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.

Fatty discharge
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.

Common Causes

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.

Anal Warts

Warts are open growths in the region caused by certain viruses. They are usually sexually transmitted.

Perianal Abscess

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.

Fecal Incontinence

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.

Medical Advice (Q&As) on “If Your Anus Is Leaking, Look for These Causes

  1. Alana

    I am a 43 yr old woman who has had no other illness other than asthma. I lately have had yellow oil coming out rather than stool a lot of the time. It’s strange and sometimes it’ll be all oil then I am done, stand up and a few min later I feel I need to use bathroom again so I try and more oil or yellow stuff. Sometimes it’s all oily stuff. It’s always bright yellow. Not clear almost as if the fat I eat is coming out while? If that makes sense. It’s awful. Feels weird too bloated like during these times. Like air also is there. What is happening? All tests show normal.

    1. Buddy M.D. Post author

      Could be undigested fat from your intestines. Cut down your fat intake. Include more of fruits and freshly stewed vegetables in your daily diet.

      Cut down on all dairy, meat and egg. Take whole grain meals, as far as possible.

      Do let us know if this helps.

    2. Anonymous94

      14yo male. I have a clear like liquid regularly oozing from the anus. The liquid is slimy, and I often feel wetness and it itches. And today I went to urinate but there was some orange playdough like “stuff” around the anus.

          1. Buddy M.D. Post author

            You may be having slight inflammation in your lower bowels. This is the commonest reason why you get slimy secretions down there.

            Slight changes in diet and lifestyle may solve the problem. Restrict your intake of tea, coffee and alcohol. Drink plenty of water. Include fresh fruits and veggies in your diet. Avoid excess of all spices.

  2. Samantha

    I have lots of pain whilst pooing, but i have anal sex 3-5 times a week, is this normal? Or should i cut down on the bum fun?

    1. Buddy M.D. Post author

      This happens commonly. However, it’s better to get yourself examined to see if theer’s any evident injury or lesions back there, that’s giving you the pain.

      An aching pain or frictional pain is normal.

      1. Lee

        Hi I have a hiatus hernia and severe pain in my rectum after ejaculation and lasts awhile only thing that relieves slightly is putting pressure on the area like finger in tissue and in rectum to area of pain. I have white fluid leaking out also please help

        1. Buddy M.D. Post author

          This is common with patients with Hiatus hernia. you’ll need to see a surgeon for repair options.

          Till then, avoiding constipation or excess straining at stools is essential.

  3. Anonymous

    26 female, pain like numbness on lower left side of tummy, after gas, went to the bathroom and had blood on stools & then fluid leaking transparent with red dots! Also then I felt like my anus is swollen and also watery

  4. george smith


    I am wondering. this has only occurred the past couple of days. as everyone knows, the cornoa virus is going around and I did test last week and was negative but I don’t go anywhere, however, I have been trying to lose lots of weight, excercising a lot, and eathing just about no fat. I have had tons of anxiety . I will be 46 in less than a month. anyway, I never had this ever before and my stomach and everything was completely fine till basically yesterday. yesterday and today my stomach had felt I guess yo ucould say acidic and once in awhile my right side hurts too. but starting yesterday afternoon, and going through today, it feels like I have this feeling of very slight leaking. there doesn’t seem to be any color. just feels (wet) I guess. the stomach and right side seems to have gone down slightly. I was worried about the fact I ate some frozen berries I had for several months last week because I heard about hep A recalls, but I did microwave the food slightly. but in addition, and I don’t know if this may be part of it, but I have taken 5-8 x as much vitamin C over the past few weeks as I ever have before simply because I am trying to build my immune systtm, it is a harder pill. I have also taken 1.5 to 2x as much as all the other vitamins so I don’t know if anxiety and too much vitaimns could be casuing this? or if it was something I ate? like I said, I have never had this ever.

    1. Buddy M.D. Post author

      May be anxiety.

      If it pains again on the right side of your abdomen, anta acid pills may be tried. These would neutralize the acid produced due to spoiled food/ anxiety or any other factor. Likely to help.

  5. Anonymous

    Have been having this problem for a while, I get a watery type fluid (probably leaking) from my anus which produces a foul smell down there and on my underwear. I’m very clean, shower 2x daily, clean clothes, use deodorant etc. I eat relatively healthy as my mum is a nutritionist though i do eat “junk foods” occasionally but I guess that’s normal. Thought I’d mention I trim my pubic hair as it’s cleaner so I doubt it’s a fungus? Recently had an intolerance test and I came back intolerant to yeast. Only started cutting out yeast a few days ago and have noticed no difference but thought that may play a part? I’m gaining the courage to go to the doctors and get checked out after the corona virus has calmed down but I’d rather not as it’s gross and uncomfortable for both me and the doctor. I only ever have sex with girls at parties as it’s only a one night thing and it’s usually intercourse rather than oral so there isn’t much risk of her noticing the smell. I’m fed up and want a meaningful relationship but this is holding me back because who wants a lad with a smelly butt. I’m just your average 17 year old who wants to feel normal again. Please help.

