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Some common types of H2 receptor blockers include: Doctors typically dont recommend taking an H2 receptor blocker and a PPI at the same time. PPIs that you can buy over the counter include: Lansoprazole and omeprazole are also available in prescription strength. Dale Prokupek, MD. A bleeding ulcer can lead to anemia, bloody vomit, or bloody stools. Learn how to prepare for an endoscopy here. Bleeding Ulcers: Everything You Need to Know. How long does it take for a stomach ulcer to heal? The doctor may recommend that you stop taking certain nonsteroidal anti-inflammatory drugs (NSAIDs) that can irritate the ulcer. Talk to your healthcare team about the best . This content does not have an Arabic version. American College of Gastroenterology. Medications that protect the lining of your stomach and small intestine. It was simple and to the point. How long can it take for multiple stomach ulcers (biopsy shows no cancer) to fully heal? Keep reading to learn more about symptoms and treatment for ulcers, as well as to uncover a few ulcer myths. When they are found in the upper part of your small intestine, they are called duodenal ulcers. As a small thank you, wed like to offer you a $30 gift card (valid at GoNift.com). A tiny camera on the end of the endoscope lets your health care provider examine the esophagus, stomach and the beginning of your small intestine, called the duodenum. It can sometimes cause inflammation in the stomach lining, which leads to an ulcer. Essentially, pain from your ulcer is likely to be at its worst when the stomach is either very empty or very full. It's a good idea to be well prepared for your appointment. You should also avoid taking NSAIDs going forward. An endoscope is a long flexible tube with a light and camera on the end. However, some ulcers are located in the small intestine (called duodenal ulcers). Your doctor may prescribe an antibiotic medication for 2 weeks if you have the H. pylori bacteria, and/or prescribe an acid-suppressing medication that youll take for 4-6 additional weeks. In some cases, your doctor may prescribe medications called cytoprotective agents that help protect the tissues that line your stomach and small intestine. The symptoms of a GI bleed can include: black, tarry stool. 2005-2023 Healthline Media a Red Ventures Company. Expert Interview. Peptic ulcers can lead to internal bleeding, . "My boyfriend has symptoms of a bleeding ulcer. This content does not have an English version. Narrowing and blockage . Ulcers are caused by the acids in the stomach that wear away at the lining, usually as the result of a bacterial infection or from long-term use of nonsteroidal anti-inflammatory drugs (NSAIDs). Accessed July 8, 2020. Getting treatment increases the chances that ulcers wont come back. H. pylori breaks down the substance in your stomach. The test results should be available within a few hours of when you took the test, or 24 hours at the longest. Ulcerative colitis is a type of inflammatory bowel disease.While there's no known cure, there are many treatment options available that can help you control the disease. In some cases, an ulcer can bleed. Doctors call this type of ulcer a peptic ulcer. Your doctor is likely to ask you a number of questions. You can learn more about how we ensure our content is accurate and current by reading our. While the doctor is doing your endoscopy, they may also take a biopsy. The pain from an ulcer tends to be dull and achy instead of sharp. Your stomach may also feel bloated, with or without the accompanying symptom of nausea. Taking other medications along with NSAIDs, including steroids, anticoagulants and selective serotonin reuptake inhibitors, can affect ulcer healing or make the complications of ulcers (such as bleeding) worse. Using the correct treatment, doctors can cure bleeding ulcers. Certain factors can increase a persons risk of developing them. It can occur in any part of the digestive system (GI tract), which runs from the mouth to the anus. Theres a layer of mucus in your digestive tract that helps protect the gut lining. Ask your doctor whether you should undergo follow-up tests after your treatment. ", "The specific BRAT diet information was most helpful.". % of people told us that this article helped them. Verywell Health's content is for informational and educational purposes only. Review/update the This bacterium can damage the special mucous coating that protects the small intestine and stomach lining, allowing stomach acid to reach the lining and eat away at the tissue. The level of bleeding can range from mild to severe and can be life-threatening. Take all medications as directed. You may opt-out of email communications at any time by clicking on .st3 { Duodenal ulcers take about six weeks to heal. Lupus