<s>[INST] I have these episodes that begin when i feel i need to have a bowel movement. I get severe stomach cramps and find it hard to go. At the same time I start experiencing my heart rate elevate as well as my blood pressure to the point I feel as if someone has tied a rope around my neck. My eyes feel as if they are bulging and my ears feel like they are about to explode. I turn bright red from the neck up and the inside (roof) of my mouth becomes numb. This lasts only for a few minutes, some times longer depending on the severity of my cramps. After wards I experience extreme headaches, tiredness and pain. [/INST] The answer to your question is not completely clear. A few pieces of information will be needed. Specifically, the episodes have to be reviewed with respect to the timing of the straining that often accompanies the urge to defecate. The description that you provide is awfully suggestive of just that. However, if he is two cannot be tied together, there may be a concern. Your best option is to describe these episodes to your family doctor with special attention to your actions at the time of discoloration and if flushing or discoloration ever occurs without any of the other associated symptoms. </s>