    1. Buddy M.D. Post author

      Could be related to some food you eat. You may need to cut down on spices, alcoholic beverages or caffeine; as excess of any of these may give you GI problems.

      Else, this could be related to yeast intolerance. Any history of dairy intolerance in family?

      1. Anonymous

        Thanks for the reply,
        Yes my mum and brother are dairy intolerant.
        I will cut down on alcohol and spices and see if that helps thanks.

  6. Mike

    Hi. I have a yellowish liquid with a fish smell leaking from anus. Its constant. The min I clean up and stand up I feel it leaking again! It even run down my leg if I don’t put on depends smh. Have a appointment with doctor this week but was wondering if any idea what this could be? I can’t find anything on Google. I have to wear depends and change them multiple times a day. Im 35 straight no stds. This is driving me insane!!!!!!!

    1. Buddy M.D. Post author

      Any history of piles/ hemorrhoids? Such a discharge is common when hemorrhoids get infected or irritated.

      1. James

        I have major in count finance daily and usually overnight. Had a bad fall on my Burt and now have to manually eject fecal matter. Also quite a bot of rectal pain.

        1. Buddy M.D. Post author

          You need to straighten out your thighs and take adequate rest. If pain persists, better go for an Xray.

          Usually, butt muscles are able to bear the burnt. You’ll just need to give it rest.

  7. Mike

    Was examined and couldn’t find the cause…. have a colonoscopy scheduled in a week. The leaking stopped for 1 day then started again. Seems to get worse after having a bowel movement.

        1. Buddy M.D. Post author

          If your inner mucosa is leaking out some fluid, there has to be some cause of irritation. Can you share the exact colonoscopy report? Any sign of inflammation, any growth etc.?

  8. Pete

    I have what looks like a bunch of skin tags on my anus that cause mild discomfort and some pinching when I have a bowel movement. I notice any time I wipe throughout the day (even if I have not had a bowel movement) that there is pink fluid on the toilet paper. I have a colonoscopy scheduled in a few weeks. Any thoughts as to what this may be?

  9. Jake

    17 years old, male
    Several times a day and whenever I fart, a transparent sticky foul smelling liquid gets out of my anus
    I have no other symptoms and it has been a week since it started happening
    Any idea of what it may be and if I need to consult a doctor for it?

        1. Buddy M.D. Post author

          Some mucous production there is normal. However, excess of mucous or it’s leakage needs to be checked. Often it is related to one’s diet. Excess of spices, chilies or garlic are common culprits.

          Some medical conditions, causing inflammation of the lower gut, are also attributed to this condition. These are commonly grouped under Inflammatory Bowel Diseases. You’ll need to see a specialist to get diagnosed.

  10. Matt

    Hello, I wake up with my underwear really a big portion of my butt is wet and it looks like I sat in a puddle. I smoke cannabis often, and I suspect this excessive butt sweating is happening due to the excess fatty acids/oils from smoking. It has only gotten worse over the months trying baby powder or other remedies and I do not know what else could be resulting in this.

    1. Buddy M.D. Post author

      It is recommended that you gradually stop taking any such drugs. Many more unpleasant side effects are yet to come with continued use.

      Night sweating is specifically common with cannabis use. To minimize, keep yourself well hydrated. Drink plenty of non alcoholic drinks through out the day. Take healthy diets, which includes plenty of fresh fruits and vegetables for detoxification.

      Minimize your intake of tea and coffee. Caffeine in such drinks may add up to your troublesome symptoms.

  11. Becky

    Around my anus it is itchy. Tonight sitting on the couch I got up and there was a big wet spot on the couch and my underpants and nightgown were wet. Also, I seem to have air, but it is wet and bubbly feeling. The wetness is thin.

