Resolved question:
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.
Submitted:
4 Days
Category:
Family Physician-GP
Hello,
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
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