Causes of excreta in the anus in men and women
Last reviewed: 23.04.2024
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Discharge from the anus is quite a common problem that bothers many people. But due to the intimacy of the problem, shyness, many people do not go to the doctor, but try to treat the problem themselves. Almost all such cases of self-treatment end badly. Therefore, it is important to realize for yourself the degree of danger and responsibility for your own health. The doctor, on a duty of service daily faces similar problems, therefore to hesitate of it - it is senseless. It is unlikely that a regular patient will be able to surprise him, because this is his job.
It should be understood that proctologic problems are the most serious problems requiring strictly professional intervention. Any discharge and pain in the area of the rectum and anus require immediate attention to a specialist. You should not even try to find a way out of the situation yourself, because you can aggravate the problem, and lose time that could be spent with health benefits. There are times when, under the usual symptoms, rectal cancer is masked, which can only be cured by surgery. Cancer, as a rule, is born from polyps. If treated in a timely manner, you can simply not allow further development.
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Causes of the secretion from the anus
The main causes are dystrophic and structural changes, degenerative processes. They can begin as a result of a lack of diet, weakness of sphincters, with certain diseases, dysbiosis, neoplasms.
Discharge from the anus in men
Similar problems are observed equally often in representatives of both sexes. In this case, the secretions can differ sharply both in their characteristics and in color and consistency. Everything depends on the cause, the localization of the pathological process, the degree of tissue involvement. With inflammation of the superficial areas during the defecation, yellow discharge develops. With the development of a protracted inflammatory process, accumulation of pus, a liquid of green color is released. This is a sign of proctitis, prostatitis.
Quite often, secretions occur with various malignancies, both malignant and benign. Green development is indicated on the development of tumors. Usually this is the only sign of tumors.
Allocations, mostly bloody, appear with hemorrhoids. Minor discharge, mainly mucous, develops. Then the appearance of scarlet blood occurs more often. At the third stage, the hemorrhoidal veins go out, resulting in a sufficiently severe bleeding, which subsequently results in anemia, anemia.
Similarly, various tumors, both malignant and benign, can manifest themselves. Often people confuse such discharge with hemorrhoids and does not attach serious importance. This leads to the fact that it is possible to start the development of the tumor. Often to take the necessary measures, life can be saved only in the early stages.
Gradually, the infection joins, the inflammation intensifies, pus appears. With the defeat of blood vessels, the appearance of damage, the leakage of the syphilic and blood occurs. Exacerbation can develop with alcohol abuse. Aggravation can contribute to the reception of spicy foods, smoked products, spices.
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Discharge from the anus in women
Allocations occur approximately by the same mechanisms, one hundred and in the representatives of the stronger sex. There are different reasons for the development of pathological processes, localization, features of pathogenesis. In women, such secretions are associated with the development of hemorrhoids. It is complicated, first of all, by pregnancy and is caused by the fact that the load on the organism increases substantially. The sedentary lifestyle exacerbates the situation. There is pressure from above, under the weight of the uterus and fetus, from below, when the woman is sitting. Cracks develop, the hemorrhoidal veins expand, and other pathologies. Most often during pregnancy it is hemorrhoids that develop.
Excretions can also indicate the development of tumors. Both benign and malignant tumors can behave identically. Often with tumors, and hemorrhoids develop bleeding. Therefore, tumors are often confused with hemorrhoids, without attaching significant importance to them. As a result, pathology is triggered and revealed when it is already impossible to do anything. Hemorrhoids and tumors are mutually exclusive, they can coexist. Slime may appear with gynecological problems, penetration of microflora from the genitourinary system. Inflammation develops. If it is not treated for a long time, an infectionous, purulent-septic process can develop. The situation can be complicated by pregnancy, menstruation, as well as nervous stress, fatigue.
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Discharge from the anus in the child
If we are talking about secretions from the rectum in a child, then most often talk about bloody diarrhea. It is less common to detect impurities of blood against the background of normal feces. This is often not the only sign of pathology. A sharp pain in the abdomen joins . The child is worried, worried, refuses to eat. Looks frustrated, tired, the temperature rises, chills may start. All this is accompanied by strong tears and hysteria.