  12. Steven

    Dear doctor,

    I have the following problem and I am indeed suffering very much from this condition or at least from the fear of this possibly happening:
    I am a gay young male in his mid 20s. I used to have a very healthy life style, I hit the gym three to four times a week, I ate healthy wit only little fast food and I almost never drank alcohol. I always had some problems digesting lactose ever since I can remember. However, in my warly 20s my gastroenterologist also diagnosed an intolerance to fructose and sorbitol as well. Approximately 18 months ago I was diagnosed with metastatic thyroid cancer (which at the beginning my doctors deemed to be a Non-Hodgkin lymphoma) so I had to undergo major surgery and radioiodine therapy twice. Ever since my life has not been the same any more. I have constant bloating whatever I eat, I often have cramps in my belly. But life goes on. I am in my residency now and every day I feel awkward and uncomfortable in my skin.
    However, what makes me suffer the most is the fact that as I am a gay male, I have engaged in some recepticr anal sex over the past 6 years, albeit something in-between 30 to 50 times cumulatively. So yes, I have obviously had receptive anal sex more often than my straight peers have, but I have had receptive anal sex in a much lower frequency than most of the gay guys of my age. Thr thing is that a have developed a real fear that – since I am always bloated since the two radioiodine therapies – I might pass wind without noticing it until I smell it. I really don’t know if this is indeed a thing but I am pretty sure it happens on longer car rides. And I feel really sorry for myself because I don’t know how to change this situatiom and if I should indees feel guilty because of having had receptive anal sex and thus being responsible for all this mess by myself. I should mention that I do not have fecal incontinence. Only flatus incontinence is what makes me struggle each day with myself 🙁

    Yours thankfully,
    a fellow young doctor

    1. Buddy M.D. Post author

      Your problem is likely to be a side effect of anti cancer treatments you received. Nothing much can be done about it. Though, it would gradually get improve with time.

      For now, adding edible fibres to your diet may help. Avoid all frank sugars and dairy. Include as much fibre in your diet as possible. Fibre rich food may include leafy salads, citrus fruits, coarse grains etc.

  13. father

    i had unprotected sex and after months my girlfriend discovered that she had hpv and i also took medicine and also had symptoms that looked like prostatis but i had 2 injections but now i dont feel the symptoms after ejaculation , i saw a yellow fluid on my anus,also when i am releasing poo(faeces) they will be like stones in structure.WHAT MAY BE THE PROBLEM

  14. Paul

    I have had some itching around my anus (occasional)
    After I have a BM I feel discomfort like irritation from there. I go back into the bathroom and find a slight leakage and have to clean myself again. Just a wipe or two or three. Sometimes clean with witch-hazel solution.
    I am sitting a lot at my new job. I have cut back on coffee and alcohol I am 62. Good health.
    I’m wondering if Chocolate is causing an issue? Or other foods?
    Possible cause, cure?

    1. Buddy M.D. Post author

      Could be hemorrhoids. You’ll need to get a physical check up done to confirm the diagnosis.

      Possible is not good for involuntary muscle sphincters of our body, be it the anal sphincter or the esophageal one. Limiting it’s intake would help.

      Eating a healthy diet, comprising plenty of fruits and vegetables would benefit. Drink adequate amount of water as well.

      Meanwhile, you may also use a portable bidet to clean down there, each time you get that fluid out. This would prevent irritation around the anus.

  15. Daniel


    I am a 26 year old male with an embarrassing and anxiety inducing problem

    When I was 21,I was diagnosed with a hemorrhoid but in the past five years it did not bother me at all, until around July of this year, one Day at work, I passed gas and felt an itchy and burning sensation so I went to wipe and some poop had come out, Just a little though. I went to my doctor and he gave me suppositories which I took for two weeks and I feel it did help as the pain and occasional bleeding went away.

    Now, I am not constipated nor do I have diarrea. I eat healthy, drink over a liter of water a Day and use the restroom anywhere from one to three times a Day. I have no issues pooping and I can be in and out of the bathroom in five minutes, which I should mentón I use a prtable bidet to wash the área and afterwards I feel fine, although sometimes a little humid down there.

    The thing is I have two Jobs, one where I am sitting all Day and the other where I walk a lot. At the sitting job, I am fine and don’t have any issues but once I start walking and start sweating, I sometimes need to go wipe and sometimes it’s Just sweat and other times it’s a brownish, yellowish líquid that doesn’t smell like anything. Could this be fecal remain that come out thanks to the sweat that causes it to come out? This only happens when I am walking where I need to go back and wipe and, it doesn’t happen everyday.

    Also worth mentioning that I had blood test done and nothing malignant was found, nor do I have stomach problems. This is something I have dealt with almost all my life, where I walk and start sweating, and need to go wipe again. The bidet does help a lot in feeling cleaner but I still sometimes need to go back and wipe.

    These past two or three times I used the restroom, I felt a stabbing pain in the anus like as If I were super constipated but Everything was normal and I was in and out of the bathroom as always, it was Just that stabbing pain that came and lasted maybe 20 minutes. I do also wipe more than I should and my anus is also pretty irritated from so much cleansing

    1. Buddy M.D. Post author

      Maximize your use of the portable bidet, you mentioned. This would prevent pain, burning and inflammation in the affected area.

