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Rectal discharge

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I have a rectal discharge. I comes out attached to my stool. It is white like pus or fungus I'm not sure. I feel like I need a bowel movement constantly even after I have one. I also have a persistent ache in my rectum. This has been going on for about a week. Can you please advise what this is and how to treat it.

Category: Family Physician-GP

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Category: HIV- AIDS Specialist
 25 Doctors Online


Thank you for choosing DoctorSpring.

I would like to know some additional details from you so that I can provide a solid and learned opinion.
You can reply as a followup

1. Do you know what colour is the discharge ?
2. Is there blood admixed ?
3. For how long you are having this symptom ?
4. How many times do you pass stools
5. Are you sexually active ? Is there a history of unprotected sex ?
6. Have ever recieved anal penetrative sex (sorry got to ask this, standard question)

Thank you

Patient replied :

It is white, there is no blood, symptoms for about a week, pass stools 5 x a day, I'm sexually active though very infrequent, there is no history of unprotected sex, I have had anal penetrative sex.

Thank you for the reply

The white discharge is suggestive of an infection (possibly a sexually transmitted one) . The most likely cause is Candida (fugal) infection. However this needs to be confirmed by a direct examination and some blood tests. Candida infections sometimes occur in individuals with depressed immunity. So it is better to get a baseline blood evaluation.

I would recommend a Physical examination, Per rectal examination by your GP, Fasting Blood Sugar, Complete Blood count, HIV test , STD test panel.

Even if the symptoms regress it is better to get evaluated. Meanwhile take a high fibre diet. If cadidiasis is confirmed you will require an oral anti fungal medication like fluconazole. Do keep me posted. I will keep this consult so that you can get back to me at any time

Thank you

Dr. Jaydeep Tripathy
Category: HIV- AIDS Specialist
MBBS from Sri Ramachandra University in December 2011
M.Med (Family Medicine) - TNMGR University, Chennai
MBA-MPH in Public Health in March 2016, SRM University
Finished AFIH in March 2016, SRM University
MRCP ( UK ), Internal Medicine, Royal College of Physicians, June 2016
Fellowship in Diabetology from Martin Luther University in January 2017

Currently Resident Physician, in MD Radiodiagnosis - Kamakshi Memorial Hospital, Chennai
Dr. Jaydeep Tripathy and 4 other Medical Specialists are ready to help you

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