28th September 2020

A 30-year-old male present feeling generally unwell and complains of blood and sticky discharge

A 30-year-old male present feeling generally unwell and complains of blood and sticky discharge in his stools. He has noted increased itchiness around his anus with a constant throbbing pain which is worse when sitting and defecating. He mentions that he has experienced intermittent abdominal pain for the past 3 months with non-bloody diarrhoea but never sought help as it usually improves spontaneously. His observations showed BP 110/60 mmHg, HR 90 bpm, temperature 38°C.

For the patient above, please select the SINGLE most likely diagnosis. Select ONE option from the list above.