Nosebleeds in the middle stage of cirrhosis for four times in a row in a month may be caused by improper environment, rhinitis, worsening of cirrhosis and other reasons. 1. improper environment: cirrhosis mid-term four nosebleeds in a row for a month may be caused by improper environment leading to nasal dryness, such as a long time in the temperature is too high environment, too dry environment and so on. 2. Rhinitis: rhinitis can easily lead to prolonged congestion and edema in the nasal cavity, and the interaction between cirrhosis and rhinitis can lead to four consecutive nosebleeds in a month in the middle stage of cirrhosis, which may be accompanied by the symptom of nasal congestion. 3. Exacerbation of cirrhosis: Nosebleeds in the middle stage of cirrhosis for four times in a row in a month may be caused by the exacerbation of cirrhosis, with the exacerbation of cirrhosis, it will easily lead to insufficient synthesis of coagulation factors and increase the brittleness of capillaries, which will lead to the emergence of the symptom. After the appearance of cirrhosis, it is recommended to carry out timely treatment, condition control and stabilization in order to reduce the harm to the body.