The child should be shown first to the pediatrician, and then, if necessary, to the proctologist. You need to contact specialists immediately, self-medication is always fraught with complications. The reason for urgent treatment are situations in which blood periodically seeps through the passage, or is seen against the background of urination and defecation. Such violations are often accompanied by a slowdown in development: the child is slowly growing, refusing food, not having fun. It is necessary to conduct an urgent diagnosis to determine why such violations occurred. Then the cause needs to be eliminated. If this is not done, swelling occurs, the tissues lose their elasticity, as a result they are exposed to any effects and damage, quickly begin to bleed. The process is accompanied by the appearance of rashes on various parts of the body. Even minor blood loss in childhood can lead to the development of anemia, which practically can not be treated. Blood in the stool can form with lactate insufficiency, which is especially important for infants. This is explained by the fact that the intestine of the newborn is not yet adapted to independent life, can not absorb large volumes of less sparing food for it. Any innovations cause a painful reaction from the digestive tract. This pathology is very dangerous for the child, since the appearance of blood and carbohydrates in feces indicates that carbohydrates are not processed to the full and not absorbed by the body. And milk, lactate - the only foods that feed the newborn baby. As a result, it can stop growing and develop, the metabolic processes are completely violated.
Violations of lactate metabolism can be both congenital and acquired. Acquired pathologies are a consequence of the disease, and is often regarded as one of the symptoms of another disease. As an independent pathology is extremely rare. Therefore, before the diagnosis of lactase deficiency is established, it is necessary to exclude a number of other diseases with similar manifestations.
A chair with blood and other particles, liquids, mucous secretions are accompanied by anxiety, vomiting, and temperature, which is characteristic of a bowel turn. This disease is very easy to recognize, as the feces include blood clots. According to external characteristics, it resembles mousse or jelly from raspberry. The condition can be life-threatening, because a few hours after the disease has made itself felt, there may be a violation of the removal of gases and feces. Usually, in this case, do not wait, but call an ambulance. Often not without surgical intervention.
One of the main reasons for the appearance and further progression of the disease is a bacterial infection. This factor is most affected by children, because they tend to eat unwashed products, do not wash their hands before eating. Children under one year also often become infected, as they practically taste new things, take them in their mouths, lick their fingers. Also, children should not be given food that adults eat, it can cause them digestive disorders. The danger is that they develop intoxication, leading to severe complications. The most correct solution is to call an ambulance.
Additional secretions may appear after prolonged constipation, severe food infection, intoxication, in which pathological damage to the mucous membranes, intestinal walls develops. Such a condition can be very dangerous for life, as it can lead to bleeding, anemia. Often the process ends with intoxication with dehydration, and the death of the child (unless the necessary measures are taken in a timely manner).
In adults and adolescents, blood allocation is initially taken for cancer, and proceed from this until the opposite is proven.
Sometimes, during the diagnosis, another cause of the pathology is established, then the diagnosis is refuted and the therapy is prescribed in accordance with the diagnosed diagnosis. This is due to the high risk and lethality of the cancer, which must be identified and treated immediately. The danger of it is that the cancer is a tumor that grows inside the intestine and closes the lumen. The only way to treat is surgical, in which the tumor is removed. However, care must be taken to avoid the appearance of metastases. Sometimes in the early stages and at the stage of origin the tumor can be cured by a conservative method, resorting to chemotherapy, antitumor therapy, and placement in a pressure chamber.
Other causes are acute poisoning, severe inflammatory processes. Also here you can include diverticulosis, bacterial viral infections, severe dysbiosis. Inflammation of the small intestine manifests itself in a similar way . They can cause plentiful separation of mucus. Then a strong infectious process develops at this site.
Risk factors
The risk group includes people who do not comply with the diet, who eat inadequately, eat a large number of fast foods, snacks. The risk increases in people who have recently suffered from foodborne infections and poisoning, in which a stable dysbacteriosis developed.
