<s>[INST] when i get up, before and after i eat and throughout the day my stomach has severe pains it feels like hunger pains but its not because it does this after i eat to and then i go to the bathroom and there is alot of blood in the toilet and throughout my bowel movements what could this be? [/INST] Hi.The blood throughout he the bowel movement and the history you have noted , this can be due to ulcerative colitis or IBS with severe colitis. I would recommend you to undergo colonoscopy to see the reason, get a biopsy done and institute appropriate treatment.Get stared on an antibiotic, probiotics, metronidazole and supportive treatment. Get investigated : blood, urine and stool tests, ultrasonography, colonoscopy. </s>