medications or flare ups can cause mouth sores or ulcers. Do you take pain relievers or aspirin? NSAIDS are also included in some combination medications used to treat stomach upset or colds. Frequently taking nonsteroidal anti-inflammatory drugs such as aspirin, Advil (ibuprofen), or Aleve (naproxen) can also elevate your risk of developing an ulcer. A bleeding ulcer usually results in a hospital stay. How to Request a Welfare Check for Someone, When to Worry about Left Arm Pain (And When Not To), What to Do If a Popcorn Kernel Is Stuck in Your Throat. Infections and some medications can cause bleeding ulcers. Include your email address to get a message when this question is answered. Accessed July 8, 2020. DOI: Caufield SP, et al. If you are taking an antacid prior to the testing for H. pylori, make sure to let your doctor know. Antacids neutralize existing stomach acid and can provide rapid pain relief. Sometimes. While certain over-the-counter and alternative medications may be helpful, evidence on effectiveness is lacking. Bleeding can occur as slow blood loss that leads to anemia or as severe blood loss that may require hospitalization or a blood transfusion. Another longstanding myth is that drinking milk is good for ulcers. The visual texture of bloody stool is compared to that of roofing tar. Read our, Nonsteroidal Anti-Inflammatory Drugs (NSAIDs), Stomach Ulcer Surgery: Everything You Need to Know. (2016). Left untreated, an ulcer can eventually lead to a tear in the stomach or small intestine lining and cause severe internal bleeding. Anemia can make a person feel tired or short of breath. Its important to get medical attention as soon as possible. Available by prescription or over the counter, acid blockers include the medications famotidine (Pepcid AC), cimetidine (Tagamet HB) and nizatidine (Axid AR). Ratnaparikh P, et al. These medicines include: People who take NSAIDs and have a peptic ulcer may need to stop taking NSAIDs temporarily. In some cases, it is possible to treat a bleeding ulcer during the endoscopy. Because an ulcer is a woundinsideyour body, it wont feel the same as a cut or scrape on the surface of your skin. This medication, available over the counter and by prescription, works by lowering the acid content in your stomach to allow ulcers to heal. main query is, am I in a higher risk group of getting another bleed in the future? The other distressing things are if the consistency of your stool is very, very watery, it could mean that you've eaten something that your body is unable to digest or you could have a serious infection. A person can develop ulcers in many parts of the body. Am I at risk of complications related to this condition? H. pylori can be difficult to kill, so to ensure that the treatment is successful, a person must take all medicines as prescribed, even if they feel better. Treatment for peptic ulcers depends on the cause. If yes, how often? If your symptoms persist, be sure to make an appointment with your doctor. This article has been viewed 425,901 times. The biggest warning signs are if you have blood, either red or black blood, in your stool. Gastrointestinal. If the ulcer is caused by an H. pylori infection, that . If an ulcer is detected during endoscopy, your doctor may recommend another endoscopy after your treatment to make sure your ulcer has healed. https://gi.org/topics/peptic-ulcer-disease/. By signing up you are agreeing to receive emails according to our privacy policy. Mallory-Weiss syndrome occurs when severe and prolonged vomiting causes tears in the lining of the esophagus. In others, eating only makes things worse. If you have a serious complication from an ulcer, such as acute bleeding or a perforation, you may require surgery. Your doctor is more likely to recommend endoscopy if you are older, have signs of bleeding, or have experienced recent weight loss or difficulty eating and swallowing. Internal bleeding is one of the most common causes of stomach ulcers. Also, some strains of H. pylori are antibiotic resistant, complicating your long-term outlook. If it is caused by bleeding, it may take longer. In addition to nausea and vomiting, individuals with ulcers also often experience heartburn and an intolerance to fatty foods. Use it to try out great new products and services nationwide without paying full pricewine, food delivery, clothing and more. Without the right treatment, stomach ulcers can lead to more serious complications. For example, PPIs do not work effectively unless you eat 30 to 60 minutes after taking them. information is beneficial, we may combine your email and website usage information with In some cases, doctors may also need to treat excessive