The weakness of the muscle between the esophagus and the stomach results in the leakage of acid substances (secretions of the stomach) which will cause inflammation, ulceration, bleeding and bleeding at the end of the esophagus. Esophageal bleeding also results from an increase in varicose veins, which indicate high pressure in the portal vein caused by cirrhosis. This results in severe bleeding and risk to the patient's life if the treatment is not treated promptly. Cirrhosis is the most common cause of bleeding in the esophagus. As a result of the bleeding of the esophagus from a wound at the end of the esophagus because of strong exhaustion and known as (Mallory - weiss tear) relative to the two doctors who described this situation, and this happens as a result of high pressure in the abdomen during the process.