What is the reason for bleeding in the ears with cirrhosis?

Patient's question:

Patient is a 64-year-old female with a 10-year history of diabetes and liver cirrhosis diagnosed three years ago. Current condition: advanced liver cirrhosis with ear bleeding.

Doctor's answer:

My perspective is as follows: In the late stage of liver cirrhosis, the liver function is already extremely abnormal, leading to abnormal coagulation function. Additionally, with over a decade of diabetes, the blood vessels become fragile and prone to rupture. The combined effect of these two factors results in skin breakdown. In Traditional Chinese Medicine, it is believed that at this stage, the body's vital energy is depleted, and the spleen's ability to control blood is weak; alternatively, an overactive liver may force blood to flow uncontrollably, deviating from its proper path, also causing skin breakdown. Liver cirrhosis is a very serious condition, and it is recommended that the patient seek immediate treatment and follow the doctor's advice for symptomatic treatment. At the same time, dietary issues should be addressed, avoiding spicy and irritating foods to prevent worsening the condition.

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