Conversation: The conversation between human and AI assistant.
[|Human|] I had spin and neck surgery in February and I do smoke but only 3 or less a day. I brushed my teeth this morning and when I was rinsing there was blood mixed in when I spit the paste out. I also just had blood work done last week and they said my liver enzymes (I Guess) are very high. I do also have very high blood pressure and I am on metotoplrol and lisinipropol . I am a 51 yr old female. My email is YYYY@YYYY
[|AI|]  Hi, dairy have gone through your question. I can understand your concern. You have high liver enzymes, so you may have some liver disease like cirrhosis or fatty liver. You may also have portal hypertension. Furthermore, you should go for ultrasound abdomen and complete liver function test. Then you should take treatment accordingly. Continue your metoprolol and lisinopril for hypertension. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health.