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Because the blood coming through the portal vein cannot pass through the liver, it takes bypass routes (distended veins called varices) which happen to lie in the esophagus and stomach, where they may be eroded by stomach acid or swallowing abrasive stuff and bleed. Often such is bleed is catastrophic because their blood also clots less well, because the liver is in too bad a condition to make enough clotting factors.

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Q: 4 Why are patients with cirrhosis of the liver prone to developing upper gastrointestinal bleeding?
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