Yes. A discharge, in general terms, is usually considered a symptom that anal fissure is present. Thus, it is normal to have discharges when the person has anal fissures. It is characterized by a foul, smelly discharge. However, doctors say that the person must not only focus on the color but on the consistency of the discharge.
For example, if the discharge has a white, mucus-like, and watery consistency, it may be caused by a more serious symptom. On the other hand, a thicker viscosity with a yellow to greenish color may already be caused by a pus or abscess found in the anal lining, which is indicative of an infection, that must immediately be treated by antibiotics.
Some doctors say that having a discharge is an indication that the anal fissure is healing. Still, it is recommended that upon consultation with a medical professional, the patient should tell him or her about the discharge and its detailed description to diagnose and treat further symptoms if necessary, along with the other symptoms he or she may have been experiencing, like abdominal pain or itchy skin around the anal area, his or her other medical condition prior and during the illness, and the medications he or she is taking. This is done to ensure that the treatment prescribed is not contraindicated with his or her current state of health.
Being honest with the medical provider especially in the anal fissure discharges can help in the treatment of the disease. Furthermore, it can avoid the anal fissure from worsening and become an anal fistula, especially if the discharge becomes continuous as the days pass by.
The difference between anal fistula and anal fissures is that the former is characterized by a small tube-like tunnel found near the anus which can be clearly seen after the pus inside it has been drained. Also, it already needs surgery to be treated and healed (if not treated, pus will continue to make a passageway in the butt area, causing more pain and discomfort during bowel movement). This could be more painful, pricey, and troublesome. The good thing is that it can be avoided if the anal fissures are treated immediately and properly–and it starts with a proper diagnosis.
The patient must, if a doctor’s visit is a bit far off, have a proper hygiene and keep the anus area clean in order to avoid worsening the problem and infect the fissures. Also, he or she must have a diet rich in fiber. Because anal fissures can be painful when stools passing through it are hard, large, and dry, the patient must consume a fiber-rich diet (about 20-35 grams every day) to make his or her stools soft and easy-to-pass along the anal cavity and out the anus. Drinking lots of water can also help in softening the stools.
Overall, a white or yellow discharge may be indicative of an anal fissure, but must also be diagnosed with an array of symptoms associated with the diseases. The only way it can be diagnosed properly is if the patient permits a healthy and honest conversation with his or her respective medical provider.
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