviral, glutathione to improve hepatic function, surgery and other ways of treatment.
1. Hepatic hypoplasia: Hepatic hypoplasia can lead to bleeding from nose, gums and skin mucous membranes, which is mainly due to the decrease of hepatic synthesis of coagulation factors and hypersplenism, and it can be treated by taking medicines to protect hepatic function, such as glutathione and thiopronin, to improve the performance of hepatic hypoplasia and to reduce recurrent bleeding.
In addition, treatment should be directed at the cause of cirrhosis, such as hepatitis B cirrhosis should be treated with antiviral drugs such as entecavir.
2. Portal hypertension: portal hypertension usually leads to recurrent bleeding from ruptured esophagogastric fundus varices, which can be controlled by esophageal variceal vein ligation, three-lumen and two-capsule tube compression hemostasis, and transjugular intrahepatic portacaval shunt and other surgeries.
Repeated bleeding in cirrhosis should go to the hospital in time to have the cause clarified by the doctor, and standardize the treatment under the doctor’s guidance, so as not to aggravate the condition.