Noted her hemorrhoids are acting up. 
 The patient has blood streaks while defecating. 
(ROOT (S (VP (VBN Noted) (SBAR (S (NP (PRP$ her) (NNS hemorrhoids)) (VP (VBP are) (VP (VBG acting) (PRT (RP up))))))) (. .)))
(ROOT (S (NP (DT The) (NN patient)) (VP (VBZ has) (NP (NN blood) (NNS streaks)) (SBAR (IN while) (NP (VBG defecating)))) (. .)))
( ( Noted ( ( her hemorrhoids ) ( are ( acting up ) ) ) ) . )
( ( The patient ) ( ( ( has ( blood streaks ) ) ( while defecating ) ) . ) )