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

### input:
Im a 21 year old male just got out of the army, Ive had abdominal pain for over 16 months now, frequent bright red blood in my stools. Ive been diagnosed with crohns and IBS. I just started a new workout regiment for the first time and I had alot of blood in the stool again for the first time for over a year now. Ive takin pregnosone and been on humira for several months. Wondering if this is cause for concern.

### output:

HI. Thanks for your query. As per the history you have provided you are already suffering from IBS and Crowns- It may be either of it. You are bleeding in intestines in spite of the medicines means you need to get a review. I would advise you the following:Get an appointment with the Gastroenterologist Get a colonoscopy and biopsy to prove what exactly is the problem. Histopathological diagnosis is very important as the treatment of both the diseases is different. I would advise the following investigations and treatment in a such a case:Investigations:*Routine blood investigations like Complete blood picture, blood sugar, urea, creatinine, liver function tests, thyroid function tests.*Urine -routine and microscopy*Stool: routine, microscopy, occult blood, culture and sensitivity.*Ultrasonography of abdomen, *Colonoscopy All these investigations should be within normal limits for one to say you have IBS. Treatment:STRESS = stress is the most important cause of IBS. Please remember, and you must have observed that when you do not have stress your problem with IBS is reducedChange of lifestyle. I think maybe you are not coping with something. Vacation outside your area, mobiles phones to be off. You must have noticed already that these changes help a lot. Try to avoid anything which you are / have to do against your will and wish. Get into the hobbies which make you forget the world around you. Life comes only once, boss.