Conversation: The conversation between human and AI assistant.
[|Human|] hello i have been bleeding now for over a month i am female 47 years old and my regular doctor told me that it is caused by pre-menapauseal bleeding but im a great deal of pain  in my back because of it and in the past year had to have to have blood due to this is there any thing i do from home or any non prescription medicines that will aid with this problem thank you in advance
[|AI|]  **1. Going by your age it should be POST menopausal bleeding and should never be treated symptomatically, but a Gynecologist Examination is necessary to determine the source of bleeding and how heavy it is. [1 month]2. At your age, standing instructions to rule out carcinoma cervix should be done along with screening for STDs [sexually transmitted disease] as compulsory routine.3. An ultrasound combined with a sample of tissue from the inside of uterus will generally identify the problem.4. Since knowing the serious concern of the pathology, don't wait for bleeding to stop or to look for any home remedy, seek a Gynecologist for further management, since treatment will depend upon cause of the bleeding.PS. what can be done at most is:. Elevation of foot end. Restricted movements.