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What is Chronic liver disease patient with ascites and no bleeding varices. He presents with hematemesis and melena. What is the next step in management? and explain in detail?
In patient of chronic liver disease, synthesis of clotting factors is reduced. Since this patient does not have varices, the cause of haematemesis in this patient is bleeding diathesis due to liver disease. Bleeding in such patients is treated with FFP in acute situations. Abnormalities in coagulation in CLD Decreased synthesis of clotting factors and impaired clearance of anticoagulants. Thrombocytopenia from hypersplenism due to poal hypeension. In patients with chronic cholestatic syndrome vitamin K absorption is frequently diminished as it requires biliary excretion for its absorption