Conversation: The conversation between human and AI assistant.
[|Human|] A friend of mine 48 yr.old male 5 7 180 lbs. was diagnosed with hep c in 2000, after he went into a coma from a thyroid problem. (He takes thyroid meds everyday) .He s in prison , where the medical care is awful , he wrote me this week saying he keeps getting nose bleeds. They told him 7 yrs ago he has cirrosis, but he refused a biopsy , due to the fact it s prison care . In 2000 he was totally yellow , from head to toe . They keep turning down his request to see a real Dr, instead of a nurse or Dr. assisant . stating that a nosebleed is not serious . I do NOT agree , from what I have learned on late stage Hep C , should he take these nose bleeds seriously ? and demand to be seen by a specialist ??? Thank You ....
[|AI|]  Hi dear thanks for asking question... Take symptoms seriously dear.... Your friend have liver cirrhosis as you have mentioned... In cirrhosis because of less functioning liver coagulation factors not produced properly. So clotting system affected and yes nose bleeding can occur.... So he should consult doctor.... If needed for portal hypertension TIPS like surgery or beta blocker started... Ultimate final treatment is liver transplantation....Meanwhile, if varietal bleed occur immediate consult doc for banding.... Chat Doctor.