hi
portal hypertension can lead to these bleeding episodes either orally or rectally due to the related varices involving the whole gastrointestinal, hepato-renal system,
most of the problems occur due to decreased albumin & bleeding.
emergency treatment for bleeding remains either with fresh frozen plasma,
octreotide, somatostatin,vitamin k, if uncontrolled, banding can be done, that too involved with high risk
.
aldactone & laxatives (
lactulose or glycerol) are the standard drugs to maintain the portal hypertension and many complications related to the toxicity of liver enzymes.
allthough the gold standard treatment of choice is
liver transplantation, which has many other considerations.
change in lifestyle, food, increased and monitored dose of aldactone,dietary albumin,avoiding hepatotoxic drugs & foods can help
all the best
take care