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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can mthfr alleviate symptoms of diarrhea and hemorrhoid?

I have H Pylori, GERD, Hiatial hernia, Gastrenitous, Bipolar,MTHFR and recently had a miscarriage 6 weeks ago. About 2 weeks ago I had a few days of actue diarreah and developed a massive hemmrhoid. It has been 2 wks and now it is oozing and more painful. Is the MTHFR a risk factor and should I seek medical attn now? Or wait till my GI can see me Monday?
Thu, 25 Apr 2019
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Endocrinologist 's  Response
Hello,

The enzyme methylenetetrahydrofolate reductase (MTHFR) plays a crucial role in regulating the levels of homocysteine. Elevated homocysteine level is a risk factor for ischemic stroke, thrombotic and cardiovascular diseases. This genetic condition do not cause bleeding and oozing hemorrhoids.

The pain is caused if a blood clot (thrombosis) has formed within an external hemorrhoid.This symptom can be explained with your MTHFR. So,in your circumstances,(with a painful and massive hemorrhoids that ooze fresh red blood), you should seek medical attention because it is necessary to treat the condition.

If you were my patient I will first suggest over-the-counter creams, ointments, suppositories or pads that contain ingredients, such as witch hazel, or Hydrocortisone and Lidocaine. These medications can relieve pain and itching, at least temporarily.

I would refer you to a proctologist because you may need specific minimally invasive procedures like rubber band ligation, schlerotherapy or laser therapy to definitively treat the hemorrhoid problem.

Hope I have clarified your doubts. Let me know if i can assist you further.

Regards,
Dr. Elona Xhardo
Endocrinologist
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Can mthfr alleviate symptoms of diarrhea and hemorrhoid?

Hello, The enzyme methylenetetrahydrofolate reductase (MTHFR) plays a crucial role in regulating the levels of homocysteine. Elevated homocysteine level is a risk factor for ischemic stroke, thrombotic and cardiovascular diseases. This genetic condition do not cause bleeding and oozing hemorrhoids. The pain is caused if a blood clot (thrombosis) has formed within an external hemorrhoid.This symptom can be explained with your MTHFR. So,in your circumstances,(with a painful and massive hemorrhoids that ooze fresh red blood), you should seek medical attention because it is necessary to treat the condition. If you were my patient I will first suggest over-the-counter creams, ointments, suppositories or pads that contain ingredients, such as witch hazel, or Hydrocortisone and Lidocaine. These medications can relieve pain and itching, at least temporarily. I would refer you to a proctologist because you may need specific minimally invasive procedures like rubber band ligation, schlerotherapy or laser therapy to definitively treat the hemorrhoid problem. Hope I have clarified your doubts. Let me know if i can assist you further. Regards, Dr. Elona Xhardo Endocrinologist