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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Oily, fishy smelled anal discharge, gas, abdominal pain followed by urge to pass stools. On Bee pollen, flax seed oil and low salt, low sugar diet. Help

Hello Dr.,
I do have an oily anal discharge fishy like smell... I am using panty liners to avoid stain my underware. I also have some sort of stool incontinence; that means I start with gas, a little of abdominal rushing pain and I really have to go... otherwise, it gets out. I do have intake of Bee Pollen, Flax seed oil (a pill a day), and my "best friend": water,
low salt, low sugar (mostly through fruits)... All I know is that this thing is anoying... Ah! and sometimes, when I wipe myself clean, the paper has feces and a clear mucous type gel.
Thank you.
Wed, 4 Sep 2013
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General Surgeon 's  Response
Hi ! the type of stool and urgency to pass stool at times may be a symptom of some kind intestinal infection specially amebiasis which is very common for those who eat frequently from outside home. You must get your stool tested for ova and cyst, and get the infection treated by your family physician if it is positive.

However the incontinence what you have mentioned needs to be investigated into. The discharge could be due to undetected hemorrhoids . Are you chronically constipated ? This can also cause the stool to form a mass in the rectum preventing complete evacuation and sphincter malfunction, and some liquid stool might pass though the sides staining your panty. To rule these out , you I would suggest you to take an appointment with a general surgeon of your area who after examining you clinically, can suggest you on the management. Good luck.
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General & Family Physician Dr. Nsah Bernard's  Response
Hello,

Thanks for posting on HCM,

Well from your description you are having the symptom called steatorrhea (which is the presence of excess fat in feces. Stools may also float due to excess lipid, have an oily appearance and be especially foul-smelling). This occurs as a result of increased fat level.
The underlying condition causes of steatorrhea include:
- Malabsorption
- Malabsorption of fats in small intestine
- Pancreatitis
- Celiac disease/Sprue

Increased fecal fat levels are found in cystic fibrosis, malabsorption secondary to other conditions like Whipple's disease or Crohn's disease, maldigestion secondary to pancreatic or bile duct obstruction, and "short-gut" syndrome secondary to surgical resection, bypass, or congenital anomaly.
If I was your doctor, I will run some tests to determine if there is an existing underlying cause such as Stool exams +/- culture, colonoscopy, abdominal X-ray, ultrasound, CT scan, or ERCP and maybe request for other intestinal tests etc. Ones I have determined the cause, treatment will then follow depending on my findings.
I suggest you see a doctor for this if possibly a gastroenterologist.

Hope this helps
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Oily, fishy smelled anal discharge, gas, abdominal pain followed by urge to pass stools. On Bee pollen, flax seed oil and low salt, low sugar diet. Help

Hi ! the type of stool and urgency to pass stool at times may be a symptom of some kind intestinal infection specially amebiasis which is very common for those who eat frequently from outside home. You must get your stool tested for ova and cyst, and get the infection treated by your family physician if it is positive. However the incontinence what you have mentioned needs to be investigated into. The discharge could be due to undetected hemorrhoids . Are you chronically constipated ? This can also cause the stool to form a mass in the rectum preventing complete evacuation and sphincter malfunction, and some liquid stool might pass though the sides staining your panty. To rule these out , you I would suggest you to take an appointment with a general surgeon of your area who after examining you clinically, can suggest you on the management. Good luck.