Why do I have frequent stool urgency and hemorrhoid pain?

Gut issues can be challenging. You've successfully healed ulcers, which is great, but IBS challenges remain. IBS is common and can cause belly pain, bloating, and changes in bowel habits. Often, stress or certain foods trigger it. Medications like Librax and Amixide H, prescribed by your gastroenterologist, can help manage the symptoms. However, lifestyle changes are also important. Stress relief methods, regular exercise, and a fiber-rich, healthy diet can make a significant difference. 

Stomach distress is relieved by Tributyrin but if it is combined with Hepanat Le Dieci Erbe, liver function may be affected. It is used for liver health, while the former is used for constipation and other stomach ailments. It's recommended to discuss these things with your doctor before doing anything.

While low B12 levels can affect the body in many ways, they usually don’t impact bowel habits like this. It’s great that you’ve had some tests, and they’ve ruled out any inflammation in your stomach or colon. Your symptoms might be due to functional gastrointestinal disorders or hemorrhoids, which are quite common and generally not too serious. Keep an eye on your symptoms, and try not to worry too much. However, if you’re still concerned, getting a second opinion from another doctor might help give you peace of mind.

Having diarrhea or soft poop could be due to many things such as infections or food sensitivities while difficulty passing stool could mean constipation. You need to eat more fiber, drink plenty of water, and also go for a medical check-up to know exactly what is wrong with you. 

An ALT test che­cks your liver's enzyme le­vel. A reading of 347iu could mean live­r troubles. Extreme fatigue­, insomnia, and constipation might signal liver issues. Your doctor wants another te­st next month to see if le­vels change. Meanwhile­, eat healthy foods, avoid alcohol, and rest we­ll. Follow up with your doctor about your liver health status.