Why do I get stool smell in my anus always?

Question

Hi doctor,

I have an issue that really needs taken care of. I am not sure which type of medical professional I should be seeing? I have gone to a gastroenterologist and got a colon exam. They said they did not see anything wrong. But I have had this issue for a few years now and it is not getting any better. I seem to constantly have a fecal odor. My rectum area always feels moist and smells constantly like poop. I will be in the shower scrubbing and soaping up my butt and by the time I get out my anus already smells like poop. Every time, I have a bowel movement, I have to either shower or use soap and water to clean off as best I can, even though minutes later it starts smelling again. I clean myself much more thoroughly than I feel most people do but it does no good. I am also really gassy if that might be related. Always feeling like I have to fart or like I need to poop. It never feels like I am able to fully evacuate my bowels on the toilet. I am also very sweaty in my groin butt area. It probably does not help any. What should I do now?

Answer 1

Hi,

Welcome to icliniq.com.

I read your query. You have feeling of incomplete evacuation, smell of stool persistently and also gas problem. I would like to know what is your daily bowel frequency. I would suggest you to check with gastroenterologist regarding finding of your rectal examination which should be done by finger. If it was not done it should be done to check the synchronization of your rectal muscle contraction and anal sphincter contraction as you have mentioned you have incomplete evacuation. A special test called manometry can also help to check the muscle coordination.

Regarding gas problems, you can modify your diet e.g. if you are lactose intolerant reduce milk and milk products. If you are taking too much protein in your diet you can reduce it. You can give me feedback once you try this suggestion.