Also, people who have recently undergone surgery with a pelvic or intestinal injury are at risk. Various abnormalities of the gut, neoplasms, condylomas and polyps, significantly increase the risk of pathology. The presence in the body of hidden, viral infections: gonorrhea, syphilis, herpes, also significantly increases the risk.
Pathogenesis
The pathogenesis is based on the development of the pathological environment and the accumulation of secreted fluid in the gut. Sometimes there is a purulent exudate, an intense inflammatory process. Content is characterized by an unpleasant, sometimes even fetid smell. Against the background of liquefaction of intestinal contents and water accumulation, diarrhea develops, gases accumulate, irritation appears. Pathogenesis is based on the weakness of the sphincter and functional disorders. Gradually stagnant processes develop, the content begins to rot, to be transformed. This leads to the fact that over time the rectum will fall out. Gradually develops maceration, accumulation of excessive moisture, there are deep cracks. There is a constant feeling of burning, itching, tingling. The resulting mucus can get to the surface of the wound, resulting in irritation and an increased inflammatory process. Maceration often ends with cracks, erosions, accompanied by constant itching.
Epidemiology
It is established, no matter what the discharge from the anus is, in all 100% they are pathological in nature. According to statistics, in 50% of them arise as a result of relatively "non-dangerous" diseases, such as hemorrhoids, fistulas, sphincter deficiency. In the remaining 50% of cases for a harmless secretion, there is such a serious pathology as cancer of the rectum.
On colon cancer in 78% of cases indicate spotting. In this case, the doctors of any spotting are initially treated as a cancer of the rectum, until the opposite is proven. Cancer in 65% of cases is painless and degenerates from polyps that have not been removed in a timely manner. The greatest risk of cancer over the age of 40-50 years, as well as with polyps of the intestine, who in the family has people who have had oncological diseases.
Symptoms
Indicate various sorts of secretions that arise during the period of coping with the body's natural needs, in the everyday period. They are transparent, yellow, brown, green and even black. All this is accompanied by strong painful sensations in the abdomen, anus, and colon. However, the early signs of pain are not attributed, because it appears 1-1.5 months after the appearance of the first discharge. Pain can be short-term or permanent, often given in the lumbar region, back and even in the area of scapula and clavicles. There may be a burning sensation in the area of the diaphragm and peritoneum. Cramping pains, spasms, indicating a restriction of the gut and its constriction may appear. With a progressive inflammatory process, the pain intensifies, does not stop.
Directly in the region of the anus, twitching, tingling and burning pains are felt, which intensify towards evening, a feeling of swelling and swelling. The appearance of pus is often associated with erosion and ulcers on the surface of the skin and mucous membrane. There are cracks that do not heal well, itching and burning.
Often there is a copious discharge of blood, bleeding develops. Drips of blood are allocated, sometimes a whole jet or flow of blood may appear, indicating arterial or venous bleeding. Such manifestations make themselves felt after the bowel has been emptied. Sometimes just feces can contain impurities of blood. With prolonged bleeding, a significant loss of blood occurs, which eventually develops into anemia. With cancer, chronic anemia often develops. Gradually, the normal function and composition of the blood, the renewal of cellular structures, are disturbed. Intoxicating processes are sometimes accompanied by constipation. At the same time, the onset of another defecation is significantly delayed, and complete absence of it can occur within a few days. The abdomen swells, there are tenesmus, the consistency of the stool changes. A common phenomenon is considered to be tenesmus, which are false urges to emptying, as a result of which there is no relief of the condition.
In this case, instead of feces, there are mucous discharge, they periodically disturb the patient. In the case of tenesms, the sensitivity of the mucosal receptors changes, the lower part is activated, motor activity in the intestines appears. This leads to the appearance of desires for emptying. This can also occur when brain regions are broken that are responsible for the smooth muscle function, the regulation of physiological acts, including the act of defecation.
