Bleeding gums and nose

[Audiking]

Hi, just wondered if anyone had experienced any bleeding gums or nose I read somewhere it could be a side effect of Spiralactone or maybe it’s the Cirrhosis any advice greatly appreciated

[AyrshireK]

Frequent nosebleeds and bleeding gums, easy bruising and difficulty in stopping small bleeds are listed as symptoms of cirrhosis on the BLT page on the condition.

This is often due to low platelets resulting from portal hypertension and spleen enlargement.

britishlivertrust.org.uk/in...

[Zengal79]

Yes, mine got better as my condition stabilized but when my platelets were low, lots of nosebleeds and bleeding gums.

[vinylcollector]

The lower your platelets, the worse the frequent bleeds become. Mine had decreased over a decade. They then discovered I had an enlarged spleen then my Liver journey began in 2019.

[EmmaThom]

Before my diagnosis of ESLD I had terrible bleeding gums and periods so bad I was having to wear nappies - apologies if this is too much info ! It resolved when I started spirolactone and furosemide (and quite a few other drugs). And the most obvious completely quitting alcohol. I hope it settles down for you. It is an unfortunate side effect of a struggling liver. Good luck x

[Audiking]

Thank you for your responses I’m seeing the liver specialist on the 27th of January and will definitely ask but in the meantime is they anything I can do myself to increase the platelet level like foods, drinking water or exercise. Sorry for so many questions there’s just so much I don’t understand 😞

[Fibro2021 in reply to Audiking]

Bleeding gums and nose in liver diseases can be associated not only with low levels of platelets, but also with low levels of other blood clotting factors that are synthesized in the liver, such as fibrinogen, prothrombin, thrombin. To assess these indicators, a coagulogram or, in other words, a blood test for coagulation is checked. Also, with liver diseases, the level of vitamin K, which is also involved in blood clotting, decreases. General recommendations to increase the level of platelets in a natural way, consisting in the fact that, first of all, the patient needs to give up alcohol and smoking, lead a healthy lifestyle and eat right.

[sophiaS1980 in reply to Audiking]

No, there is nothing you can do to increase platelets, no exercise or food will increase, only a platelet infusion which most doctors won't do until they read under 50 in the USA, but don't know about other places. Remember platelets can increase on their own.

[Audiking]

Thank you everyone for all your advice I’ve asked my Gp for some blood tests just to make sure