### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hello, Daughter (27 yo) has been diagnosed with a MRSA infection on her face. Antibiotics work when she is on them, but it comes right back after course is complete. She has lost approx. 20 pounds in the last 6 months. 5 7 130 lbs now 109lbs. She has noticed a substantial amount of blood in toilet after using restroom. Has always complained of stomach aches since old enough to talk. Complains of fatigue/no appetite/depression & anxiety attacks. Family history of Lupus and EB. Looking for any clue where to start on this.

### output:

Hello, For a young and otherwise healthy individual the most likely cause is hemorrhoids, particularly if constipation is an issue for her. Hemorrhoids characteristically bleed after passing hard stool and the blood is not homogeneously mixed with the stool but its rather like if it's been spilled over them. Sometimes the blood is apparent on the toilet paper only. Your primary care doctor or a gastroenterologist will help you with the required investigation. Regarding the other issues, MRSA can be difficult to eradicate and you'd better talk with an infectious diseases specialist. Antibiotics by mouth are not usually enough and repeated use may result in the development of resistant pathogens. Weight loss also requires investigation for various causes including thyroid disorders and her depression and anxiety (but not limited to them only). So in conclusion, shed better talk with her primary care physician for the issues you have mentioned. The MRSA may require expert help, since the antibiotics by mouth will be ineffective in many cases. Hope I have answered your query. Let me know if I can assist you further.