Early signs on which it is possible to recognize the discharge from the rectum are spots on clothes (underwear), which periodically appear almost at any time of the day. Also on the discharge may indicate the appearance of mucus, blood, other impurities. These signs should be cause for concern, as they can lead to serious pathologies.
- White discharge from anus
If feces are shrouded in white haze, or contains white veins, this indicates a fungal attack . You need to see a specialist, because the fungus needs to be treated. First you need to conduct a bacteriological study, determine the causative agent of the disease. Based on the results obtained, an appropriate antifungal agent is administered .
- Yellow discharge from anus
The appearance of yellow secretions indicates an inflammatory process. The more secretions, the more inflammatory the process. This often occurs with inflammation of the gallbladder, with proctitis. It can also indicate the presence in the body of a pathogenic bacterial microflora.
- Orange discharge from the anus
Yellow bile and red blood on the connection give an orange color. The appearance of orange secretions speaks of liver and gallbladder diseases. Discharges can have an unpleasant, specific odor. Orange stripes often appear.
- Brown discharge from anus
Brown discharge indicates the presence of proctologic diseases. At the same time, blood is mixed with calves. Brown discharge is observed with hemorrhoids, proctitis, various tumors and benign tumors.
- Green discharge from the anus
The appearance of green secretions is a sure sign of the intensive development of a bacterial infection. Most often, the agent Helicobacter pylori is identified, which colonizes the stomach and can cause gastritis and ulcers. A similar condition occurs against food poisoning. Green indicates a high degree of bacterial contamination.
- Black discharge from the anus
If there was a discharge in black, this indicates a severe lesion of the small intestine, 12 duodenum, stomach. It can be a sign of gastric bleeding. Quite often, black feces appear with prolonged constipation, stagnant phenomena. When these symptoms appear, you need to see a doctor as soon as possible, as this may be a symptom of a serious illness.
Isolation from the anus with odor
Normally, a person should not have any secretion from the anus, but with pathologies, they arise. The excrement must be distinguished by a specific caloric odor, which is unpleasant to a person. But a fetid smell should not be. If there is a strong, sharp smell, it is often due to the bacterial disintegration of fatty acids and proteins.
Oily, oily discharge from the anus
Occur with malnutrition, as well as non-compliance with diet and treatment. Also, the use of certain medicines, biological supplements, contraceptives, can lead to oily separations.
Fat stains can remain after a visit to the toilet. Sometimes oil and grease envelops the surface of the stool and creates shine. The appearance of fat is often evidence of the development of enterocolitis, inflammation. The aggravation can be after a person ate a lot of fatty, smoked, fried foods, alcohol.
Bloody discharge from the anus with pain and without pain
Only the first signs of bleeding have appeared - immediately visit the doctor who will examine, conduct the examination and prescribe adequate treatment. Even if the blood slowly, dripping oozily - urgently in a medical institution. The reason should serve and any painful feelings, fever.
An ambulance should be called when the bleeding is opened in a patient who has recently undergone surgery. The cause for concern should be bleeding, which was not observed, but it appeared again after 40-50 years, and also, bleeding is considered dangerous after 1-3 months after chemotherapy.
Even if you do not care about pain, you should immediately consult a doctor. Painless manifestations of many serious diseases that need to be started to be treated are painless. Without pain, many diseases of the rectum occur, including cancer, because it contains a small number of receptors.
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Purulent discharge from the anus
The presence of pus testifies to the development of an infectious-inflammatory process. Often pus is released during emptying. But sometimes its allocation is spontaneous. In addition, various mechanical injuries, injuries, prolapse of the intestine, ulcers and fistula can not be ruled out. An important role is played by the violation of innervation and the endocrine background. Similar develops at a proctitis, a prostatitis.
Transparent discharge from the anus
Transparency in most cases indicates a functional abnormality of the gastrointestinal tract. At the same time, its working capacity is significantly reduced, peristalsis and motor skills are deteriorating. This state is observed with malnutrition, non-compliance with diet. It can also be a consequence of improper dieting, frequent use of diets. This is often caused by dysbiosis and dystrophic phenomena.
