Question 1

I'm a 34-year-old guy dealing with these annoying anal fissures for about 5 years now, and they seem to keep coming back. It's been happening since 2011, and when they appear, the pain is just unbearable. I've been following the doctor's advice  more fiber, stool softeners, using Lox 2 jelly, and taking sitz baths. They heal only to reappear like every 2-3 months, especially after episodes of very soft or hard stools. There's this fleshy part around my anus that sticks out, which I think makes things worse. A couple of months ago, I had a sigmoidoscopy, and while everything seemed normal, they did find a small fissure and small piles. The doc just said to keep on with the Lox 2 jelly and add some AnoBliss too.

I'm wondering if there's a way to heal these fissures permanently without surgery. Is it alright to keep using Lox 2 jelly every time I go to the bathroom? And, are these recurring fissures something that could potentially lead to rectal or anal cancer?

Accepted Answer

for permanent cure surgery is the choice ,there is less chances it turns into cancer

Question 2

I found out I had Hepa B a couple of years back after an hbsag screening, and I was told it might go away by itself. So recently, I got my blood screened again, and the result came back as nonreactive. Could this mean the virus has cleared up on its own? I'm a bit confused and would appreciate some insight.

Accepted Answer

I'm happy to help clarify this for you.

*Understanding Your Hepatitis B Test Results*

*Initial Diagnosis (2 years ago)*

- You tested positive for Hepatitis B surface antigen (HBsAg), indicating an active Hepatitis B infection.

*Recent Test Results*

- Your recent HBsAg test result is "non-reactive," which means the virus is no longer detectable in your blood.

*What Does This Mean?*

A non-reactive HBsAg result suggests that:

1. *Viral clearance*: Your body may have cleared the Hepatitis B virus on its own, which is possible in some cases.
2. *Viral suppression*: Alternatively, the virus might still be present but at undetectable levels, possibly due to your immune system's response.

However, to confirm whether you've truly cleared the virus, you should undergo further testing, such as:

1. *HBsAb (Hepatitis B surface antibody) test*: This checks for antibodies against the Hepatitis B virus, indicating immunity.
2. *HBV DNA (Hepatitis B virus DNA) test*: This measures the viral load in your blood.

Question 3

I'm experiencing a burning sensation on the right side of my abdomen, and my bowel movements aren't clear. I've also been feeling feverish, dealing with headaches, and having gas issues for about a month now. These symptoms keep coming and going. I have hypothyroidism and I'm currently taking RabletD and thyroxine. Could these be related, or is there something else I should be worried about?

Accepted Answer

You may be experiencing symptoms of gastritis or acid reflux, which can be common in individuals with hypothyroidism. To help with the burning sensation in your right side abdomen, you can try taking a proton pump inhibitor like Rabeprazole (brand name: Rabicip) along with domperidone (brand name: Domstal) for better relief. Additionally, for your gas problem, you can take simethicone (brand name: Colicaid) to help alleviate symptoms. It is also important to maintain a healthy diet, avoid spicy and acidic foods, and eat smaller meals throughout the day. If your symptoms persist or worsen, please consult with your healthcare provider for further evaluation and management.

consult Gastrologist

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