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There are many different types of rectal discharge, but the most common presentation of a discharge is passage of mucus or pus wrapped around an otherwise normal bowel movement. [10] Rectal discharge has many causes, and may present with other symptoms: [10] [11] Staining of undergarments; Constant feeling of dampness around anus
Fecal incontinence to gas, liquid, solid stool, or mucus in the presence of obstructed defecation symptoms may indicate occult rectal prolapse (i.e., rectal intussusception), internal/external anal sphincter dysfunction, or descending perineum syndrome. [7] ODS often occurs together with fecal incontinence, especially in geriatric people. [39]
Fecal leakage, fecal soiling and fecal seepage are minor degrees of FI, and describe incontinence of liquid stool, mucus, or very small amounts of solid stool. They cover a spectrum of increasing symptom severity (staining, soiling, seepage, and accidents). [1] Rarely, minor FI in adults may be described as encopresis.
Unformed stool while traveling, fever, abdominal cramps, headache [2] [3] Duration: Typically < 5 days [3] Causes: Often bacterial [3] Risk factors: Travel in the developing world: Diagnostic method: Based on symptoms and travel history: Prevention: Eating only properly prepared food, drinking bottled water, frequent hand washing [4] Treatment
Abdominal pain, vomiting, and stool with mucus and blood are present in acute gastroenteritis, but diarrhea is the leading symptom. Rectal prolapse can be differentiated by projecting mucosa that can be felt in continuity with the perianal skin, whereas in intussusception the finger may pass indefinitely into the depth of the sulcus.
Symptoms are ineffectual straining to empty the bowels, diarrhea, rectal bleeding and possible discharge, a feeling of not having adequately emptied the bowels, involuntary spasms and cramping during bowel movements, left-sided abdominal pain, passage of mucus through the rectum, and anorectal pain.
[1] [10] Other symptoms may include fever, abdominal pain, and a feeling of incomplete defecation. [2] [6] [11] Complications may include dehydration. [3] The cause of dysentery is usually the bacteria from genus Shigella, in which case it is known as shigellosis, or the amoeba Entamoeba histolytica; then it is called amoebiasis. [1]
Stool antigen detection tests have helped to overcome some of the limitations of stool microscopy. Antigen detection tests are easy to use, but they have variable sensitivity and specificity, especially in low-endemic areas. [7] Polymerase chain reaction (PCR) is considered the gold standard for diagnosis but remains underutilized. [7] [18]