I am suffering from piles. My doctor has advised an FNAC. My VDRL test has come back positive. Please advise me on what I should do next.
Chandrakanta Jena
Pharm D
You should follow up with your doctor for both conditions, as they require proper evaluation and timely management. Piles are usually examined clinically, and FNAC (fine needle aspiration cytology) may be advised if your doctor wants to rule out any other cause or confirm a specific finding. At the same time, a positive VDRL test suggests a possible syphilis infection, but it should be confirmed with further tests like TPHA or other treponemal tests. If syphilis is confirmed, treatment with antibiotics, usually penicillin, is very effective and should not be delayed. It is important to complete the full course as prescribed. You should also inform your sexual partner so they can be tested and treated if needed to prevent reinfection. Continue regular follow-up, take medicines exactly as advised, and maintain good hygiene and a healthy diet to help manage symptoms.
I have gas in my stomach, pain near my tailbone, and frequent small bowel movements for the last 4 to 5 days, and today I noticed a drop of blood in my stool. What could be the reason?
Dr. S Aneela
M. Pharm (Pharmacology)., PhD
Gas, tailbone area pain, and frequent small bowel movements may occur due to bowel irritation, infection, or piles. A small drop of blood in the stool can sometimes happen with straining or a minor tear in the anal area. Drink enough water and eat light, fibre-rich foods to ease bowel movements. Consult a doctor if the bleeding continues or the pain becomes worse.
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