17th July 2020

A 22-year-old female visits her GP surgery complaining of difficulty passing stools

A 22-year-old female visits her GP surgery complaining of difficulty passing stools, and describes the feeling as though she is “passing glass”. She explains that there is blood when she wipes but no blood on the stool. She has recently been prescribed a course of codeine for a fracture she sustained 3 weeks ago. What is the most likely diagnosis given this clinical picture?

Select the SINGLE most appropriate option from the list below. Select ONE option only.