      The stabbing pain, you mentioned, looks like Proctalgia. This occurs due to spasm of the pelvic floor muscles, the muscles of the anal sphincter, or the muscles of the rectum. You may talk to your health care physician about it.

      Usually, medications are not required. Pelvic muscle retraining is practiced to manage the condition.

  16. Saleen

    15 year old female
    i was sitting down and i feel liquid come out of my butt… i stood up and it leaked through my pants and some is on the chair its browish yellow color but it doesnt smell like poop or pee… im confused what just happened

  17. Saleen

    15 year old female
    I was sitting at my desk at home and I feel liquid just slide out of my butt. So I get up and look at the chair and it leaked through my pants, its brownish yellow in color and does not smell like much of anything. I go to the restroom and try to clean up. I wipe and its just liquid brown stuff. I don’t think its diarrhea nor just liquid poop. So im confused..

    1. Buddy M.D. Post author

      It’s likely to be from your anus. You may call it poop.

      Looks like there’s some inflammation in your lower gut. This may have caused this inflammatory fluid to leak out. Also that bubbly sound from gut. Such issues are likely to subside on their own. It may be related to something spicy you ate or may be excess of alcohol.

      However, if it recurs, you’ll need to see a doctor for physical exam. It could be blood mixed with fluid, oozing out from some lesion down there. Such possibilities need to be ruled out.

  18. Nittala Sarma

    I am 71 years male, physically and mentally active suffering from chronic constipation. I eat and drink healthy, plenty of fruit and green veggies. Over the last few months, I have leaky anus. The leak isn’t foul smelling nor perhaps colored, nor slimy. Doesn’t happen when sitting but when I stand up and is accompanied by bubbly gas from the lower gut. My weight has been going down consistently. For my height of ~170 cm, from ~70 kg a few years ago, It reached 65 about 6 months ago and now 62 kg. It appears as if old age has befallen me much too early. From the readings on this forum, prima facie, the condition could possibly be: (i) mal-absorption of fat by the lower small intestine, (ii) inflammation, or (iii) the loss of elasticity of the anal sphinctre. Request advise.

      1. Sarma

        Hi Doctor, Thanks for the reply. Yes; I got it done about 2 years ago. As per the GI specialist, it was absolutely normal. In the meantime, I have visited a Dentist, who prescribed antibiotic for the procedure he did. I am now on the 4th day of the course; there appears to be relief from the leakage and the associated bubbling etc. starting from the first pill. I also feel more energetic (I am using B complex as a supplement) and appear to be bouncing back to health with my defecation cycle becoming (is it temporary?) normal. Should I now observe for more time until after the antibiotic course is through? I have to keep vising the Dentist for 2 or 3 sessions more during the coming month. I shall in the meantime fish out for the old colonoscopy details. Should I get a fresh one done again? Thanks again and Best regards:

        1. Buddy M.D. Post author

          We may wait for some more time and observe. B complex supplement may be continued for some more time after finishing the antibiotic course. Let us know if you improve.

  19. concerned

    clear discharge from bottom soaked my pjs, discovered when I woke up. could this be from drinking a homemade smoothy with choc chips, sugar free choc chips, sugar free choc syrup, lactose free milk, vanilla extract and ice every day for almost 2yrs. thank you for your time.

    1. Buddy M.D. Post author

      Too much of cocoa/ chocolate does make your sphincter lose and less competent. So, long term use may hamper their function to some extent.

      Try trimming your coffee/ cocoa intake. You may see a difference.

      If your problem doesn’t solve, further evaluation may be done.

  20. Alvarez

    I am a 16 years old male and i have a problem for 3 years.
    I was 14 when i noticed i have hair in my butt and i tried to pluck some hair like 3-5. After i did that, my butt started to sweat and smell like poop. The smell started getting worse day by day and my butt is always sweaty and i have to wipe it frequently and find liquid poop on the tissue. This have been going for 3 years and i dont know what to do. My family’s not even bothering to take me to a hospital, not even once. The smell is not that worse now compared to 3 years ago but i have noticed that im always constipated. I go to the toilet for like 2x a week and sometimes none for a week.
    I didnt know what to do, so i just started to think that maybe this is because of constipation but what’s the connection of plucking butt hair to that?
    This greatly affected my life as a student and I don’t have anyone to relied on.

    1. Alvarez

      I have a poor diet and my body is not active.
      I’m eating banana and drinking coffee sometimes, that helped me go to the toilet but the smell doesn’t show any sign of disappearing.

