Conversation: The conversation between human and AI assistant.
[|Human|] I felt my pants wet last night and came home and it was blood that had just poured out of my bum with no warning or cramping. I took Imodium ad and went to bed and when I woke up had 4 more episodes of blood with a little bit of stool that washed out with it. The last one was just urgency with blood and blood clots.I have been diagnosed with Lupus, Hep C (from a blood transfusion at Stanford in 76) and kidney disease..Can I just wait till this passes?
[|AI|]  Hi! Thank you for asking your query. Looking into your problem, I think you urgently need to consult a rheumatologist immediately along with a gastroenterologist. SHE can lead to GI bleeds, so you need to be evaluated for disease activity along with urgent platelet counts as thrombocytopenia in SHE can lead to these issues which is generally found when the disease is activity. An urgent ESR, CRP, urine R/M, serum albumin needs to be looked urgently for the disease. You haven't mentioned that have you ever suffered from hemorrhoids, or you have got any kind of fever along with this episode as dysentery and hemorrhoids need to be ruled out. Kindly seek medical attention as soon as possible as role of hepatitis c in causing liver damage further leading to clotting abnormalities needs to be evaluated. THANK YOU. IF YOU HAVE ANY QUERIES FEEL FREE TO ASK.