Conversation: The conversation between human and AI assistant.
[|Human|] Hi, my mom had a stroke about 4 years ago and has gone through menopause.  She has limited mobility of her left side and spends most of her time in a wheelchair.  She is 63 years old, 5ft 5in, 190lbs (approx) and in the past year has started bleeding bright blood again with clots.  She says it is a dirty liver and went to the dr who referred her to a gyno.  She wont go. I just do not think it is a dirty liver but since her stroke she gets upset easily and you cant really talk to her.  What could be causing this and does a dirty liver make you bleed bright red?
[|AI|]  Hello Thanks for writing to bleeding to not related to liver. Your doctor has rightly referred her to a gynecologist. Her problem may be related to pathology in cervix, uterus,local cause etc. She needs proper gynecological examination and investigations. Investigations include routine hologram, RBS,Pap smear, ultrasound of abdomen. Further investigation scan be done if needed. Proper treatment depend upon findings. Get well soon. Take Care