Cirrhosis What are the reasons for anemia

Cirrhosis, often have different levels of anaemia, of which 2 / 3 for mild to moderate, mainly normal cells or small red blood cell anemia, occasionally giant cell anemia. Cause anemia because: ① resistive congestive spleen, large numbers of red blood cells in the spleen sinus long-term stasis in case of hemolysis. ② hypersplenism. ③ because fat metabolism disorder, abnormal plasma in a certain category lipid can cause hemolytic. ④ vitamin B12, folic acid, such as inadequate intake of nutrients, poor absorption and utilization of obstacles. Nutritional giant red blood cell anemia in alcoholic cirrhosis of the more common. In non-alcoholic cirrhosis, blood loss and iron deficiency anemia may be an important reason. Erythropoietin advanced cases often inhibit the use of barriers and iron.