I've been struggling with this issue for months. Whenever I stand for a long time or walk a bit, I get this weird sweaty feeling around my anus, and I notice stains on my underwear that match that pattern. Also, when I poop, there's this white foam in it, and it just won't go away. The doctor had me get a perianal ultrasound, and everything looked fine, probably because they only checked the outside. They also mentioned it wasn't a fistula. I'm at a loss about what to do next. Can you help me figure this out?

Answered by 1 Apollo Doctors

Dr Chandra P

General Practitioner

MBBS
5+ Yrs

Consult Now

Your symptoms, including the sweat-like sensation, anal staining, and white foam in stool, suggest a possible anal gland or fistula issue, despite the external perianal ultrasound being normal; consider seeking a second opinion from a colorectal surgeon or gastroenterologist for a more thorough evaluation, including a digital rectal exam, anoscopy, or MRI, to rule out conditions like anal fistula, abscess, or proctitis, and to develop an effective treatment plan.

Dr. Chandra Suggests...

Consult a Gastroenterology/gi Medicine Specialist

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Answered 04/07/2025

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yes

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My mom is 62 and was diagnosed with a 13 mm gallstone last month. Her total bilirubin level just came back at 5.9 today and she's feeling extremely weak can barely stand. We're planning surgery next month but what tests or steps should we take now to bring her bilirubin levels down?

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take painkillers to reduce that pain

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