Persistent Fishy Odor from the Anus: Which Specialist to Consult? - Surgery

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If you are experiencing a persistent fishy odor from the anus, it is important to consult a healthcare professional to determine the underlying cause and receive appropriate treatment. The first step would be to see a gastroenterologist, a specialist who focuses on the digestive system and its disorders. They can evaluate your symptoms, conduct necessary examinations, and provide a diagnosis.

The fishy odor you describe could be due to several factors. One possibility is an infection, such as a bacterial or fungal infection in the anal area. These infections can cause unusual odors and may be accompanied by other symptoms such as itching, irritation, or discharge. Another potential cause could be related to dietary factors. Certain foods, particularly those high in sulfur (like fish, garlic, and onions), can lead to changes in body odor, including anal odor.

Additionally, conditions such as anal fissures, hemorrhoids, or other rectal disorders could contribute to abnormal secretions and odors. In some cases, conditions like inflammatory bowel disease (IBD) or irritable bowel syndrome (IBS) may also be relevant, as they can affect bowel habits and the consistency of stool, potentially leading to odor issues.

When you visit the gastroenterologist, they may perform a physical examination and ask about your medical history, diet, and any other symptoms you may be experiencing. Depending on their findings, they may recommend further tests, such as stool tests, blood tests, or imaging studies, to rule out any serious conditions.

If the gastroenterologist determines that the issue is related to skin or soft tissue problems around the anus, they may refer you to a colorectal surgeon or a dermatologist specializing in skin conditions. These specialists can provide targeted treatment for any skin infections or other dermatological issues that may be causing the odor.

In the meantime, maintaining good hygiene is essential. Regularly cleaning the anal area with mild soap and water can help reduce odor. Wearing breathable, cotton underwear and avoiding tight-fitting clothing can also help minimize moisture and odor. If you notice any changes in your bowel habits, such as diarrhea or constipation, or if you experience pain or discomfort, be sure to mention these symptoms to your doctor.

In summary, the best course of action is to start with a consultation with a gastroenterologist. They will be able to assess your symptoms, provide a diagnosis, and guide you to the appropriate specialist if necessary. Remember, addressing these concerns early can help prevent potential complications and improve your quality of life.