    2. Buddy M.D. Post author

      Likely to be due to constipation. Take plenty of fluids, dietary fibers, fruits and vegetables to correct the condition.

      Avoid excess of tea or coffee, as they aid constipation.

      Plucking hair can be dangerous and may instill infection at the site, condition called folliculitis. Better avoid it. Having hair over the area is not uncommon.

  21. Edmund Cummins

    My anal leaks when my body gets hot or when in bed at night its looks like water is leaking from my bum eats and live healthy life style would love some advise to improve situation.

  22. Carlos Sibonga

    There is a small round match like bump near my anus that discharges yellow mucus. Its not painful but when i wipe it, after a few hours i’ll feel that discharge again. Its not smelly.

    1. Buddy M.D. Post author

      Drain it regularly hygienically. Keep the area very clean and avoid friction over it. You may also start using any topical antibiotic ointment over it, twice daily.

      If the lesion is big, you may need to see a doctor for surgical drainage.

  23. S w

    Hi I’m 35 make and overweight, I have a leak of poo often especially after exercising or moving about. I have to go to the path room every so often to wipe so it does not penetrate my underwear, if I leave it for a while especially after walking my underwear will have poo on them. I’m currently trying to loose weight and move to a better diet, my diet now is probably horrifying (not much fruit and veg). I do have a hernia in my stomach for a while now, could this also be a cause of leakage? Thanks in advance,

    1. Buddy M.D. Post author

      Losing weight is surely going to help. Your sphincters would be stronger and work better. Also, include as many dietary fibres in your diet as you can. This would yield you quicker results.

      Led two third of your dietary intake be fresh fruits and vegetables.

  24. Lynn

    I am having anal leakage and dont even feel it coming. Around my anus gets red and swollen and so sore i can hardly sit. I use stool softeners so not constipated. Have a tag that sometimes has fresh blood. Please advise if this could be caused from hopping on a walker due to broken leg

    1. Buddy M.D. Post author

      Sedentary life style due to broken leg may have de conditioned your body muscles. Anal sphincter seems to be affected too. Try pelvic floor exercises on a daily basis. Could help a great deal.

      Or else, this could be side effect of some medication being taken. Let us know what medications you’re on.

  25. Emma

    A previous partner somehow accidentally went the wrong way during intimacy and ever since (this was 6 years ago) I’ve found I need to wipe really well after a bm. Otherwise it gets extremely sore. At the time it happened , it had bled was very sore , I never went the doctor about it. Embarrassed. Could I be permanently damaged? I feel like if the bm is not a hard consistency, it never comes out fully and this is part of the problem. Again this only happened after that incident
    please help

  26. Emma

    I feel like I need to use wet wipes every time after a bm to be sure I’ve cleaned it fully. It’s very difficult. I need to bring them everywhere. I really hope I’m not damaged. But if I don’t have the wipes the pain does be so bad the sting like an acidic sting. Tried anusol and that also causes the sting. So I don’t know what to do.

    1. Buddy M.D. Post author

      Using a regulated stool softener may help. Try using metamucil or any other brand on a daily basis.

      Injuries out there take longer times to heal. However, they’re not permanent. Meanwhile, local area care is essential. Consider cleaning with splashes of plain water instead of wipes. Wiping there frequently in a source of unnecessary friction and may delay healing.

      After cleaning with cool plain water, dab dry the area with a towel, instead of rubbing. Let it dry completely before you wear your bottom wears.

      Wearing loose bottoms would be better. Also, keep applying any bland emollient over the affected area to avoid dryness. You may use it 2 to 3 times a day.

  27. Jean

    I am a 61 year old female I have leakage from my anus and always feel like I need to have a bowl movement I always have hemorrhoids which have been bleeding alot lately my diet is not a healthy one I take a laxative once a week to clean myself out because I don’t feel like I have complete bowl movements Any suggestion would be appreciated

    1. Buddy M.D. Post author

      You need to manage your hemorrhoids first. Also, get rid of constipation completely. It’s bad for you. The best way to have regular formed stools is including plenty of fresh fruits and veggies in your diet. Restrain from all junk foods and sugary items.

      If needed, a dietary fiber supplement may be added.

      You may read here for further insight on piles.

