The conversation between human and AI assistant.
[|Human|] My husband is 51 and has been diagnosed several times in the past with Anemia,he has had excesive bleeding from the rectum for years,he has had iron and blood infusions and last year had a hemroidectomy. That almost stopped the bleeding for 3 months,now he is bleeding bad again,has rapid heart beat, occasional chest pain,if he s not moving around he s sleeping,restless legs and shoulder twitching and muscle cramps and headaches. Can you help me, I need to know where to take him and what I can do to help him. Thank You, Donna Crews
[|AI|]  Dear DonnaHaemorrhoids are notoriously known to recur (come back) after treatment. It sounds like it is likely his hemorrhoids are back, and his other symptoms are likely due to significant anemia. This is what I suggest you do :1. If he is significantly bleeding and uncomfortable right now please take him to your closest hospitals emergency department and there he will be seen by an emergency physician who will examine him and decide on the course of next action(stabilization of the patient and referral to a colorectal surgeon)2. If he isn't bleeding at the moment, and he is comfortable please schedule an urgent appointment with a colorectal surgeon. This should happen tomorrow or as soon as possible
