Pus or Discharge from a Small Opening Near the Anus: What It Means and Its Causes in Detail

Noticing pus or discharge from a small opening next to the anus is a significant medical sign, not a fleeting symptom. It's often an indication of a condition like an anal abscess or an anal fistula and requires early evaluation to prevent complications. This article provides a comprehensive explanation of both conditions—their symptoms, causes, and appropriate treatment.

Condition 1: Anal Abscess

What is an abscess?

It's a localized collection of pus under the skin near the anus, formed due to an infection in the anal glands.

Main Symptoms:

• Throbbing pain accompanied by swelling and redness in the area.

• Pus discharge when pressure is applied or if the abscess bursts on its own.

• A slight fever or general fatigue in some cases.

Appropriate Treatment:

• Immediate in-office drainage under anesthesia.

• Cleaning and sterilizing the area after draining the abscess.

• Antibiotic treatment, depending on the case.

For full details:

• Types of Anal Abscesses and How to Prevent Them (Arabic)

Condition 2: Anal Fistula

What is a fistula?

It's a channel that connects the inside of the rectum to the skin surrounding the anus. It often develops as a result of an abscess that was not fully treated.

Distinctive Symptoms:

• Continuous or recurrent discharge of pus or fluid.

• Itching and irritation of the surrounding skin.

• An unpleasant odor.

• Mild pain when sitting.

Available Treatment:

• Treatment using surgery or laser to eliminate the fistula.

For full details:

• What Is an Anal Fistula? And How Is It Treated? (Arabic)

The Difference Between an Abscess and a Fistula

When Should You See a Doctor Immediately?

• If pus is discharging in large or recurrent amounts.

• If you have a fever or general fatigue with the swelling or pus.

• If the discharge persists despite home remedies.

• If you have severe pain, bleeding, or other unusual symptoms.

For general guidance on seeking medical care:

• When Is Anal Bleeding a Sign of a Serious Problem? (Arabic)

At-Home Tips for Relief Before Medical Treatment

• Do not tamper with the area or try to drain the abscess or channel yourself.

• Use a warm bath (Sitz bath) to reduce swelling and inflammation.

• Maintain cleanliness using only warm water and not scented wipes.

• Wear light cotton clothing to reduce friction.

• Use a suitable cushion to ease sitting and reduce pressure.

Conclusion

The appearance of pus in the anal area is not a minor symptom. It's often a sign of an anal abscess that needs to be drained quickly or an anal fistula that requires precise surgical treatment. The provided Hemocure links offer in-depth medical explanations for each condition and guidance on choosing the right treatment and getting effective care. If the symptoms appear or persist, see a specialist immediately—your health is a priority and can't wait.