Causes of Anal Leakage
If you are dealing with the problem of leaking anus, then you need to ask this question. What type of fluid is leaking from there? This is biggest hint about the cause of leakage.
Types of Leaking Fluids
Mucoid/ Clear Fluid
It could be a transparent looking, slimy, mucoid discharge, coming out of the bowels. This usually indicates that there is some inflammation in the lower bowels. A physical exam with or without colonoscopy may reveal the cause.
That is, pus containing discharge. This is likely to be due to some infection down there. There may be evident lesions, as are common in tuberculosis or some STDs. Or else, there may be an anal/ perianal abscess.
There may be a tear or a fistula around the anal opening, that is oozing out the clear liquid. Or, there may be an abscess that’s leaking fluid. You need to get examined.
The fluid may be blood stained or you may get frank blood coming out of the anus. The commonest cause for such a situation is Piles. Other causes include severe infections of the lower gut. Proper evaluation is needed to investigate the precise cause.
A fecal discharge coming out of the anal opening may suggest incontinence of the anal sphincter. This means that the muscular orifice controlling the anal opening is not tight enough due to some reason.
Fecal discharge may also be seen in cases where there develops a tunnel between the anal canal and outside skin. This is medically termed as an anal fistula.
Some may get a greasy or fatty discharge from there. This happens when your stools contain excess of fats in them.
There can be two reasons for this, either you are consuming too much of fats, or your intestines are unable to assimilate the fat present in your diet.
Symptoms of Rectal Discharge
- Staining of undergarments
- Pain or ache while defecation
- Feeling of wetness down there
- Anal itching
- Frequent urge to go to washroom
- Foul smell from groin area
- Redness or swelling around the anus
On the basis of your symptoms and the type of fluid leaking out, your doctor may proceed with investigating you. Some conditions where leaking anus is commonly seen are discussed below.
Inflammatory Bowel Syndrome
IBS is characterized by inflammation and irritation of the distal bowels. A clear or yellowish white discharge may come out. This is usually mucoid in consistency.
It feels slimy to touch. The patient may often perceive as some wetness down there. The yellow color may be due to the bile pigments from the gut, or due to fecal contamination.
The pH of the fluid may be acidic sometimes, leading to itchiness and redness around the anal opening.
Certain infections affecting the distal anal canal may lead to leaking of inflammatory fluid from the anal opening. The fluid may be pus like, as in tubercular infection, or clear mucoid.
STDs may also affect this area. This is specifically common in people who practice anal sex. Lesions may be seen in or around the anus on examination.
There may be ulcers, rashes or overt growths. Itchiness may be there. A feeling or dampness stays in the groin area. There is a discomfort in movements.
The underwear may be blood stained or sometimes pus may be seen. Bodily symptoms like pain in lower abdomen or fever may be present.
Warts are open growths in the region caused by certain viruses. They are usually sexually transmitted.
Abscess is a localized collection of pus any where in the body. It commonly occurs near or around the anal opening, since this area is exposed to plenty of germs. Abscess in this location is called a perianal abscess.
A serous discharge may be seen in malignant growths. If infected, the exudate may be pus like.
Such growths are usually painless, irregular and attached to the underlying skin.
Piles or Hemorrhoids
A fishy smell in your anal discharge may indicate hemorrhoids. A careful examination by a doctor is required.
Blood coming out of the opening is, by far, mostly due to piles. However, since malignancy is another cause of getting blood there, it’s essential to evaluate.
This is a condition where orange to transparent colored greasy stuff leaks out from your bottom. The discharge may be as little as a tea spoon full, to larger than a cup, that needs to be evacuated in the commode.
This happens when you consume certain fish oils that are indigestible. The oils pass out from your anus as it is, without being used by the body.
Leakage or involuntary passing out of the stools from the anus is called bowel incontinence or fecal leakage.
This ranges from slight fecal leakage to passing out of the whole stools. There is a foul smell from the discharge. The skin around the opening in constantly wet, and may itch or rot.
Causes of Incontinence
- Chronic diarrhea/ constipation, which leads to irritation of the anal orifice
- Denervation, that is, injury to the nerve controlling the anal orifice. This may happen after some surgical procedure for hemorrhoids or childbirth.
- Medical conditions involving the nerves, as diabetes or multiple sclerosis
- Muscle problem, sphincter loosing
- After parturition, especially when forceps have been used or episiotomy done.
For all cases of fluid leaking from your bottoms, it is suggested that you see a doctor for proper evaluation about the cause behind it.
Meanwhile, keeping the area dry down there is essential. This is to prevent maceration of the skin there, and subsequent chances of any infections. Butterfly body pads or liners are available in the market. They may be used to keep the region clean.