Discharge from the anus with an unpleasant odor
He speaks of the development of bacterial microflora. This intensive propagation of pathogens, a strong dysbacteriosis. Often this is observed with intoxication with bacterial endotoxins.
Constant discharge from the anus
Permanent discharge can be observed in both men and women. Most often they are a sign of a chronic inflammatory or infectious process in which the large intestine, rectum is affected . It can also indicate a progressive tumor, hidden by hemorrhoids.
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Curd from the anus
Can indicate necrotic processes in the area of the small and large intestine, rectum and anal opening. This is often observed with tumors and neoplasms. We need to see a doctor as soon as possible.
Burning and discharge from the anus
Very often, discharge and pain in the anus are accompanied by itching and burning. This is due to the fact that any wetting processes in the area of the anus always lead to maceration and the appearance of burning. Every second patient of the proctologist informs the doctor about the presence of a burning sensation in the background of hemorrhoids, warts, secretions from the anus.
Burning can be a sign of the disease, and also arise as a result of incontinence of the stool, which leads to skin irritation and development of pollution. The first and main measure to combat such discharges is compliance with hygiene rules. Burning often occurs in patients suffering from chronic diarrhea, colitis and Crohn's disease.
Also, excessive sweating can contribute to the burning in the anal area . Often occurs against the background of diabetes, candidiasis, skin rashes in the anus. The reason may be wearing synthetic underwear, using artificial deodorants, washing powders for washing underwear. When infected irritated areas can develop severe burning. With the development of sclerotic atrophic lichen, the perineum, the anal opening, is affected. The process is also accompanied by a burning sensation.
In children, quite often, burning is associated with worms, which are secreted from the rectum and parasitize the skin, in the folds of the anus. Sometimes there are also psychogenic causes of itching and burning. Occur in people with mental trauma, nervous overexertion, in a state of constant overexcitation.
Diagnostics of the secretion from the anus
In order to diagnose the discharge from the anus, you need to consult a proctologist. The doctor will collect all the necessary information, and will also collect an anamnesis of life and illness. It is important to inform the doctor as much as possible about your health, about the time when complaints first appeared, how they manifested, whether the situation worsened or improved. The doctor will need information about whether the patient has received treatment before. It is important to know the nature of the stool, tenderness, features of the discharge, as well as their color, appearance, shape, consistency and quantity.
Then the doctor conducts a general examination, which includes examination, assessment of the general condition of the patient. It is necessary to measure the pulse, the frequency of respiratory movements, blood pressure, body temperature. After this, the doctor passes to a special study. Abdominal palpation and digital rectal examination are performed , which are the main methods of proctological examination.
Surface and deep palpation of the abdomen is performed. These methods make it possible to reveal how much the anterior abdominal wall is tense, and also to determine the degree of its soreness. You can feel the pathology of the abdominal organs and the presence of tumors. These methods make it possible to suspect the patient of the development of the infectious process, inflammation.
With the help of digital rectal examination, the state of the intestinal mucosa, anal canal is evaluated. Assess the closing ability of the sphincter, the condition of internal organs and tissues. Assess all the organs and structures located in the immediate vicinity of the rectum.
It is possible to identify neoplasms, to evaluate their features. You can also feel the presence of hemorrhoids, cracks in the anus. It is possible to identify various diseases, including neurological diseases, which are accompanied by a decrease in the contractile activity of the sphincter.
Based on the findings, the doctor can diagnose or make a conclusion about the advisability of conducting additional studies. Most often, laboratory and instrumental studies are carried out. In some cases, differential diagnosis may be required.
Analyzes
Laboratory methods of investigation make it possible to identify many processes occurring in the body, to clarify the diagnosis. For the beginning appoint standard analyzes: the clinical analysis of a blood, urine, a feces. They can in general show the direction of the main processes occurring in the body. With the help of these analyzes, a common clinical picture is found. So, it is possible to determine whether an inflammatory, infectious or allergic process occurs in the body. You can also assume the presence of tumors. Analysis of urine and stool, as a rule, clarifies the localization of the pathological process, shows its stage.
