Conversation: The conversation between human and AI assistant.
[|Human|] I have IBS and occasional bleeding from the rectum. Colonoscopy NAD. Today, I have had 4 large bleeds before 2pm. Just had another one, and the blood is leaking out as well as lots in the toilet. Could this be related to me ingesting crystal meth orally over the last 24 hrs? I dont want to present to ED under the influence, but Im worried about the amount of blood loss.
[|AI|]  Hello and welcome to Chat Doctor, The course of inflammatory bowel disease (IBD) is characterized by relapses and remissions. You can experience regular GI bleeds in the course of disease. The current episode can be due to ingestion of crystal meth. There are chances of development of fissures, ulcers, fistulas and ulcers in IBD. All these conditions can exacerbate the situation. The greatest risk factor in IBD is development of cancer of the bowel. You need to undergo a colonoscopy for development of these complications and their prompt management. Thanks and take care Chat Doctor.