How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Doctor Marcus Your Own Question

Doctor Marcus
Doctor Marcus, Board Certified MD
Category: Medical
Satisfied Customers: 1295
Experience:  US Trained, US Board Certified MD, Medical School Faculty Member
28702373
Type Your Medical Question Here...
Doctor Marcus is online now
A new question is answered every 9 seconds

very hot and is burning my anus and also causing throbbing piles

Resolved Question:

For the past 2 - 3 weeks I have had explosive diahorrea which last night and now tonight kept me up all night - having to dash to the loo at around 30 minute intervals, also sometimes 5 to 6 times an hour. The liquid that comes out is yellow and sometimes paler. It is now very hot and is burning my anus and also causing throbbing piles. I just accidentally splashed some on my hand and felt how scalding it was so am wondering what to do as terribly painful with nothing that will give relief. I have been diagnosed with diabetes type II and started taking metformin but haven't taken it for the past couple of months. Would you have any suggestions about how to get some relief - kaolin and morphine and immodium don't seem to make any impact on this.
Submitted: 3 years ago.
Category: Medical
Expert:  Doctor Marcus replied 3 years ago.
Greetings. Any fever or blood in the diarrhea?
Customer: replied 3 years ago.

I have outbreaks of sweating and feeling nauseous. My nose gets very cold and my face is covered in sweat. I cannot see any blood in the diarrhea.

Expert:  Doctor Marcus replied 3 years ago.
Have you been checking your blood sugars? Any weight gain or weight loss? Recent travel or exposure to untreated water (like from a stream or pond)?
Customer: replied 3 years ago.

I have not been checking my blood sugars as doctor didn't seem to think I needed to - although I bought a kit if need to.

 

I did lose 2 stone when I started on metformin in November 2010.

 

It could be possible that I have had exposure to untreated water - I did my garden the other week and this involved contact with rubbish to throw out that could have had stagnant water on it (possibly even rat's urine?). In the course of working I got some small cuts and bruises etc on my hands, arm. I remember clearing some very old leaves out of the domestic drain with my hands.

 

Also at the weekends we have a place by a lake that I go to. Just back from Cornwall yesterday too - by the sea - but I haven't travelled abroad for a while.

Expert:  Doctor Marcus replied 3 years ago.
Thanks for the additional information. Skin exposure to dirty water does not usually cause intestine trouble, but some of the things which can cause several weeks of persistent diarrhea are infectious disorders such as giardia. This and other infectious causes are typically ruled out by bringing a fresh stool sample to the doctor who sends it to the lab to look for Ova & Parasites.
Customer: replied 3 years ago.
But what relief can I get for it right now as it is 12.30 at night here and I won't be able to get to a doctor until Monday earliest and in lot of pain?
Expert:  Doctor Marcus replied 3 years ago.
Are you having discomfort externally in your anus or in your belly?
Customer: replied 3 years ago.

Not sure if last response went or not.

 

But I said that the anus is burning.

 

When I go it is in response to cramps. Each time it makes it hurt more externally. Lot of flatulence too.

 

Was concerned it might be something serious?

Expert:  Doctor Marcus replied 3 years ago.
Many people experience a lot of external discomfort and irritation when they have had diarrhea for several weeks, but the fact that it is severe and not improving with the measures you have tried is concerning. Aside from warm baths and a heating pad, it seems that you have tried everything. One condition which can cause a sense of irritation on the outside could be irritation in the rectum (proctitis). Something called diverticulitis (infection in the wall of the lower parts of the colon) can cause diarrhea and severe cramping. If the discomfort really is unbearable, going to the emergency department for a thorough exam to rule out some of these more serious causes rather than waiting to see one's own doctor is a good idea.
Doctor Marcus, Board Certified MD
Category: Medical
Satisfied Customers: 1295
Experience: US Trained, US Board Certified MD, Medical School Faculty Member
Doctor Marcus and 5 other Medical Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
< Last | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
 
 
 

Meet The Experts:

 
 
 
  • Dr. Thomas, MD

    Board Certified Physician

    Satisfied Customers:

    46349
    Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
< Last | Next >
  • http://ww2.justanswer.com/uploads/DR/DrThomasMd/2012-7-25_134438_Imagess1.64x64.jpg Dr. Thomas, MD's Avatar

    Dr. Thomas, MD

    Board Certified Physician

    Satisfied Customers:

    46349
    Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
  • http://ww2.justanswer.com/uploads/MY/mysticdoc/2012-6-8_15615_mysticdoc3.64x64.jpg Dr. D.J.'s Avatar

    Dr. D.J.

    Board Certified Physician

    Satisfied Customers:

    14679
    MD
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2562
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.com/uploads/DrDLove/2009-08-12_141522_DrDLove.jpg Dr. D. Love's Avatar

    Dr. D. Love

    Doctor

    Satisfied Customers:

    11961
    Family Physician for 10 years; Hospital Medical Director for 10 years.
  • http://ww2.justanswer.com/uploads/CO/commissure/2011-4-15_192514_REISD20080926JR1090.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    10667
    Experienced Physician trained in New York City. I'm ready to help.