Is it normal to bleed after menopause?

Q: My 48 years old sister had menopause four years back. But recently she had bleeding again for a day or two. She has thyroid and is a diabetic as well. She is using morning walker regularly, twice a day for the last two months. Is it normal to bleed four years after menopause?

A:Post menopausal bleeding should be taken seriously. Please visit a gynaecologist for local examination and then a pelvic ultrasound; based on these further action may be taken if required.