  28. JP

    Over the past 10 years I have often felt dampness in my rear end and often needing to wipe. This was especially bad after drinking too much alcohol. I always figured it was random sweat or caused from drinking too much.

    about 9 months ago I completely stopped drinking. The dampness continued where I would have the feeling a few times a day especially in the morning. About 3 months ago the feeling started to happen all of the time. It feels like water is constantly leaking from my anus. It’s a clear liquid that does not smell bad. It isn’t a large amount of liquid, it’s just enough to make my rear end feel damp and if I don’t constantly wipe to keep it dry my butt and the back of my legs feel wet and itchy. Not enough liquid to be seen in my underwear or clothes

    I met with a surgeon. He found that I had 3 internal hemorrhoids that didn’t appear to be inflamed. We first tried a fiber supplement, stopped washing the area with soap, decreasing the small amount of caffeine I drink. That did not make a difference. Next he banded the 3 hemorrhoids one at a time. I just had the last one done 10 days ago. Still the same symptom. He said to wait 3 weeks total from the last banding and then we would order a colonoscopy.

    Any advice is appreciated. I am constantly asking in my head if it is a discharge problem or a sweat problem. Dampness seems to start right at the anus. I have no other symptoms and I have been able to deal with it, but problem is a real nuisance Thank you for your help

    1. Buddy M.D. Post author

      Do you have excessive sweating else where over your body?

      If not, this is likely to be discharge problem. Eating a fiber rich diet, abstaining from alcohol, limiting caffeine would definitely benefit in a long run. Also, limit to excess of spices like garlic and pepper.

      But these lifestyle changes take time to show results. You’ll need to be patient.

      You may go for colonoscopy to see if we’re missing any thing else.

  29. John

    I have been a bit constipated most of my life I am 79 been taking Senakot now and then, now I eat prunes, Bran and fruit, things have improved but the last few years, but sometimes after a bowel movement I need to do a lot of wiping; and need to return again in the the day to do a bit more wiping, my poo seems ok no smells or anything, just the wiping problem. Many thanks for your help

  30. Jay

    I’m a 47 year old male and pretty active. I’ve been living with this problem for almost 2 years. During the summer of 2020, I’ve noticed excess mucus on the toilet paper when I wipe. Also during that time I experienced pretty bad constipation. Ever since the constipation, I have not had consistent bowel movements. Lately, I experience bleeding when I wipe. I went to my dr who then referred me to a G.I. The G.I. Recommended a colonoscopy. The colonoscopy was completed and everything was fine with my colon. The G.I. Said j have small hemorrhoids that did not need need any banding or other procedures done to them. He suggested I use a medicated cream and he said the mucus leaking is due to IBS. The colonoscopy was done last June 2021. I continue to have anal leakage. It is usually clear and kind of liquid. When I wipe I will see clear mucus in the toilet paper. This leaking gets so bad that I have to wear 2 pairs of underwear and there will still be a spot in the back of my pants. I have tried everything – increase fiber, Metamucil, stop coffee, stop soda, no alcohol, more fruits and vegetables, more exercise, sitz baths, etc. nothing seems to help. Always mucus when I wipe, and always wet underpants and pants.

    1. Buddy M.D. Post author

      Continue with your efforts- increase fiber, Metamucil, stop coffee, stop soda, no alcohol, more fruits and vegetables, more exercise. Add whole grains and complete abstinence from junk food. Apart from this, you need to take a probiotic on a daily basis. This could be home made curd/ yogurts or you may purchase any from the market.

      Since IBS is a chronic problem, it would be better to learn managing it by conservative methods at home. It basically means that your gut it irritated and needs to be soothed.

  31. Anne

    For many tears now i have been battling with yeast and bv. Sometimes tests come back negative snd i still experience symptoms this always irritates the anal area and the skin surrounding. I use treatments but ut always returns. The itching is unbearable and often its all in the anal area. Is there any chance it could be originating from there? Sometimes its quite damp down there and its hard to know where its coming from. There is also an odour. Any idea what it might be? Im so tired if this snd just long to be normal!

  32. James Pepoon

    I have spells of excessrectal contiuous rectal leakege alternating with constipation. I am 86 year old persin with poor health (diabetes type 2 and coroary heart disease..) Is this colorectal casncer. Haven’t had a colonoscopy in 8 yIears. my age should I just wait it out due to my age. Also have nausea occasionally.

    1. Buddy M.D. Post author

      Though this is not a diagnostic sign of cancer, it would be better to do a screening colonoscopy, in your age.

      If you have accompanying fatigue, weakness, blood in stool, abdominal discomfort, chances of malignancy may be higher.

