Question: Hi,

I have a question related to a systemic set of symptoms or symptoms occuring coincidentally with regards to my abdomen and legs. Overall I'm in good health. I am a runner and avid martial artist. My blood pressure is generally low or normal and my resting heart rate is about 60 beats/minute. Given my overall good health, over the past ten years I've noticed a number of symptoms arise that are cause for concern wondering it they are a problem now or could contribute to health issues as I age.

First, my GP initially noticed back in 2006 I appeared jaundice. I had blood drawn, and everything was normal except elevated unconjugated bilirubin, and was diagnosed with Gilbert's syndrome. Subsequent blood tests and abdominal scans ruled out any other diseases. I also see when I get stressed, exert myself physically, or get sick, the sclera of my eyes turn yellow. Additionally I have been diagnosed with an arrhythmia that is benign.

More recently though, I have noticed more severe symptoms that coincided with one another during their onset and have progressively gotten worse over the course of the past year. Initially I noticed small red dots appearing on my shins and ankles that blossomed into spider veins on my ankles, and was diagnosed with CVI. I had a venous ultrasound and was told the blood vessels in my legs were clear and I had a good pulse in my feet. At the same time, I noticed a pouch form in my crotch area everytime I would have large amounts of gas, had to cough, or get stressed, which I would think is more than likely an inguinal hernia. Finally, on and off depending on the amounts of stress I am going through, I notice copious amounts of blood in my stool and what appears to feel like an irritated area of my rectum the bleeding occurs from when I have a bowel movement. The blood in my stool has been a reoccurring symptom on and off since I was fifteen depending on stress. Additionally I notice small to copious amounts of bubbles/foamy urine and when I am stressed my upper right abdominal quadrant mildly aches. I have had a full ultrasound of my abdomen, and everything was healthy. I've had a dipstick done of my urine as well as a blood screen testing my liver, kidney, and thyroid function and everything was normal except again the unconjugated bilirubin. The only thing a little off was low sodium and potassium levels, but still within normal ranges.

As far as my lifestyle, I exercise daily and eat mostly vegetables whole grains, nuts and fish. My only real vice is bitter dark chocolate and a small cup of coffee which I consume on a daily basis. I do not smoke and very rarely drink. Any insights into my condition would greatly be appreciated.

Thank you, XXXXXXX