What could cause anal discharge with discomfort?

Hello,

Welcome to icliniq.com.

I have read your query and understand your concern. I want to the detail history as follows:

1. Since how long have you had the above-mentioned problem sir?

2. Do you have any difficulty in defecation?

3. Is there any pain while defecating?

4. Do you have constipation?

5. Do you feel any external swelling or opening around the anal opening?

6. Is there any pus-like discharge?

7. Have you done any tests so far?

8. If possible can you attach a picture for better assessment? (If you are comfortable)

Based on the symptoms you have mentioned it could be the following:

• Hemorrhoid.

• Anal fistula.

• Localized perianal skin infection.

I need answers to the above questions to distinguish clinically above-mentioned differential diagnoses. Please answer the above questions so I can suggest you the treatment.

Thank you.

Hello,

Welcome back to icliniq.com.

Thank you for the answers. Based on your reply it is not hemorrhoid. It could be a simple anal fistula or localized perianal infection. In anal fistula, the patient usually complains of intermittent purulent discharge (which may be bloody) and discomfort which increases until temporary relief occurs when the pus discharges. Do you find any similarity in the symptom presentation written above? Because in the tissue paper, it appears to be mucus mixed with pus (attachment removed to protect patient's identity). Is it smelly? Now to distinguish the above two differential diagnoses you need a physician visit to examine the perianal area and to do a proctoscopy to look for any internal or external opening. I can guide you if you could attach a picture of the perianal area to look for skin infection or opening if present (if you are comfortable). Please reply to the above questions as well to guide your diagnosis and further workup needed to confirm it and medications if any. I hope this helps you.

Thank you.