Detailed Answer: Hi Dear !! Thanks for your query to HCM . Read and reviewed your query and health concerns. My opinion- In the given situation-You seem to suffer from-IBS with GERD with accompanied Sinusitis. These conditions with chronic IBS(Irritable Bowel Syndrome), has resulted in thrombotic ischemic Colitis 5 yrs back,which seems to be under control currently. You should not be worried about the clot induced-ischemic colitis,which seems to be resolved by now.But you should conentrate on treating of bloated stomach,heart burn and acid reflux with accompanied Sinusitis. Other causes like anal piles and fissure with proctitis needs to be ruled out Do s suggested- Bland liquid diet with rice / potato porridge x for 1 week. Plenty of fluids. Antibiotics with anti-amebic/ with Anti-spasmodic with Multivitamines with minerals like magnesium,zinc etc with Vit D3 / with Calcium with Vit B12/ Folic acid needs to be given for 2-weeks time to recoupe the sever IBS with dysentry with it. Sporlac ds Tabs/ Yoghurt/ Butter milk- for 3 -4 weeks to stabilize Colonic mucosa with healing of Colonic Ulcerations. this would give long remissions from recurring IBS With blood / mucus in stools. GI specialist / with General Surgeon would be needed to tackle these health issues. You should attend by tomorrow,if you can sustain with bland diet and anti-spasmodics with antibiotics from your family physician. Consults with GI specialist and nutritionist, would be needed to treat these health issues. Other causes like Crohn s disease/ Ulcerative Colitis/ and Diverticulosis/ Polyposis Coli -needs to be ruled out by physical / and lab check ups from Specialist GI endoscopist and GI Surgeon. Further suggestions in this regard would need ore information /investigations after getting more details from You. This brief reply is given on facts submitted, which needs to be verified from your attending doctors, with whom you can check before starting further changes in the treatment. Hope this would help you to plan further of this complex illness of yours. If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link-http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229 Dear, if satisfied,Don t forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at HCM services. If you want to update more details and ask more update queries , You are most Welcome herewith !! Good Day!! Wishing Good Healthy Life in time to come!! Dr.Savaskar M.N. Senior Surgical Specialist M.S.Genl-CVTS