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Oily, brown anal discharge - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Digestion and Bowels
Answered by

General & Family Physician
Practicing since : 2009
Answered : 674 Questions
User :   The strangest thing is happening to me for the first time and I'm really worried. When I go to the bathroom - even if only for a wee, this oily brown/yellow discharge is coming out also - and it smells like feaces so it's obviously some sort of anal discharge. And when I wipe it's on the tissue. What can this be? And should I be worried? Please help                         
Doctor :   hi
Doctor :   Dr. XXXXXXXX here
User :   hi
Doctor :   let me read what you have typed
Doctor :   what other symptoms do you have?
User :   well to be honest with you I
Doctor :   since when are you having this symptom?
User :   it started yesterday evening only
Doctor :   please provide your age, gender, location, occupation, marital status, height, weight, details of past medical illness if any.
User :   ...I think I have quite a few pregnancy symptoms: I have crazy fatigue at the moment but this could be explained by over working
User :   25, 135 pounds, 5'7" female, XXXX, XXX, single but boyfriend
User :   (25yrs old)
User :   my stomach has been grumbling but I know it's not hungry - it feels uncomfortable....I do NOT have cramps
User :   I just feel exhausted
Doctor :   ok
Doctor :   when was your last menstrual period?
User :   slightly dizzy as though I'm hungover but I haven't drunk in days
User :   Last one was 2 weeks ago - but I started taking the pill 3 months ago so and ever since my periods have been really light
Doctor :   ok. are you still taking the pills?
User :   I missed the 3rd pill in my pack this month (12 days ago) - I took it about 18 hours late
Doctor :   ok
User :   yes I'm still taking the pill but also....another thing....yesterday I had some brownish vaginal discharge - like old blood that you usually get at the end of your period. Hence why I thought I was pregnant, but it carried on a little today (very light) so now I'm just totally confused.
User :   The anal discharge is freaking me out the most
Doctor :   ok. the anal discharge will need to further evaluated
User :   how? Should I go and see a dr?
Doctor :   by an examination and possible proctoscopy and stool tests
User :   ok
Doctor :   the brownish discharge could be either teh late period blood or a possible implantation bleed
User :   how urgent is it? because tomorrow is sunday
Doctor :   but since you are on the pills, the pregnancy can be ruled out
User :   Yes, but I missed a pill about 11 days ago
User :   Should I go to ER about the anal discharge or can it wait until monday and I can go and see the dr?
User :   I have no idea how serious it is.....what are the possible causes?
Doctor :   if the anal discharge turns bright red like fresh blood along with pain, you should go to the ER
Doctor :   if not then you can wait and get a check done on monday
User :   ok
User :   anything else i should look out for which could make it an emergency? And what are the possible causes? I know there must be many....
Doctor :   it could be hemorrhoids, rectal bleeding, for the anal discharge
User :   And how likely is it that you can get pregnant from missing 1 pill? is there a pretty high chance?
Doctor :   if missed only 1 pill and taken it later, then chances are nil to minimal
User :   ok
User :   thank you so much
Doctor :   if missed more than 2 consecutive pills then chances are there
Doctor :   that you get pregnant
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