Question 1

I'm 50 and used to be addicted to alcohol, but I quit completely a year ago. For the past three months, I've been dealing with loose motions about 4 to 5 times a day. I saw a doctor and did all sorts of tests like ultrasound, blood, and stool tests. Everything came back normal  no kidney issues, no diabetes, just a minor fatty liver. My hemoglobin levels are low. Could low hemoglobin be the reason for these loose motions? Also, I've been on high blood pressure medications for 25 years. I'm not sure what to do next or if there are other tests I should consider. Any advice?

Accepted Answer

Its unlikely that low hemoglobin alone is causing your loose motions, but it could contribute to overall weakness. Since you have a history of high blood pressure and fatty liver, its important to follow up with your doctor for further tests, like checking for gastrointestinal issues or infections, and possibly adjusting your medication. Staying hydrated and maintaining a balanced diet will also help.

Question 2

I've been dealing with these analrectal cuts and itching for almost a week now, and I think it's anal fissures. I'm using T Bact and Fucidin H cream, which seems to help, but the cuts keep spreading. Even after they heal, my skin still feels itchy and irritated. I'm trying to figure out why I'm getting these anal cuts so often, especially since there hasn't been any anal intercourse to stress the area. What should I do?

Accepted Answer

You may be experiencing recurrent anal fissures, which can be quite uncomfortable. The use of topical ointments like T Bact and Fucidin H cream can help with healing, but it's important to address the underlying cause to prevent recurrence. To help prevent anal fissures and promote healing, I recommend the following: - Keep the anal area clean and dry - Increase your fiber intake to soften stools and make bowel movements easier - Stay well-hydrated - Avoid straining during bowel movements - Consider using a stool softener if needed - Sitz baths can help soothe the area and promote healing In addition, you may benefit from using a topical ointment like Rectogesic (glyceryl trinitrate) to help relax the anal sphincter and promote healing of the fissures. If these measures do not provide relief or if the fissures continue to recur, I recommend consulting with a gastroenterologist for further evaluation and management.

Question 3

I have multiple gallstones, with the largest being 12mm and others around 8-9mm. I'm also diabetic, and my HIDA scan showed 95% gallbladder function. Should I consider surgery for gallstones? I'm worried about potential future issues like chronic diarrhea, fat-soluble vitamin deficiencies, liver problems, or increased gas and acidity after gallbladder removal.

Accepted Answer

Given your multiple gallstones, including one 12mm stone, and your diabetes, surgery (cholecystectomy) is a strong consideration for addressing the gallstones. While a HIDA scan showing 95% gallbladder function indicates relatively good function, larger stones, especially in a diabetic patient, increase the risk of complications and may outweigh the benefits of maintaining the gallbladder

There could be Fissure in ano visit General Surgeon for evalaution and appropriate management

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