<s>[INST] I feel sleepy all the time, bad head aches lazy, get tired quickly, minor heart pains, I use to have anemia pretty.bad, and I recently was in a car accident in which I got.a liver laseration, would it be that I am anemic again?.or.is.it from the liver laseration? [/INST] Hello,1) Since when you had these symptoms?2) When accident occurred? Did you undergo any surgery after accident?3) Did liver laceration was managed without surgery? What was last USG abdomen report?4) Generally, if liver laceration is managed without surgery then patient must be bedridden for 3-4 weeks and allowed to start work if USG abdomen does not show any collection of blood in abdomen or new evidence of bleeding.5) Your symptoms correlates with anemia. Chronic blood loss is also responsible for development of anemia. Thus, it is very important to check status of liver laceration and hemoglobin level at present to decide further management. </s>