Waste material stool will leave the body through the stoma, where it is collected in an ostomy bag, or a pouch. In some cases, a person will have a stoma but will also still have their rectum. In this case, though, the rectum is not currently being used to hold stool. The stool leaves the body through the stoma and doesn't ever enter the rectum. Sometimes there can still be discharge from the bottom, where the rectum and the anus are, even though there's a stoma. How often there is a need to empty some fluid out of the rectum, and why, will vary from person to person.
A year-old boy was brought to an urgent care center for fever, back pain, and abnormal gait. In addition to back pain, the patient was found to be persistently febrile but also had decreased perianal sensation and bowel incontinence. He was therefore referred to the emergency department where his back pain improved without medication but he was still febrile with bowel incontinence and persistently decreased perianal sensation. An MRI was ordered to evaluate possible cauda equina syndrome and revealed a perirectal abscess. The child ultimately underwent an exam under anesthesia with pediatric surgery and had a drain placed. This case highlights a unique presentation of perirectal abscess masquerading as cauda equina syndrome. A discussion of important considerations in emergency room diagnosis and management is presented.
An anal fissure is a tear in the lining of the anus or anal canal the opening through which stool passes out of the body. The fissure can be painful and may bleed. Anal fissures can occur in anyone at any age.
A discharge from the vagina may occur normally or may result from inflammation of the vagina vaginitis , which may be due to an infection. The genital area vulva —the area around the opening of the vagina—may also be inflamed. Depending on the cause of the discharge, other symptoms are often also present. They include itching, burning, irritation, redness, and sometimes pain during urination and sexual intercourse.