Conversation: The conversation between human and AI assistant.
[|Human|] I dont expect a full answer, but maybe you could just steer me in the right direction. My neighbor is 70 yrs old, has had bladder cancer,(they removed the cancerous part only), no radiation or chemo. This was abut 5 yrs ago. She has no thyroid and major back problems from a car wreck. The car rolled 5x. she was completely twisted 180 deg at the waist. Recently, as in the last few months I have noticed a decline in health. I finally got her to my DR and she did blood work. Her liver count was three times normal, she has dark urine, and occasionally very dark streaks in her pee. The Dr has ordered an ultrasound for the 15th. Is there anything else that should be done? or do I need to just relax and let things take their course?
[|AI|]  Hi, thank for contacting Chat Doctor. Which bladder cancer does she had??? Although she had accident but now after few months of accident she is complaining these symptoms.... Here let me know you it could be progression of cancer. It can metastasize to liver and so liver enzymes can high.... The picture will more clear after ultrasound and if needed CT scan done....for further work up..... Proctoscopy examination also done for rule out anal fissure, piles or inflammation... Hope your concern solved. Take care