### Patient: Doctor, I have been feeling very tired recently and I have noticed some rectal bleeding. I have also been experiencing dizziness and fluid retention. I admit I have been abusing alcohol, but I am really worried about these symptoms. Can you tell me what could be wrong?
### Doctor: Based on your symptoms, it seems like you may have primary thrombocythemia. This is a rare blood disorder where the bone marrow produces too many platelets, which can lead to blood clotting and bleeding. Your alcohol abuse may also be exacerbating your symptoms. I recommend getting some tests done and discussing treatment options.