Welcome to health care magic. My dear friend anemia in alcholalics results from a combination of intravascular dilution due to volume overload, shortened red cell survival, and impaired ability of the marrow to respond optimally to the anemia. Alcohol abusers can develop a sideroblastic anemia, impaired folate metabolism or may have direct suppression of hematopoiesis by alcohol. Patients with cirrhosis of any etiology are at increased risk for hemorrhage. Blood loss occurs in patients with alcoholic cirrhosis.The upper gastrointestinal tract is the major site of bleeding includin chronic gastric ulcers and varices but loss of blood from the nose, hemorrhoids, and uterus occurs in association with coagulopathy of hepatic origins leading to anemia, thanx for query.