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Sour smelling anus

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Hi Doc(s),
I am a 33 year old female and would be grateful for soe medical advice. Since one year I have noticed that my anal region has a fishy or sour smell to it. I suspect this to be anal gland discharge and would appreciate your opinion. The odor intensifies throughout the day and the area around my anus seems moist and often itches. When I shower, I can get almost rid of it. The odor is not to a degree that people around me would notice, but I feel very uncomfortable getting intimate unless I have just stepped out of the shower.

I am detoxing 2-3x a year, am eating healthy and am a runner. I recently did a candida-detox diet. My stool is normal in consistency and bowel movements occur once a day. On days after I have indulged in sugar, my stool has a foul odor and I pass increased amounts of gas. No pain.

I go for regular OB/GYN check-ups, no yeast or bacterial infections. My vagina has no fishy odor, all good on that front.
I would very much appreciate your advice! THX!

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replied April 6th, 2010
Intestinal Disorders Answer A11120
Hi, welcome to the ehealth forum and I am glad to help you.
You seem concerned by the fishy smell from the anal region.
The description that you have provided suggests the possibility of perineal hidradenitis suppurativa which is a chronic disease that affects the apocrine glands. The apocrine glands are a type of sweat gland. Hidradenitis suppurativa is considered a severe form of acne. Women are more likely than men to develop hidradenitis suppurativa. People who have a history of acne have a higher risk of developing this condition. Hidradenitis suppurativa can also cause itching and a foul odor in the affected area in addition to one or more red bumps that are painful. Treatment depends on how severe your condition is. If your hidradenitis suppurativa is mild, applying warm compresses to the affected area and washing it with anti-bacterial soap may help with your symptoms. Non-steroidal anti-inflammatory drugs can help to manage swelling and relieve the pain.
You should consult your doctor for the definitive diagnosis as the same cannot be made online.
Hope this helps. Take care.
Note: This post is not to emphasise final diagnosis as the same cannot be made online and is aimed just to provide medical information and no treatment suggested above be taken without face to face consultation with health care professional

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