<s>[INST] my mom has been in hospital for three days and has had six blood transfusions because of internal bleeding,the doctor also says that her liver is in a very bad condition what does this all mean and how bad is it.she is 46 female has a bad history with alcohol [/INST] Hi, I had gone through your question and understand your concerns.I suppose that your doctors are talking about esophageal or gastric varices bleeding which is late consequence of liver cirrhosis.  This is serious issue and may be fatal in30% of cases. However, in most cases bleedig is stopped with endoscopical procedures but liver problems remains and should be treated with liver transplantation as a permanent cure. Quitting alcohol is the most important thing that  of course,if the damage isnt to too severe already. But as I said, at this point it is most important to stop bleeding and stabilize her viral function. Later, other surgical or endoscopical methids may be considered to prevent internal bleeding and liver failure in future.Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health. </s>