PT age 26 (not 29) Black, male c/o anal itching, abdominal swelling, pain in LLQ and RUQ, intense periodic abdominal and rectal pain, swollen lymph nodes in the pelvic area. Frequent changes in stool appearance from narrow to fibrous to tarry, but not necessarily bowel habits. CT Scan presents no abnormalities, there was no indication of a need for MRI and general blood work presents as normal, especially CBC. Formerly a pack a day smoker, now less than a pack a week with full intent and indication of complete cessation. Current medications include Risperdal 2 mg, Lamictal 100mg (1qd) Buspar 1 po BID for Bipolar Depression.