  33. Liz

    Hi, I’m 22 y/o and had been having bowel movements with ‘sharp’ things in it for a few months. Every time this happened I would see blood; I assumed that the blood was coming from fissures caused by whatever the sharp things were, but have also had hemorrhoids in the past.
    A few weeks ago I was told that most likely I am chronically dehydrated, and that’s why my bowel movements feel ‘sharp’, so I’ve been making an effort to drink more water and have seen a significant (positive) change since.
    Today, I had a bowel movement with no ‘sharp’ things, but saw there was blood, a small blood clot, and now I’ve been excessively leaking clear, scentless liquid from my bum for a few hours now. I’ve showered & washed the area with soap but the leakage isn’t stopping.
    I can’t get in with my doctor until 2 weeks from now and it’s really starting to worry me, what do I do??

    1. Buddy M.D. Post author

      Be a little more patient dear. Continue rehydrating yourself with plenty of water. Also, add fresh green vegetables and seasonal fruits to your daily diet. Restrict to alcohol, smoking and limit your intake of tea and coffee. All these chemicals are dehydrating and irritant for the GI mucosa.

      You’re likely to gradually improve with each passing day. It may take around a month before you see visible results.

  34. Lisa

    After a bowel movement I do need to wipe a lot. Often a shower of the area helps a lot. I feel I can’t get it all out. But always regardless of a shower and proper cleaning, I have a light brown tinted liquid seeps out and causes extreme irritation stinging and itch. I’ve been to the doctor she didn’t find any haemoroids and put me
    On sachets for constipation and told
    To do pelvic floor exercises. I’ve had no improvement it’s been a month. Is this faecal incontinence? I’m
    So worried. I’m 36, female.

        1. Buddy M.D. Post author

          Constipation is the first one to rule out. Take a healthy diet, full of seasonal fruits and vegetables to combat it. Also, drink adequate amount of water.

          This would help you get rid of constipation. Also, a healthy diet, rich in fruits and veggies, would give you enough anti oxidants to heal any inflammations going on it your alimentary canal.

          Apart from this, see if your getting enough probiotics in your diet. These are good bacteria, that are needed for a healthy gut. The best way to get them is consuming home made curd/ yogurt on a daily basis.

          Restrict on food that damage anal sphincters, like excess of chilies, garlic, alcohol, chocolates, smoking etc.

          Do continue with pelvic floor exercises.

          Your symptoms are likely to get corrected gradually. It may take some time.

  35. TT

    hey so i just went to the bathroom. my poops been pretty in the middle. not too hard not too soft however.

    1. TT

      I cleaned and dried very good (carefully and softly using a finger and a sheet of TP after wiping stuck the tissue about 3inches in or so. I then thoroughly washed both hands and air dried them. I then got my middle finger wet and inserted it inside my rectum, id say about 5-6 inches in I felt nothing until I moved it around completely to which I came across something hard with an odd shape. It wouldn’t move as I thought it could very well be poop. Pretty sure I was feeling the edge, it was like a wall of something. any idea? also it did not smell like poop at all!!
      Will be starting to implement more fiber in my diet moving forward. from time to time I do sweat from down there and sometimes its sweat other times its not! even though I do my best to clean. I’ve heard of procedures where they use water or some kind of fluid to fill your insides up to flush out your system. is that something most hospitals do? is that an expensive procedure? would it be recommended for the average person to have something like that done every say 5-10 years?
      not looking forward to the doctor visit that’s for sure! 25yo I try to eat healthy with little to no junk food.

      1. TT

        also my scrotum sack has been abnormally itchy on the left and right side. the left more than the right for the most part. coconut oil helps. although when I’m up and walking around it rarely gets itchy. could just be dirty hands from touching day to day things right? hopefully I don’t have parasites eating at my sperm or something crazy. I cant remember the last time I was checked out.

      2. Buddy M.D. Post author

        Likely to be your normal rectal wall you felt while self examination. However, you confirm what it is, you’ll need to see a doctor for physical exam.

        Such washes are not a routine work. They are done post surgeries, or other pathological indications.

  36. gloria pert

    Ive had a problem with fecal leakage for sometime. I have IBS. Just about every day when i get on my feet it starts. i have to change pads all day long, over and over. I cant go anywhere without it leaking. I can feel it when it comes out. I thought i would be tghrough with pads with my hysterectomy. Ive even had to use the smallest tampons that teens use to insert when i go to Church or shopping. If not, im constantly having to go to the bathroom and change pads. I dont use caffiene, no fried foods, and no junk foods. Ive tried everything i can think of. its so emb. Im in a new relationship and afraid to tell him. And afraid i may have a leak during sex. im 64 years old. Can you help me. I worry if i dont get it stopped, when i get old some-one will have to keep me clean. And i dont want that..

    1. Buddy M.D. Post author

      Start with Kegel’s exercises to strengthen your pelvic floor. Controlling and managing IBS efficiently would be beneficial.

