Anal moisture
Hello Doctor,
I have a question that has been bothering me for a long time.
After I have a bowel movement, I feel like I clean myself thoroughly, but if I hold my urine or walk for about 30 minutes, I start to feel moisture around my anus.
When I check, it is yellowish and has an unpleasant odor.
This is quite troublesome at work, but at home, I can wash with water (I use my finger to help rinse a bit), and after that, I don't have the issue of moisture or odor.
Why does this happen? I once visited a colorectal surgeon who mentioned I have mild hemorrhoids, but I don't experience pain or discomfort, so I didn't pay much attention to it.
Could you please help me? Thank you!
I have another issue: every time I have a bowel movement, if I drink or eat something afterward, I feel discomfort in my abdomen, as if I can't fully relieve myself.
This happens quite often, and I also have a habit of holding in my bowel movements, which results in loose stools.
Recently, I've noticed some small, sticky pieces, and occasionally, I have a more formed, sausage-like stool, but that happens infrequently.
Could you please help me with this as well? Thank you!
Xiao Xin, 30~39 year old female. Ask Date: 2019/02/27
Dr. Ke Fangxu reply Surgery
This situation is more akin to irritable bowel syndrome.
If the symptoms are severe, you may consult a gastroenterologist for medication.
The moistness around the anus could be caused by soft stools leading to some leakage.
It is advisable to increase your intake of dietary fiber to improve stool consistency; however, excessive cleaning of the anus is not recommended, as it may damage the sphincter and worsen the symptoms.
Reply Date: 2019/02/27
More Info
Understanding anal moisture issues can be quite complex, as it involves various physiological and anatomical factors. Based on your description, it seems you are experiencing discomfort related to anal moisture and possibly some gastrointestinal symptoms. Let's break down the potential causes and solutions for your concerns.
Causes of Anal Moisture
1. Normal Physiological Responses: After a bowel movement, it is common for the anal area to feel moist due to residual moisture from wiping or from the body's natural secretions. However, if you notice persistent moisture or an unusual odor, it may indicate an underlying issue.
2. Hemorrhoids: You mentioned that a rectal surgeon diagnosed you with mild hemorrhoids. Hemorrhoids can lead to increased moisture in the anal area due to inflammation and irritation. Even if they are not painful, they can still cause discomfort and changes in moisture levels.
3. Skin Irritation or Infection: Conditions such as fungal infections or dermatitis can lead to increased moisture and odor. The skin around the anus is sensitive and can be affected by hygiene products, soaps, or even excessive wiping.
4. Dietary Factors: Your gastrointestinal symptoms, such as discomfort after eating or drinking, could be related to your diet. Certain foods can irritate the digestive tract, leading to increased gas, bloating, or changes in stool consistency.
5. Bowel Habits: You mentioned a tendency to hold in bowel movements, which can lead to constipation and the formation of harder stools. This can create a cycle of discomfort and may contribute to the feeling of incomplete evacuation.
Solutions for Discomfort
1. Hygiene Practices: Continue your current hygiene practices, but consider using gentle, unscented wipes after bowel movements to help keep the area clean and dry. Avoid using harsh soaps that may irritate the skin.
2. Dietary Adjustments: Pay attention to your diet. Incorporate more fiber-rich foods such as fruits, vegetables, and whole grains to promote regular bowel movements. Staying hydrated is also crucial for preventing constipation.
3. Regular Bowel Habits: Try to establish a regular schedule for bowel movements. Avoid holding in stool, as this can lead to harder stools and increased discomfort. Responding to your body's natural urges can help maintain regularity.
4. Consult a Specialist: Since you have already seen a rectal surgeon, consider following up with a gastroenterologist if your symptoms persist. They can perform further evaluations, such as imaging studies or endoscopy, to rule out other gastrointestinal issues.
5. Over-the-Counter Treatments: For mild hemorrhoids, over-the-counter creams or ointments may provide relief. However, consult with a healthcare provider before starting any new treatment.
6. Mindfulness and Stress Management: Stress can exacerbate gastrointestinal symptoms. Consider incorporating mindfulness practices, such as meditation or yoga, to help manage stress levels.
Conclusion
Your symptoms of anal moisture and gastrointestinal discomfort are not uncommon, but they can significantly impact your quality of life. By addressing hygiene, dietary habits, and bowel regularity, you may find relief from your symptoms. However, it is essential to maintain open communication with your healthcare providers to ensure that any underlying conditions are appropriately managed. If your symptoms persist or worsen, do not hesitate to seek further medical advice. Remember, you are not alone in this, and there are effective strategies and treatments available to help you feel more comfortable.
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