Rectal discharge refers to any substance, aside from feces, that comes out of your rectum. Your rectum is the last part of your digestive system before your anus, which is the opening at the end of the system.
In this discussion, there are 2 main health concerns associated with anal discharge. For the first concern and PULSExpress, we will discuss Anal Discharge in the context of receptive Anal Sex. This occurs both in the straight and men who have sex with the male population. Furthermore, repeated episodes of receptive anal sex can cause the anal tissue to be further damaged, aggravating the symptoms and causing pain.
You may first notice anal discharge staining your underwear, the feeling of dampness and discomfort when wearing your underwear or even itching around the rectal area. It usually presents as mucus or pus that you may notice in your underwear or on your stool. You may also feel the urge to have a bowel movement, but only pass mucus or a very small amount of stool.
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There are many potential causes of rectal discharge, including gastrointestinal conditions, sexually transmitted infections, and bowel-related conditions. It’s a common symptom of irritable bowel syndrome (IBS), but infections, including sexually transmitted infections (STIs) and other conditions, can also cause it.
Some STIs that affect your rectum or anus can cause discharge. They’re usually transmitted through anal sex, but an infection in the genital region can also spread to the anal region.
STIs that can affect your rectum or anus include:
If STDs like Chlamydia or Gonorrhoea are passed during receptive anal sex, whether with or without condoms, the bacteria will then infect the walls of the anus, causing the first layer of the anal tissue to get infected, inflamed and eventually slough off resulting in discharge.
Anal discharge from Chlamydia, Gonorrhoea, Syphilis, and LGV infection can be diagnosed with the PULSExpress rectal swab test. Results are within 72 hours and early diagnosis will allow quick treatment of the condition. And for ultraExpress same-day results, you will get the result within the day of testing.
Rectal discharge may be your only symptom. Other symptoms can include:
- rectal pain
- anal itching
- anal fissures
- painful bowel movements
- blisters or sores around the anus
- irritation or itching affecting the anal region
- swelling, pain, or tenderness in the anal area
- rectal discharge
- pain, bleeding, or both during bowel movements
- abnormal growths of skin, blisters, or open sores on or near the anus
See a doctor if you think you may have an STI. Early diagnosis and treatment can help you avoid complications and reduce your risk of passing it on to others.
Infections associated with foodborne illness can cause rectal discharge, often along with nausea and vomiting, cramps, and diarrhea.
Foodborne illnesses, commonly known as food poisoning, are infections that can be caused by many different types of bacteria, viruses, and parasites.
The most common infections include:
- salmonella
- norovirus
- enteric campylobacteriosis
- shigellosis
Some cases of foodborne illness resolve on their own, but others may require antibiotics. In either case, it’s important to stay hydrated to replace fluids lost from vomiting or diarrhea.
Proctitis
Proctitis is a condition characterized by a persistent need to empty the bowels.
Rectal pain, abdominal pain, and bloody stools are common symptoms of proctitis. Occasionally, if there is a fistula or uncontrollable diarrhea, rectal discharge may also be present.
The following factors can cause proctitis:
- STIs, foodborne illnesses, and other infections
- IBD
- injury to the anus or rectum
- certain antibiotics
- a history of radiation therapy
Hemorrhoids
Hemorrhoids, also known as piles, are swollen veins in or around the rectum or anus. External hemorrhoidsTrusted Source develops under the skin surrounding the anus, whereas internal hemorrhoidsTrusted Source develops inside the tissue lining the rectum.
Hemorrhoids can lead to bleeding and discharge from the rectum. Some other common symptoms of hemorrhoids include:
- anal itching
- discomfort, soreness, or pain in the anal area
- lumps or swelling in the anal area
- a burning sensation in the anus
- bloody stools, either with or without pain
Hemorrhoids are relatively common causes of rectal discharge.
An anal abscess is an infected sac filled with pus near your anus. It’s usually caused by an acute infection in the anal glands.
In some cases, an anal abscess develops into a fistula. An anal fistula is a small channel that connects the infected anal gland to an opening on the skin. Fistulas can also be caused by other medical conditions.
Symptoms of an anal abscess include:
- rectal discharge or bleeding
- pain and swelling around your anus
- constipation
Treating an abscess involves draining the pus, which can usually be done quickly by your healthcare provider in their office.
Symptoms of a fistula include:
- anal pain, often severe
- pain during bowel movements
- bleeding
- foul-smelling discharge from an opening in the skin near the anus
- fever
See your doctor if you experience symptoms of a fistula, as these require surgical treatment.
