Brief Answer:
Vitamin B12 deficiency;
rash due to moist condition
Detailed Answer:
Hello sir and welcome.
Thank you for writing to us.
While going through the first half of your query itself I suspected a vitamin B12 deficinecy as per the description provided by you. Please do initiate either only vitamin B12 supplements (cyanocobalamin) or a combination of vitamin B12 with only a few others (eg. vitamin B1, B6 and B12); instead of a combination containing large number of
vitamins in them. From the attached images, it does look more like a vitamin B12 deficiency, and this would confirm my suspicion as well as the doctors who you consulted. Please also make sure you take these supplements on an empty stomach for better absorption.
Yes sir, those small (3-4) bubble like pores are also small ulcers normally seen in patients with a vitamin B12 deficiency. Sir, if I may ask, are you a vegetarian?
The
HIV test would be quite accurate, and you may rest assured that you do not have HIV. But, I would recommend a
herpes test as this sexually transmitted condition presents with symptoms of oral ulcers. Also, do request for a check on your vitamin B12 levels at the same time sir.
The rash in/around the genital region could be due to damp surroundings. Please make sure you keep the region dry and clean, as damp and moist conditions make the region more susceptible to infections.
As for the external pile, this is a totally different condition sir, and is not related to your other symptoms. I would recommend increasing the amount of fiber in your diet, drink plenty of fluids, and please do not strain while passing stools. You can also request your doctor to prescribe a cream/ointment which you can apply around the anal region that will provide relief from your symptoms.
I hope you found my response both helpful and informative sir. Please feel free to write back to me for any further clarifications, I would be more than happy to help you.
Best wishes.
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