First of all, no Thai boy is going to let your mouth go anywhere near his ass he has bleeding hemorrhoids, or regular hemorrhoids for that matter. Second, the main risk is from contact with fecal matter -- the risk is insignificant if the boy has washed since his last bowel movement, which undoubtedly every Thai boy you will have sexual contact has.
If a boy resists you making a move towards his ass, it either means he's just not into it, or more likely, there is something wrong: 'roids, warts, lack of cleanliness, or something else. Do NOT push your way back there if he resists, if you wish to avoid contact with something unpleasant.
That's my advice for you.
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