Persistent Bad Odor Despite Personal Hygiene: Is It a Sign of a Fistula or Skin Leakage?

Experiencing a persistent bad odor daily despite maintaining good hygiene can cause anxiety and discomfort. This odor might result from simple skin irritation, or it could be a sign of an anal fistula or even skin leakage due to a chronic condition in the area. In this article, we will review the most likely causes of bothersome perianal odor and clarify when it is necessary to visit a doctor.

1. Skin Irritation or Allergic Reaction (Contact Dermatitis)

The use of scented wipes or strong chemical cleansers can lead to skin inflammation, causing a burning sensation and an abnormal odor, especially if moisture is trapped.

• For more: Does Anal Itching Signal Danger? (This article reviews common causes of itching or irritation around the anus, including chemical and allergic reactions.) (Arabic)

2. External Hemorrhoids or Chronic Inflammation

An unusual odor may stem from external hemorrhoids causing irritation or small bumps that secrete an unclean fluid, especially if accompanied by friction or itching.

• For more: The Difference Between Internal and External Hemorrhoids and How to Tell Them Apart (The article covers the differential symptoms of internal and external hemorrhoids and addresses the causes of bothersome secretions.) (Arabic)

3. Anal Fistula

An anal fistula is an abnormal tunnel connecting the inside of the anus to the external skin, which may chronically secrete mucus or pus with a strong odor.

• For more: What Is an Anal Fistula? And How Is It Treated? (This article explains the anal fistula in detail, including its symptoms like foul-smelling discharge.) (Arabic)

4. Pilonidal Fistula

This type of fistula often appears at the base of the tailbone (coccyx) and can cause purulent secretions with a strong odor, especially with pressure or prolonged sitting.

• For more: Pilonidal Fistula (Explains the causes of pilonidal disease and how to prevent and treat it.) (Arabic)

When to Be Satisfied with Home Adjustments? And When Do You Need to See a Doctor?

You can start with these adjustments:

• Use mild soap or water only instead of scented wipes.

• Maintain dryness in the area regularly and gently.

• Wear cotton and loose-fitting underwear.

Signs that warrant an immediate visit to the doctor:

• Persistent bad odor despite hygiene efforts.

• The appearance of pus or mucus with a strong odor.

• Continuous swelling or pain or the appearance of abnormal openings near the anus or tailbone.

Conclusion

A persistent bad odor may be due to simple causes like skin irritation or secondary effects of hemorrhoids, but in some cases, it may indicate an anal fistula or pilonidal fistula. The articles above from the Hemocure website provide reliable information to understand the cause and guide you toward appropriate treatment or medical evaluation.