The normal venous vessels in the human body are like a pipe that is responsible for transporting blood. When cirrhotic portal hypertension occurs, multiple collateral circulation opens, among which esophagogastric fundic varices are the most significant and dangerous because once they rupture, they cause upper gastrointestinal hemorrhage, manifested as vomiting blood, black stool and even hemorrhagic shock, which can be life-threatening if not treated in time. Why does esophagogastric fundic varices cause gastrointestinal bleeding? Because after getting varices of esophagogastric fundus, with the aggravation of portal hypertension, the pressure of varices of esophagogastric fundus will be higher and higher, and it may rupture at any time; once it ruptures, it will lead to hemorrhage and even death. So when you have esophagogastric fundic varices, you must pay attention to prevent bleeding. So do we need to treat the esophagogastric varices as soon as they are detected? In fact, it is not. The doctor needs to decide whether to treat the varices based on the severity of the patient’s condition, the staging and grading of the varices, and whether there is a history of bleeding. If the patient has no previous upper gastrointestinal bleeding (vomiting blood, black stools) and the risk of bleeding is judged to be low based on the severity of the esophagogastric varices; then treatment is usually not needed for the time being. This is because complications are likely to occur during and after treatment, and there is also a certain risk. Therefore, it is important to be evaluated by a professional doctor before deciding whether to treat or not. If a patient suddenly develops vomiting blood or black stool, he or she must be sent to the hospital immediately for emergency treatment. In this case, the patient is usually helped to stop the bleeding by injecting hemostatic drugs. However, the medication only stops the bleeding temporarily and does not prevent the next bleeding. Some patients may bleed again in the near future, so when the condition is stable, endoscopic treatment is usually needed again. Endoscopic treatment involves the doctor injecting a specific drug (sclerosing agent or tissue glue) into the varicose vein or ligating it through a gastroscope to stop the bleeding by occluding or disappearing the varicose vein. The tissue gel injected into the vein polymerizes upon contact with the blood, effectively occluding the varicose vein and rapidly controlling active bleeding from the varicose vein. Patients need to be hospitalized for endoscopic treatment. At the end of the course of treatment if the condition is stable and there are no serious complications the patient can be discharged and then treated by taking oral medication. After endoscopic treatment, the patient’s bleeding symptoms can be well controlled. However, the root cause of varicose veins is not eliminated, so the condition is prone to recurrence. In order to prevent recurrence, patients must pay attention to the following points: 1. After discharge from the hospital, patients still need to take oral medication for about one month. During the medication period, do not stop or miss the medication at will, but must be used correctly according to the doctor’s requirements. 2.Patients must review the gastroscopy regularly (3-6 months, depending on the review of the gastroscopy). Monitor the varicose veins. 3, diet needs special attention. Patients should try to eat softer foods, such as porridge, noodles, steamed buns and other semi-liquid diets, etc. Rice is generally not recommended, unless it is made especially soft. Must not eat particularly hard things, such as melon seeds, peanuts and other nuts, fish and other eating food with bones, etc. Because the patient has varicose veins in the esophagus and gastric fundus, these hard foods enter the digestive tract (esophagus, stomach, etc.) and easily pierce the blood vessels, leading to hemorrhage. 4. Extra care is needed in sports. Patients can’t do strenuous sports, such as racing, boxing, basketball, etc.. Because esophagogastric fundic varices are caused by portal hypertension, vigorous exercise will lead to increased pressure in blood vessels, which may trigger hemorrhage again.