Anal discharge

Anal discharge refers to the involuntary escape of fluid from or near the anus. The causes may be considered as follows. 3

Continent

• pilonidal sinus

• sexually transmitted diseases o anal warts o gonococcal ulcers o genital herpes

• solitary rectal ulcer syndrome

• carcinoma of anal margin

Incontinent

• minor incontinence—weakness of internal sphincter

• severe incontinence—weakness of levator ani and puborectalis

Partial continence

• faecal impaction

• rectal prolapse

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