bleeding. journals.lww.com/gastroenterologynursing/Citation/2019/09000/PEPTIC_ULCER_DISEASE.10.aspx, ncbi.nlm.nih.gov/pmc/articles/PMC6140150/, jmedpharm.com/index.php/home/article/view/94/106, nhsinform.scot/illnesses-and-conditions/stomach-liver-and-gastrointestinal-tract/stomach-ulcer, nidirect.gov.uk/conditions/stomach-ulcer-and-duodenal-ulcer, niddk.nih.gov/health-information/digestive-diseases/peptic-ulcers-stomach-ulcers/symptoms-causes, nhs.uk/conditions/stomach-ulcer/treatment/, ncbi.nlm.nih.gov/pmc/articles/PMC8832644/, Stomach Ulcers and What You Can Do About Them. This uses a thin tube with a camera on it to see inside the body. . If your ulcer is bleeding, your doctor may treat it during an endoscopy procedure by injecting medications into it. A slow-bleeding ulcer may gradually cause anemia. Do you feel nauseated or have you been vomiting? Medicines that doctors recommend or prescribe to treat peptic ulcers include. Even if a stomach ulcer does get better over time, its likely to recur unless the root cause of the stomach ulcer is treated. You should see your doctor if you have black stools or if you feel fatigued, dizzy, and short of breath. Rochester, Minn. June 23, 2020. Prescription drugs called cytoprotective agents can help protect the lining of the stomach or small intestine so the ulcer can heal. In some cases, its possible for stomach ulcers to heal on their own. In: Sleisenger and Fordtran's Gastrointestinal and Liver Disease: Pathophysiology, Diagnosis, Management. This interrupts the messages the brain sends to the stomach to produce stomach acid. That may be because milk coats your stomach lining and relieves ulcer pain, at least for a short time. Advertising revenue supports our not-for-profit mission. Symptoms. Stomach ulcers that are not properly diagnosed and treated are also more likely to return. Read on to learn about easy stomach ulcer home remedies, Gastric and duodenal ulcers are both types of peptic ulcers. With the correct treatment, a peptic ulcer even one that. They might have extreme fatigue or other symptoms of anemia (a low number of healthy red blood cells). Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. Blood in your stool or vomit, along with severe abdominal pain, is a sign that you have internal bleeding that needs immediate attention. Brown AY. The global, regional and national burden of peptic ulcer disease from 1990 to 2019: a population-based study. (2022). This stimulates the release of large amounts of stomach acid and leads to ulcers. Gastrointestinal (GI) bleeding is bleeding that occurs in the digestive tract. Can a stomach ulcer heal without treatment? XIe X, et al. Home treatments can help with pain management. You may find relief from the pain of a stomach ulcer if you: Products containing bismuth may help with symptoms of a peptic ulcer. Smoking and continued use of NSAIDs will impede healing. An endoscopy may produce some discomfort while the tube is passed down your throat and into your stomach. Medications that block acid production and promote healing. Ulcer vs. Heartburn: Whats the Difference? They also look for the cause of ulcers and treat or manage the cause. Rectal ulcers are small wounds that develop in the lining of your large intestine. Your doctor may include an antacid in your drug regimen. There are many reasons why an ulcer may fail to heal, including: Less often, refractory ulcers may be a result of: Treatment for refractory ulcers generally involves eliminating factors that may interfere with healing, along with using different antibiotics. For serious bleeding ulcers, you may need to have a surgical procedure to close the ulcer and stop the bleeding. Last medically reviewed on January 5, 2023. Some of these symptoms include: Symptoms may be a little different for each person. We avoid using tertiary references. Healthcare providers treat uncomplicated ulcers with a combination of medicines to reduce stomach acid, coat and protect the ulcer during healing and kill any bacterial infection that may be involved. Pay attention to your symptoms. Some of the most common causes are: Most people with stomach ulcers have a Helicobacter pylori (H. pylori) infection present in their gut. Home treatments mostly help ease the pain. The term peptic means it is related to acid. If you have any symptoms of an ulcer, make an appointment with a healthcare provider to get a diagnosis and start treatment. This is intensely painful and . While some ulcers may be able to heal on their own, many do not. Thankfully, there are ways to treat ulcers and stop bleeding. [1] 3 Look for blood in your vomit. Mayo Clinic Staff. It can last for hours or come and go. But some potential symptoms of ulcers may include: If an ulcer is bleeding, you may also experience: Often, people dont know they have a bleeding ulcer. Sometimes an ulcer makes a hole in the wall of your stomach or duodenum. Medications to reduce acid production. Well show you how to