Brief Answer:
This look simple indigestion

Detailed Answer:
Hello,
1) Generally C-reactive protein will be high in inflammatory bowel disease. Normal value indicate less possibility of disease but can not deny completely.
2) In inflammatory bowel disease you will have mucus discharge along with stool + increased frequency of stool + liquid consistency of stool + lower abdominal vague pain. Also you might have weigh loss because absorption of nutrient from diet will be affected.
3) In IBS, you have irritation for particular food or may be your digestion would be improper. This lead to diarrhea after ingestion of that particular food. But sometimes you may get constipation also in IBS (constipation type). Above mentioned other symptoms would not be present in IBS.
4) There is neither correlation nor harm of strenuous exercise on symptoms of IBS or IBD. You can continue cardiac exercises (aerobics).
5) Your anus problem is external hemorrhoid with possibility of anal fissure.
Feeling of something bulging is from hemorrhoid (It can be seen in picture) and
burning sensation is due to anal fissure. You can use local application of Lignocaine for burning sensation at anus. Try to prevent constipation and for this Isabgol is effective but you must take it once evaluation will be done for IBD/IBS as it may worsen diarrhea otherwise.
6) You must undergo colonoscopy as this is confirmative investigation for any pathology of intestine.
7) Your symptoms neither correlate with IBD nor with IBS, it look like due to simple indigestion.

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Brief Answer:
Prolapse hemorrhoid cause bleeding. No relation with IBD/IBS

Detailed Answer:
Hello,
I apologize for late reply
1) Ideal treatment for prolapse hemorrhoid is surgery but sometimes it is not possible due to swelling from prolapse. Thus initial medical treatment is prescribed to taper down swelling and later surgery can be planned (2-3 weeks).
2) Bleeding is from large hemorrhoid due to friction with stool. It is not appropriate that if you have bleeding means you have internal hemorrhoid.
3) There is no correlation with IBD or IBS. Prolapse hemorrhoid is different condition.
4) Diarrhea after eating spicy food - suggest indigestion and avoid junk food, spicy food, oily food
5) Gelusil or Ranitidine will not help in indigestion. You might require intestinal enzyme supplementation for indigestion
6) I suggest you to take treatment for indigestion and prolapsed hemorrhoid. If your symptom of indigestion persist after treatment then go ahead with colonoscopy when swelling from prolapsed hemorrhoid come down.

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Brief Answer:
Surgery is required

Detailed Answer:
Hello,
1) Prolapse of hemorrhoid only occur when hemorrhoid is large sized. Yes surgery is recommended in prolapse hemorrhoid
2) Hemorrhoid is due to constipation (70% contribution) and structural variation of anal canal (30% contribution).
3) Manage constipation. This is best way to prevent hemorrhoid
4) Prolapse hemorrhoid does not carry risk per se. But sometimes due to more swelling around hemorrhoid it is not possible to remove hemorrhoid completely and might require second surgery (very rare chance) and this is why surgery is delayed in prolapse hemorrhoid till swelling taper down.
5) Avoid - spicy, oily, junk food
6) You can try Tablet unienzyme. (I am sorry but i can not provide dosage information or schedule to take on this portal) But I suggest to consult your physician before starting any new medicines.

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Brief Answer:
Bleeding and pain, are complications of prolapsed hemorrhoid

Detailed Answer:
Hello,
1) If swelling is there then surgery can be done generally after 5-7 days (with moderate to severe swelling). Sometimes surgery can be done within 1-2 days of diagnosis if swelling is less
2) Persistent pain and increased frequency of bleeding is main complication for non-surgical management of prolapsed hemorrhoids
3) No. VSL-3 work is good as it contain probiotics. You can continue it for indigestion along with Tablet Unienzyme.
4) Concept of treadmill running-diverted blood-disturbed stool is wrong. There is no any association between running and disturbed stool. General physiology of human body (abdomen) is that running, walking keeps intestine movement good but it never affect consistency or frequency of stool.

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