rome , ▁anal ▁f ist ula e , ▁vill ous ▁ad en oma , ▁poor ▁anal ▁h yg iene ▁R are ▁causes ▁include : ▁sex ually ▁transm itted ▁dise ases ▁( e . g . ▁sy ph ilis , ▁rect al ▁g on orr he a , ▁ch lam yd ia ), ▁anal ▁car cin oma , ▁A ID S , ▁rect al ▁foreign ▁body , ▁bow el ▁obst ruction , ▁rect oce le , ▁ent ero ce le , ▁ul cer ative ▁col itis , ▁b acter ial ▁col itis ▁( e . g . ▁sy ph il it ic ▁col itis ), ▁anal / per ian al ▁t uber cul osis , ▁per ian al ▁abs cess ▁( when ▁ru pt ured ). ▁ ▁Per ian al ▁Cro hn ' s ▁disease ▁is ▁associated ▁with ▁f ist ul izing , ▁f iss uring ▁and ▁per ian al ▁abs cess ▁formation . ▁ ▁After ▁col ost omy , ▁the ▁dist al ▁section ▁of ▁bow el ▁continues ▁to ▁produce ▁m uc us ▁despite ▁f ec al ▁di version , ▁often ▁resulting ▁in ▁m uc in ous ▁dis charge . ▁ ▁Occ asion ally , ▁int est inal ▁par as it ic ▁in fection ▁can ▁present ▁with ▁dis charge , ▁for ▁example ▁wh ip w orm . ▁ ▁Per ian al ▁dis charge ▁ ▁Several ▁path ologies ▁can ▁present ▁with ▁per ian al ▁dis charge . ▁Although ▁not ▁exactly ▁the ▁same ▁as ▁rect al ▁dis charge , ▁per ian al ▁dis charge ▁can ▁be