treat and prevent them. Rarely, acids in the digestive juices may eat completely through the . Almost half of all people with ulcers never notice any symptoms. time. Ulcers are treated with acid-blocking drugs called proton pump inhibitors (PPIs) or H2 blockers. Notably, there is pain in the upper abdomen or stomach. Using the endoscope, your doctor looks for ulcers. Peptic ulcer disease is a condition in which there are one or more sores (ulcers) in the stomach lining or in the lining of the first part of the small intestine (the duodenum). However, in more extreme cases, you may need to undergo surgery. Causes. Doctors now understand that while diet and lifestyle can irritate existing ulcers in some people, generally they do not cause ulcers. Have you ever vomited blood or black material? A person living with ulcers does not typically need to follow a special diet. You should always contact your doctor or other qualified healthcare professional before starting, changing, or stopping any kind of health treatment. "Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research. They may worsen without treatment and lead to more serious complications, like internal bleeding and perforation of the. The bleeding itself may not be very noticeable. For many years, people thought peptic ulcers were caused by stress or spicy foods. Management of peptic ulcer through homeopathy. Peptic ulcers that don't heal with treatment are called refractory ulcers. If you have an upper GI bleed, you might be given an IV drug known as a proton pump inhibitor (PPI) to suppress stomach acid production. Instead, blood causes black, tar-like stools. They can be taken orally, but if you have a bleeding ulcer, they can also be taken intravenously. "After having an internal bleed, I was intrigued as how the body is more susceptible to getting this condition. He or she may look for H. pylori using a blood, stool or breath test. The risk of developing an ulcer caused by NSAIDs is greater if you: Zollinger-Ellison syndrome is another condition that can lead to ulcers. Bleeding ulcers usually require a proton pump inhibitor (PPI) to heal. Well walk you through the, Stomach ulcers are open sores in the lining of the stomach. enable-background: new; Common sweetener erythritol tied to higher risk of stroke and heart attack, Gout: How metabolic syndrome may increase the risk, A new therapeutic target for the prevention of heart failure due to aortic stenosis, Skipping breakfast and fasting may compromise the immune system. If you continue to take NSAIDs frequently, for example, you may develop another ulcer. You can learn more about how we ensure our content is accurate and current by reading our. privacy practices. They may worsen without treatment and lead to more serious complications, like internal bleeding and perforation of the stomach wall. Zollinger-Ellison syndrome (ZES) is an uncommon condition that causes tumors in the stomach, duodenum, or pancreas. 2005-2023 Healthline Media a Red Ventures Company. The tube is inserted into your throat, then to the esophagus, stomach, and upper part of the small intestine. Most ulcers heal in 4 to 8 weeks. This pain often occurs around meal times and may wake you up at night. This site complies with the HONcode standard for trustworthy health information: verify here. This type of medication is most often used with ulcers in the duodenum. What are mouth ulcers and what types of mouth ulcer are most common? In some cases, the doctor will also give you a blood transfusion. As a result, the pain is felt by the affected nerves. To ensure an ulcer heals properly and doesnt come back, its important to treat the root cause effectively. Whats the Difference Between Gastric and Duodenal Ulcers? For more tips from our Medical co-author, like how to treat ulcer-related pain while healing, keep reading. Gastrointestinal (GI) bleeding is a symptom of a disorder in your digestive tract. wikiHow marks an article as reader-approved once it receives enough positive feedback. Your physician will use one of these procedures: Fulguration: "burning off" the ulcers by using a special instrument with a heated tip or a laser technique. My. Blood in your stool usually will not look red. NSAIDs also reduce the ability of your blood to clot, which can make a bleeding ulcer much more dangerous. Being diligent about hand washing and doing what you can to avoid consuming contaminated food and beverages (such as foods kept in unsanitary conditions or dirty water) are the only known ways to avoid the infection. Minor ulcers may not cause any symptoms. Your doctor can treat H. pylori bacteria with an antibiotic. You may also need surgery if the stomach or small intestine lining tears because the ulcer has eaten away at the tissue. With treatment, most ulcers will heal and wont lead to complications