Noted her hemorrhoids are acting up. 
 The patient has pain in the rectal area. 
(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 pain)) (PP (IN in) (NP (DT the) (JJ rectal) (NN area)))) (. .)))
( ( Noted ( ( her hemorrhoids ) ( are ( acting up ) ) ) ) . )
( ( The patient ) ( ( ( has pain ) ( in ( the ( rectal area ) ) ) ) . ) )