Cirrhosis and GI Bleeds

The major reason patients with cirrhosis get GI bleeds is portal hypertension. It's a pressure problem, not a bleeding problem. The overall propensity in liver disease is actually to clot, not to bleed. A high INR does not mean the patient is protected against thrombosis. And if you've got liver disease, it does not tell you you're prone to bleeding because it doesn't reflect all of your factors.