like severe blood loss. Anemia results from an insufficient amount of blood circulating in your body. You may need treatment and monitoring in the hospital. It can also be accomplished with noninvasive tests such as a stool sample or breath test. A stress ulcer can cause pain and a burning sensation in the lining of the gut, and these ulcers usually appear with additional symptoms. While NSAIDs can help with pain, fever, and inflammation, they also reduce the natural mucous layer that protects the stomach from its own acid. Accessed July 27, 2020. An ulcer can lead to complications if left untreated. It causes gastrinomas, or tumors of the acid-producing cells in your stomach, which causes more acid. 2023 Dotdash Media, Inc. All rights reserved, Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. You can find out more about our use, change your default settings, and withdraw your consent at any time with effect for the future by visiting Cookies Settings, which can also be found in the footer of the site. Enjoy! As an ulcer wears away the muscles of the stomach or duodenal wall, blood vessels may be hurt. This causes bleeding. You may not even have symptoms. Your doctor may use a scope to examine your upper digestive system (endoscopy). .st2 { Symptoms include: If a peptic ulcer begins bleeding, a person may notice: A person with any of these symptoms should seek emergency medical care. In many cases, these ulcers can be treated, but managing incontinence or bleeding while you are healing can be challenging. I have other medical problems. Peptic ulcer: treatment. Being ready to answer them may reserve time to go over points you want to cover. Ulcers are usually diagnosed after an upper GI endoscopy (EGD or esophagogastroduodenoscopy). Prompt treatment can prevent excessive bleeding and other complications. Your doctor may suggest a different medication based on whether your bleeding ulcer is located in your stomach or your small intestine. shortness of breath with physical activity, bloody vomit with the consistency of coffee grounds, Learn how to prepare for an endoscopy here, patients.gi.org/topics/peptic-ulcer-disease/, labtestsonline.org/understanding/analytes/h-pylori/tab/test/, rwjuh.edu/urgent-care/healthlibrary/772.aspx, mayoclinic.org/diseases-conditions/peptic-ulcer/symptoms-causes/dxc-20231407, mayoclinic.org/diseases-conditions/peptic-ulcer/diagnosis-treatment/treatment/txc-20231747, my.clevelandclinic.org/health/diseases_conditions/hic_Peptic_Ulcer_Disease. "Some people may experience more severe signs or symptoms of peptic ulcers, such as bleeding or severe and sudden onset of abdominal pain from a blockage or hole caused by the ulcer, Menon adds . Narayanan M, et al. Ask your doctor whether a calcium supplement may reduce this risk. According to a study from 2012, H. pylori and NSAIDs are the most prevalent causes of peptic ulcers. Unfortunately, milk encourages production of acid and digestive juices, which actually makes ulcers worse. This is particularly true with stomach ulcers caused by a bacterial infection or where treatment, such as antibiotic medication, is stopped before the end of the treatment course. In most cases, black stool is the result of something that is not dangerous and will heal itself. Treatment. Treating Hunner's ulcers themselves can reduce symptoms significantly. She specializes in covering general wellness and chronic illness. If an ulcer develops at the site of a blood vessel, it can cause bleeding. If you think you have an ulcer, make an appointment with your doctor. Over-the-counter antacids sometimes relieve symptoms. Laursen SB. Minor ulcers may not cause any symptoms. When the lining of your stomach becomes compromised, normal stomach acids that aid in daily digestive functions eat away the protective layer of mucus in your digestive tract. An ulcer refers to any type of wound, internal or external, which does not heal correctly. The picture, "Learned to check what medication you use and not to use anything you think is OK, rather seek professional help. What are the symptoms of gastrointestinal bleeding? If the endoscopy shows an ulcer in your stomach, a follow-up endoscopy should be performed after treatment to show that it has healed, even if your symptoms improve. It is not always possible to completely prevent peptic ulcers, especially in the cases of an H. pylori infection or another genetic condition. Excessive ulcer bleeding is a medical emergency. Ulcers typically take 2-8 weeks to heal. The term ulcer means a sore that does not heal quickly. Were committed to providing the world with free how-to resources, and even $1 helps us in our mission. Talk to your doctor before the procedure to discuss any premedication that you will be given. Medicines may include: Antibiotics. This article looks at