Question: Hello. My issue is persistent mucus. This just developed after straining in my bowel movement. I'm a 30 year old straight male. 4 years ago I strained and a painful hemmorhoid came out. eventually it disappeared and reappeared. I had it excised twice two-three years ago, then skin tags developed. This is the point where mucus seepage occured and it interfered with my social and professional life. Gas and acidity was also rampant back then. Now, gas and acidity is gone but the mucus and its developed odor after prolonged storage in "the deepest recesses of my perenium" lol is the new issue. two weeks ago, I had anoplasty from an experienced colorectal surgeon. the mucus was gone after one week, but then it seems it is returning(although not as much as before). my surgeon told me my prolapsed mucosa was removed plus my extra skin tags. i looked into it when I started healing and i saw a -reduced- skintag which looks like its still obstructing my sphincter. I have tried a lot of solutions and I will go back to my doctor after holy week. for a follow up. I was also diagnosed with a fistula when I was young but I forgot to tell my surgeon about it. they would have seen it right? my question is, is this an outside sphincter issue or an XXXXXXX hemmorhoid one. so many people are experiencing this as I research the web. so we really need an excellent doctor to explain this and plan our course of action in dealing with this bothersome issue.thank you - XXXXXXX

ok thank you doc. regarding your questions:

1. I was around 10-14 years of age when a doctor said I had fistula but then my mom have me checked again by our doctor and said it went away. it was never operated on. so far there were no mucus BEFORE the hemmorhoid incident back in 2006.

my mom had me checked due to fecal seepage before.

2. yes prolapsing mucosa was removed by my doctor/surgeons two weeks ago doc.

3. yes I will ask my colorectal surgeon about fistula in ano. and report.

however I havent heard of mucus colitis so I will tell my doctor about that too.

Thank you very much for the fast reply doctor. :) I will update you after I get checked again. btw, the blue spool you see are the post op spools for the skin tags removed and one hanging out from the inside, from the mucosa.

After one week btw doc, I eliminate big bulky stool due to my intake of cilium fiber. do you think it has damaged the sewn tissue?

is this mucus normal after surgery two weeks ago, it could be that I am not yet healed completely. I am very grateful for the new information and the second opinion.

got it doc. not sure if it was incontinence doc. the fistula was never operated on since it did not bother me with anything. thing is I had a bad habit of trying to hold it in when having a Bowel movement. the incontinence/staining may be due to that. i learned to control that eventually. but now, due to the funny structure of my anus now, it's interfering with my cleaning of it.

I'll go on a fistula investigation and give you a stool report asap. :)

by residue, do you mean a little layer of mucosa again? or the yellowishone. I purposefully took a pic of that one where there is a little bit of stool which shows how hard it is to clean up. like stool gets stuck or something/

thanks so much for the support doc. i'll do my best to get the report as soon as possible after your reply. I will rate you well for sure.