Conversation: The conversation between human and AI assistant.
[|Human|] My brother-in-law had bladder cancer - stage 4.  He had surgery and had his bladder removed about a year ago.  He is now back in hospital with massive bleeding and suspected liver cancer.  They gave him 3 units of plasma but he is still bleeding a great deal.  What may be happening with him?  He is very jaundice and sick to his stomach...Thank you.
[|AI|]  Hi, dairy have gone through your question. I can understand your concern.  He has bladder cancer in past and now cancer is spread in liver.  It is stage 4 cancer.  So prognosis is very poor.  Bleeding is common in liver cancer because it may lead to portal hypertension or may have associated cirrhosis.  Is platelet may be low which further aggravate bleeding.  He should take symptomatic treatment only. Chemotherapy can be taken as palliative treatment, but it will not cure the disease.  Despite treatment prognosis remains poor. Life expectancy is not good. Consult your doctor and plan accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.