apollo
  • male
  • 30 Years
  • 29/01/2025

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?

Doctor 1

Answered by 1 Apollo Doctors

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

Answered 04/07/2025

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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.