Anal leakage causes (besides hemorrhoids)

[Nman]

Greetings, I am 26 years old and for the past year 1 1/2 I have been suffering from anal leakage. I cannot seem to figure out why. I've seen a doctor twice who has treated me for minor hemorrhoids, but it still persists. I'm scared to go back to him because he wasn't very gentle if you know what I mean. I consider my diet healthy, almost no greasy foods. Sometimes it seems to be worse after walking or running, compared to being idle. The doctor didn't seem to feel it was a loose rectum. The leakage doesn't appear to be actual stool but a brownish fowl smelling liquid (sorry for the grotesque description). If anyone has any suggestions as to what my next step should be or what this is, please let me know. I've been reading a lot online and nothing seems to match. Sometimes (not always) it feels really itchy and irritated, and stings. Almost as if there is a wound. These are all the symptoms I can think of. A HUGE thank you in advance to anyones advice!

[Jackman526]

Hey I have been having this for quite some time and I have been searching all over for answers and this old post of yours came up.  Did you find out anything and is there anything to cure this? Please tell me whatever you can.  THanks

[patient915]

Please post your question as its own post because this one is so old.

[JToddA]

I am having this problem - and I can say flatly - Preparation H suppositories do NOTHING for this problem. In fact, my problem got much worse, including much more irritation all around the area. A+D ointment made quite an improvement, but I still have the itching and slight seepage now. Must be time to see a doctor?

[ggreg]

Hi Joy,
The KY jelly is great for people with hemorrhoids.  The itching and irritation is reduced when you put that stuff on there, as I originally said.  It's not to heal anything...just to treat the symptoms.  Just wanted to clarify that, kind of like ain't nothing wrong with putting a salve on a wound, even tho it don't cure it!  It's just ordinary and easy first aid that lots of folks don't know about.
GG

[joycekatherine]

You are very welcome...let me know how it goes...

[Nman]

thanks joy, I I'll look into it. I think I do need to see a specialist.

[joycekatherine]

Have you seen a gastroenterologist?  I had something similar about a year ago and I had a colonoscopy and the Dr took a couple of biopsies and it was microscopic colitis...took some medicine for 6 weeks and after that all symptoms went away!!  By the way, colonoscopies are no big thing, they don't hurt, they put you in a twilight sleep and when you wake up it's all done. No pain afterwards either!!  Call a gastro doc and make an appointment if you haven't already done so...if you leave this condition as is, it might end up being much worse.  I'm sorry, but, I really don't see KY helping swelling at all...KY is a lubricant, it does not shrink hemorrhoids...something that would be better if it truly is hems, is Nupercainal ointment...it has an anesthetic which will numb the area a bit...good luck!!
P.S. I worked for gastroenterologists for 10 years, please consider seeing one

[Nman]

thanks ggreg, I think you are right, that it still is hemorrhoids. I think I'll try and find a new doctor.

[ggreg]

The itching and irritation is indeed from the old hemorrhoids flaring up.  After you bathe, apply plain KY jelly on the area, and it will significantly reduce that.  The drainage you are noticing is a little diarrhea seeping out.  Usually people who have hemorrhoids have a history of some constipation, which that is usually accompanied by some diarrhea after passing some hard and dry stool.  The best way to combat constipation is by drinking plenty of water and eating plenty of fiber foods like whole grains and dark green salads.  If you drink beer a lot or eat out often, you need to cut back, becuz it will make diarrhea without constipation.  Also, some medications can cause constipation and/or diarrhea, so check the side effects of anything you may be taking, and perhaps ask to switch to another kind.  I hope this helps.