<s>[INST] 73 yr old diabetic and has prostate cancer who is a  black male  which all os inder control but mow has a growth pn scrotum he has had  o e blood transfusion and 5 iron iv transfusion  he is also taking fiber vut he co tinues to bleed from recrim  had colonososcopy and mo problem there as well. He has high blood pressure also [/INST] Hi, Sorry to hear the condition. If more details were available it will be easier to answer your queries. The colonoscopy report is not clear to me. Is there any separate pathology or prostate cancer invades the colon should be mentioned. If the disease is advanced there is a scope of palliative radiotherapy to control the bleeding, but that can be decided on the basis of colonoscopy report. Please consult your oncologist. Other medical problems like diabetes hypertension to be treated by respective super specialists. </s>