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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Could Cause Anal Discharge?

I am a 60-year-old male in apparent good health and physically active. I take a brisk walk of 1 mile each day. Periodically, for the past year or so, I've been experiencing this problem of a mostly clear, periodic, liquid like discharging from my anus, which almost always occurs well after a bowel movement. The discharges typically last for about a day, necessitating that I change underwear multiple times during the day, or, if I'm at work, to absorb the discharge with a pad of folded up tissue paper. Sometimes, though, the discharges continue for a second day. And sometimes, due to hemorrhoids, which frequently become enlarged during the bowel movement, the discharges on occasions will initially be bloody, but that occurs rarely, and the clear discharges typically continue even after the bleeding quits, which is typically quickly. It's been about six or seven years since my last and only colonoscopy, which I had because of the rectal bleeding. There was nothing diagnosed from that, just the hemorrhoids. I had the bleeding hemorrhoids manually examined by my PCP about 4-5 years ago and he said, yep, you've got 'em. But the discharges hadn't started yet, so we didn't discuss that.
Tue, 18 Jul 2017
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Internal Medicine Specialist 's  Response
discharge can be due to two possibilities one anal fissure and 2nd fistula in ano. most likely it's fistula in ano. use antibiotics tab ciproxin 500mg twice a day and tablet metronidazole 400mg thrice a day for 5 days local lignocaine gel can be used and confirmed treatment is fistulectomy by surgeon
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What Could Cause Anal Discharge?

discharge can be due to two possibilities one anal fissure and 2nd fistula in ano. most likely it s fistula in ano. use antibiotics tab ciproxin 500mg twice a day and tablet metronidazole 400mg thrice a day for 5 days local lignocaine gel can be used and confirmed treatment is fistulectomy by surgeon