Special methods of research are also conducted, in particular, the study of enzymatic activity, coprogram, bacteriological study, seeding on dysbiosis. The diagnostic scheme is developed for each patient individually.
So, when mucus is secreted from the intestine, a coprological examination is mandatory. With oily secretions, a biochemical blood test is performed. At the same time, the liver and gallbladder functions are evaluated. Important indicators of total, direct and indirect bilirubin, alkaline phosphatase, AST, ALT. The condition of the pancreas, in particular alpha-amylase, is also assessed .
Instrumental diagnostics
Often, examinations and laboratory tests are not enough to accurately determine the cause of the pathology and make the correct diagnosis. Therefore, instrumental diagnostics is used. The most commonly used endoscopic methods, for example, colonoscopy. Also very informative methods are X-ray, irrigoscopy, sigmoidoscopy, computer and magnetic resonance imaging.
Differential diagnosis
The basis of differential diagnosis is the principle of differentiation of various diseases with similar characteristics and the setting of a final diagnosis. So, for example, scarlet blood in a feces can appear for various reasons, which are not connected with each other. The development of hemorrhage can contribute to hypovolemia, hypotension, vascular disease, erosion and rectal fissures. To detect this sign is very simple: in appearance, feces. In addition, a hematocrit test is performed, which makes it possible to pinpoint the cause of the pathology.
Blood from the rectum can also be allocated for various reasons. For example, the discharge of blood can be accompanied by hemorrhoids, lesions of the perianal area, diseases of the colon and small intestine. In order to distinguish between them, an instrumental study is carried out, for example, a colonoscopy, an irrigoscopy. It is also necessary to assess the condition of the stool with the help of the analysis of stool. To do this, it is carried out its bacteriological, microscopic study, assessment of physical and chemical properties.
Differential diagnosis is carried out with Shenlaine-Henoch disease, diseases of the gastrointestinal tract. To do this, the feces for occult blood are analyzed. In order to exclude cancer, a biopsy is performed with further histological examination of the tissue samples obtained.
Treatment of the secretion from the anus
Treatment is primarily etiological, so it depends on the cause of the pathology. It is aimed at eliminating the cause that caused the disease. Therefore, the correct and timely diagnosis is extremely important, according to the results of which treatment will be prescribed . It is always strictly individual. A single scheme that would be suitable for everyone does not exist.
Complications and consequences
Discharge from the anus can be quite dangerous for human health. This is due primarily to the fact that they are not an independent disease. Allocations can indicate a serious dangerous disease, including cancer of the intestine and rectum, which can be started if you do not consult a doctor in a timely manner.
Prevention
Prevention of excreta is the observance of hygiene, work and rest. It is important to maintain a flexible way of life, exercise, because hypodynamia contributes to the development of hemorrhoids and other diseases of the rectum. With a sedentary, sedentary lifestyle, especially if a person spends a lot of time at the computer, you need to get up every 15-20 minutes, do a minimal charge. Also, you can not wear synthetic underwear, especially in hot weather. On weekends it is important to make long walks, jogs, or ride a bike.
It is also important to monitor the diet. Food should not include sharp, fried foods, spices. It is necessary to observe dietary, sparing food. Do not consume too much liquid, alcohol, salt.
It is important to observe the hygiene of the genitals, do not overcool. It is necessary to periodically undergo preventive examinations, when the first signs of the disease appear, immediately consult a doctor. If any proctologic or other comorbid conditions are detected, start treatment as soon as possible.
Forecast
Allocations from the anus can be completely eliminated only if you have a timely diagnosis, find the cause of the pathology and prescribe the necessary treatment. An unfavorable prognosis may be if the doctor is not treated, the disease is not treated, or self-medicated. In this case, you can start many serious diseases, including cancer of the intestine, rectum. Such cases can end deadly.