ia ▁g on or rho e ae . ▁The ▁condition ▁is ▁usually ▁asympt om atic , ▁but ▁sympt oms ▁can ▁include ▁rect al ▁dis charge ▁( which ▁can ▁be ▁cre amy , ▁pur ul ent ▁or ▁blo ody ), ▁pr ur it us ▁ani , ▁ten es mus , ▁and ▁possibly ▁const ip ation . ▁When ▁sympt om atic , ▁these ▁usually ▁appear ▁ 5 – 7 ▁days ▁post ▁expos ure . ▁D isch ar ge ▁is ▁the ▁most ▁common ▁sympt om , ▁and ▁it ▁is ▁usually ▁a ▁brown ish ▁m uc op ur ul ent ▁consist ency . ▁ ▁Sy ph ilis ▁ ▁An ore ct al ▁sy ph ilis ▁is ▁caused ▁by ▁Tre pon ema ▁p all id um ▁and ▁is ▁contract ed ▁through ▁an ore cept ive ▁inter course . ▁Sym pt oms ▁are ▁usually ▁minimal , ▁but ▁m uc ous ▁dis charge , ▁ble eding , ▁and ▁ten es mus ▁may ▁be ▁present . ▁ ▁An ore ct al ▁f ist ula e ▁ ▁I le oc ol ic ▁act in omy cos is ▁ ▁Non - in fect ious ▁infl amm ation ▁ ▁Ul cer ative ▁col itis ▁ ▁D ivers ion ▁col itis ▁When ▁the ▁f ec al ▁stream ▁is ▁di vert ed ▁as ▁part ▁of ▁a ▁col ost omy , ▁a ▁condition ▁called ▁di version ▁col itis ▁may ▁develop ▁in ▁the ▁section ▁of ▁bow el ▁that ▁no ▁longer ▁is ▁in ▁contact ▁with ▁st ool . ▁The ▁m uc os al ▁l ining ▁is ▁n our ished