Hello. I am a 27yo male working in education. I was diagnosed with an anal fissure in May after going to the doctor complaining of smelly mucus discharge. She gave me some creme (proctosol) and said if it doesn't improve, to come back in for surgery. Sometimes it will go away but usually my ass is so itchy after BM, I can't resist scratching my anus to oblivion. Currently I've been calling in sick the last few days because the leakage is so bad.
My theory is I have Pinworms, causing the scratching, which is causing hemmeroids and fissures from the trauma. I took an OTC pinworm medication yesterday so hopefully the itching will stop and I will be able to heal. I have also taken to squatting over the toilet instead of sitting, and also I've been avoiding caffeine and drinking lots of water and taking stool softeners. Also I've been taking periodic warm baths.
It's been a couple days since I've really scratched my rectum while wiping. Hopefully the pinworm theory is correct and I will be back to normal soon. The mucus discharge is the most embarrassing part. Sometimes it's smelly and sometimes it's not, but it's always enough to leak through my underwear and be visible on my pants. I don't want to start wearing a diaper! I'm afraid of surgery! Glad I found this forum and I'll keep you updated.