This patient has a presentation consistent with rectal bleeding, most likely due to ***. Differential diagnosis includes ***. Low suspicion for hemorrhoids (external or internal, including thrombosed hemorrhoids), rectal ulcer (HIV, syphilis, STI) or rectal foreign body. Presentation not consistent with other acute, emergent causes of upper or lower GI bleeding. No evidence of hemorrhagic shock.

Plan to check labs to evaluate the extent of bleeding, including H/H. No indication for abdominal imaging at this time.***

Plan: CBC, serial reassessment, PMD / GI referral