You may suspect a poor reaction to bleeding if there is a history of which condition?

A history of cirrhosis of the liver can suggest a poor reaction to bleeding due to the liver's critical role in producing clotting factors necessary for blood coagulation. Cirrhosis, which involves the scarring and dysfunction of liver tissue, can impair the liver's ability to synthesize these proteins, leading to coagulopathy—a condition where the blood's ability to clot is compromised. This can result in increased bleeding risk and poor response to hemorrhage.

In contrast, while hypertension, diabetes mellitus, and hypothyroidism may have other implications for overall health, they do not directly affect the clotting mechanisms in the same manner that liver cirrhosis does. Therefore, cirrhosis is the condition most strongly associated with an inadequate response to bleeding.