If there is discharge near the anus, what should I do?
Recently, I experienced gastroenteritis with diarrhea, and suddenly I had pain near the anus.
Upon examination, I felt a small lump close to the anus that was painful when pressed.
Generally, I only felt pain when sitting down, but I didn't have much discomfort otherwise.
Due to work commitments, I couldn't find time to see a doctor.
One day, while using the restroom, I noticed a blood clot when wiping, which seemed to have come from that small lump.
After that, the pain completely disappeared, and I no longer felt any foreign sensation.
My bowel movements returned to normal and were painless, so I didn't seek medical attention.
However, a few days later, I suddenly felt a moist sensation near the anus.
When I wiped with toilet paper, I found that the area where the small lump was located had no hard mass, and the discharge was a pale yellowish-white liquid, occurring about 2 to 3 times a day.
Could this be an issue related to a fistula? Since there is no pain or bleeding, I'm unsure whether I should see a doctor or if it will resolve on its own in a few days.
Kunrao de ren, 30~39 year old female. Ask Date: 2023/11/19
Dr. Zhang Shuhao reply Surgery
After diarrhea, if there is swelling and pain around the anus accompanied by purulent discharge, it may be indicative of an anal fistula.
If symptoms persist, it is advisable to seek medical evaluation.
An experienced colorectal surgeon can diagnose an anal fistula through a physical examination.
Once a fistula has formed, surgical removal should be considered to prevent recurrent inflammation.
Reply Date: 2023/11/19
More Info
Dealing with discharge near the anus can be concerning, especially when accompanied by previous symptoms like pain and bleeding. Based on your description, it seems you experienced a painful lump near the anus, which later resulted in a blood clot and subsequently a discharge of a yellowish fluid. While the absence of pain and bleeding is a positive sign, it is essential to consider several factors before deciding whether to seek medical help.
Firstly, the symptoms you described could potentially indicate a few different conditions. The initial painful lump could have been a hemorrhoid or an anal fissure, both of which can cause localized pain and bleeding. Hemorrhoids are swollen veins in the rectal area that can become inflamed and painful, especially during bowel movements. Anal fissures are small tears in the lining of the anus, often caused by passing hard stools, which can also lead to pain and bleeding.
The subsequent discharge you are experiencing could be a sign of an anal abscess or a fistula. An anal abscess is a collection of pus that can form due to an infection, often following an obstruction of the anal glands. If the abscess drains, it may lead to a fistula, which is an abnormal connection between the anal canal and the skin. The yellowish discharge you mentioned could be pus, which is a common symptom of these conditions.
Given that the discharge is occurring multiple times a day and is associated with a previous painful lump, it is advisable to seek medical attention. Even though you are currently not experiencing pain or bleeding, the presence of discharge could indicate an underlying issue that may require treatment. Conditions like abscesses or fistulas can lead to complications if left untreated, including persistent infection or further discomfort.
When you visit a healthcare provider, they will likely perform a physical examination and may recommend additional tests, such as imaging studies or a referral to a specialist, such as a colorectal surgeon. They will assess the nature of the discharge, the condition of the surrounding tissue, and any other symptoms you may have.
In summary, while the absence of pain and bleeding is reassuring, the presence of discharge near the anus, especially following a history of pain and bleeding, warrants a medical evaluation. It is better to err on the side of caution and have a healthcare professional assess your condition. Early diagnosis and treatment can prevent potential complications and ensure your health and well-being.
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