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

### input:
Hi I have had thalassemia since birth and i have been having a lot of health problems lately. I went to the doctor because I was having swelling in my stomach and they determined that my white blood cell count was high and I also had internal bleeding somewhere but they never figured out what the cause of this was. Lately my health has gotten worse, I have been ill frequently, I have been extremely tired, have had rashes break out for no known reason, have had bloody stools, and recently been diagnosed with tonsilitis which I am now being treated for. I am worried about this and wonder if I need a second opinion because I have been feeling this way for a year now and the doctors are telling me there is nothing out of the ordinary. I also have hypothyroidism and been on medication for that. My levels have been fine and the doctors say my tiredness is not from the thyroid or anemia.

### output:

Hi. I presume that infectious causes for bloody stools such as amoebas has been ruled out by tests such as stool ova parasite tests. One of the causes for episodes of diarrhea with bloody stools on and off is a condition called Inflammatory bowel disease. We try to rule out this with an endoscopy and biopsy. Inflammatory bowel disease is mainly of two types either Crohn or Ulcerative COLITIS. You may consult a gastroenterologist to exclude the possibility of inflammatory bowel disease which is often difficult to detect in the initial stages and presents with vague symptoms and intermittent bloody diarrhea. This disease may also show symptoms outside the gut such as skin rashes, joint pains etc. in some patients. The possibilities of Chat Doctor.  Best regards