  37. Keith

    I am an 80 years old man. Lately (around 3 weeks or so) after going to bed and getting up in the night to urinate I sometimes involuntarily fart out very small lumps of poo (which fall down my pyjama trousers onto the floor, messy and embarrassing) and sometimes a slight slimy mucus. I also now seem to be going to the toilet a lot more to excrete although only small lumps come out, which did not used to happen.
    I do have urinary problems (frequent visits to the loo) and haemorrhoids which I treat with an anal cream when necessary but cannot think that they are the cause. My eating habits have not changed. I am taking medications for hypothyroidism, atrial fibrillation, anemia, iron deficiency and prostate as well as cholesterol tablets and injections for blood thinning.
    Likely cause?

    1. Buddy M.D. Post author

      may be your peristalsis has slowed down due to lack of activities. Increasing the amount of dietary fiber in your daily diet may help. Or else, any stool forming medication may be tried.

      Your medicines may also be playing a role in causing these symptoms.

  38. Hope

    Hello, I’m a 26 year old female, about 115 pounds, and I live a moderately active life as I’m chasing two toddlers around all day as a homemaker. I noticed I had a hemorrhoid when I was about 19 or 20, I was young and didn’t think much about it and was honestly quite embarrassed so never sought professional help. Since then I’ve had two children, the hemorrhoid seemed to get worse after having my second child. I notice blood after wiping a few times after a bowel movement so I have to use wipes and I’m considering using a peri bottle now to ensure I’m completely clean. I have had a copper iud for almost a year now and I do notice that since then I have some random pain in my uterus and lower stomach, never enough to be completely uncomfortable but it’s there. Recently though I’ve noticed a clear fluid on the back of my underwear and it does have smell like poop. It’s pretty strong and I have to change underwear or liners a few times a day now. It’s really picked up in the past couple of weeks. I do drink 1-2 cups of coffee a day and eat up to two bowls of whole fat yogurt with dark chocolate chips and almond butter everyday. I do drink water and take a prenatal (I breastfeed), 1 garlic pill, 2 cranberry pills, and 1 activated charcoal pill a day as well. Besides that I do consumer dairy, gluten, and try to get my veggies and fruit in my diet. I am uninsured so it’s a little hard to seek medical help at this time so if there’s anything I can do to manage this a little that would be helpful. Thank you!

    1. Buddy M.D. Post author

      Stick to the healthy diet you’re already taking.Just trim those chocolate chips, as chocolate tends to worsen the musculature of various sphinctures in our body.

      So, need to avoid being constipated at any cost.

      Just start doing Kegels Exercises to strengthen your pelvic floor on a daily basis. Exercises strengthening your anal sphincter may be started. Also, avoid lifting heavy weights for few weeks. Let your core muscles and pelvic floor gain strength first.

      Give it a month or two and let us know.

    1. Buddy M.D. Post author

      Sciatica would give you pain behind your thigh which may extend downwards or upwards to cover larger areas. Leaking from sphincters are likely to be due to sciatica alone.

  39. H

    I’ve been experiencing some kind of leakage, i don’t know ir it’s incontinence, but i’ve been noticing some spots in my underwear, it’s like sweat but it’s brownish, and i wouldn’t say it’s exactly poop or mucus, i can’t describe it… When it happens i try to wipe in case is dirty but the paper appears clean… Btw, i don’t suffer from constipation, on the contrary, most of the time my poop is like diarrhea… I’m a 25 yo female.

      1. H

        Yes, it is not, i’m sure… I think it happens when i pass out gas, i suspect that has to do with the feces being so loose, i feel like i have some type of internal inflammation… And even consuming fiber (even if it helps a little) doesn’t solve it. I don’t know what is causing it, but it’s being going on for like 5 months

        1. Buddy M.D. Post author

          Try cutting down on known inflammation causing food stuff like alcohol, excess caffeine, garlic, excess of spices and all junk food. Are you taking any medicines for it?

          1. H

            I’m not taking anything for it because i haven’t been able to afford going to the doctor yet, but last year i was going to the dentist and they gave me a lot of antibiotics everytime i had something done, after that i started having a lot of stomach issues, and eventually this staining, it’s very little and it looks like a thin line on my underwear, i’m really concerned about it … I will follow your advice and also i will go to the doctor as soon as i can. But is this something that i will have to deal with forever ? Or is it curable?… honestly, it’s giving me a lot of anxiety.

          2. Buddy M.D. Post author

            This is surely curable. Just give it time and keep eating healthy. Also, it’s advisable to add some probiotic in your diet on a daily basis. This would restore intestinal microbiome, which is likely to be disturbed due to repeated antibiotic courses.

            You could take anything like home made curd/ yogurt etc.

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