causes, symptoms, treatment, and more. However, a newer review in the Asian Pacific Journal of Cancer Prevention states that ulcers without H. pylori infection or NSAID involvement are increasing. However, taking medications as prescribed is key. If the doctor doesnt mention the test results to you, make a point to ask them. Natural and Home Remedies for Stomach Ulcers, Acute Gastritis: Temporary Pain Symptoms and Treatment, Peptic Ulcer Disease as a Cause of Chest Pain, Conditions That Cause Erythematous Mucosa, Foods to Avoid With a Peptic Ulcerand What to Reach For Instead, Symptoms & causes of peptic ulcers (stomach ulcers), Treatment for peptic ulcers (stomach ulcers), Experience sudden sharp pain in your abdomen, Develop a hard abdomen that hurts when you touch it, Are throwing up blood (this can look like coffee grounds), Experience symptoms of shock like sweating profusely or confusion, Have recently undergone radiation therapy, Injecting medication directly into the ulcer. (2012). Treatment can help with symptoms and eventually cause the ulcer to go away. information submitted for this request. Accessed July 8, 2020. This can lead to ulcers, especially if you take NSAIDs regularly. https://www.niddk.nih.gov/health-information/digestive-diseases/peptic-ulcers-stomach-ulcers. While some ulcers may be able to heal on their own, many do not. Severe bleeding, known as hemorrhaging, can be life threatening. These tumors cause the stomach to produce more acid than it needs, leading to peptic ulcers. Bleeding ulcers are most commonly treated with medication. Later, you blow into a bag, which is then sealed. This causes infection and redness or swelling . It attacks the stomachs mucous lining, allowing acid to penetrate and damage the tissues. To provide you with the most relevant and helpful information, and understand which Internal bleeding: While most people with ulcers won't have bleeding, this is the most common complication that can occur. 2018; doi:10.1016/j.mayocp.2017.10.022. An ulcer develops at the site of a blood vessel, which causes this condition. (2022). They may need to avoid taking NSAIDs temporarily, and many people need a follow-up endoscopy to ensure the ulcer is gone. If severe bleeding or treatment doesnt stop or slow the bleeding, a healthcare provider may recommend surgery. You can learn more about how we ensure our content is accurate and current by reading our. It can also cause skin to appear paler than is typical. Its also important to take a full course of antibiotics and not stop early, even if you feel better and dont have any symptoms. These ulcers can be completely healed. 5. By using our site, you agree to our. They do not treat the ulcer itself or address the cause. Why this happens cant always be determined. Ulcers can happen for several reasons. Start Here. An esophageal tear usually resolves without treatment in a few days, just like a cut anywhere else. Peptic ulcer disease. When you visit the site, Dotdash Meredith and its partners may store or retrieve information on your browser, mostly in the form of cookies. (2015). During endoscopy, your doctor passes a hollow tube equipped with a lens (endoscope) down your throat and into your esophagus, stomach and small intestine. Peptic ulcer: symptoms and causes. If the ulcer is deep, it can cause serious pain or bleeding. Ulcers can heal if they are given a rest from the factors that created them. Your doctor could also use a clamp or cauterization . Peptic ulcer disease. A large stomach ulcer, for instance, may take several months to heal. Taking certain pain relief medications known as nonsteroidal anti-inflammatory drugs (NSAIDs) at high doses or for extended periods can cause peptic or bleeding ulcers. This procedure involves taking a series of X-rays of your stomach and small intestine. We use cookies to make wikiHow great. Typically, healthcare providers perform surgery when an ulcer is bleeding profusely, and the bleeding doesnt stop. Mastic powder, the product of a type of evergreen shrub, may also help improve symptoms and speed healing of peptic ulcers. MNT is the registered trade mark of Healthline Media. Though ulcers can sometimes heal on their own, you shouldn't ignore the warning signs. If you have the infection, antibiotics and other drugs can help fight the bacteria and ease symptoms. If you have severely bleeding ulcers, your doctor may want to perform another endoscopy at a later date to be certain that youre fully healed and that you dont have more ulcers. If you have ulcer symptoms, see your doctor. Dr. Prokupek has over 30 years of medical experience and specializes in the diagnosis and treatment of diseases of the liver, stomach, and colon, including chronic hepatitis C, colon cancer, hemorrhoids, anal condyloma, and digestive diseases related to chronic immune deficiency.