Anal Soiling — Patient Information
Anal soiling refers to passive leakage of small amounts of mucus or stool that may stain underwear. It can result from hemorrhoids, prolapsing tissue, fissures, sphincter weakness or incomplete evacuation. Although often embarrassing, it is treatable when the underlying cause is identified.
Possible causes
- Prolapsing internal hemorrhoids or mucosal prolapse
- Sphincter weakness after prior surgery or childbirth
- Chronic anal fissure with sphincter dysfunction
- Incomplete evacuation related to rectocele or pelvic floor disorder
Evaluation
History focuses on the type and amount of leakage, triggers and prior anorectal conditions or surgery. Examination assesses the anal canal, sphincter tone and any prolapsing tissue.
Treatment approach
Treatment depends on the cause: improving stool consistency, treating hemorrhoids or fissures, pelvic-floor physiotherapy, and selected surgical options for structural problems.
This page is for general information only
The content here is not a diagnosis or treatment recommendation and does not replace an individual medical evaluation. If your symptoms persist, consult a physician. In emergencies call 112 or the nearest emergency department.