[Question #1224] Yellow clumpy discharge

83 months ago
Hello Dr
You can preview my older post but 16 months ago I had a very brief protected anal sex exposure with a ts escort. The condom was intact and it only lasted a very brief time. Less than a min total. I urine tested negative for all bacterial std'so and was negative. I tested negative for syphilis,hiv and herpes out to one year after the event. I never had an anal swab as I thought the condom protects against such stds.
 I have a few hemerrhoids from power lifting.
 Here is my concern. I have been having burning skin around the anus. Not surprising due to hemorrhoids. I take fiber and keep it clean. Now the fact I refuse to stop lifting I know I'm not helping them at all.
 Flashe forward to this morning. I had a bowel movement and then showered. On my way to work my anus began to really burn. I got to work and went into the bathroom. I took my phone and took a pick to see if anything was worse (I know!! Stop laughing.lol) I had a small (about the size of a small pea) clump of yellow discharge or stool at the anus opening. It was more like a solid paste and not liquidy at all. After I cleaned the area the burning subsided.
 My questions are
1. Could this be chlamydia 16 months later?. My bowel movements are never painful and my hemorrhoids are external only. 
2. Could this just be just stool? The yellow threw me.
3. What is my next step. My Dr buddy just said it's likely stool and don't worry. I can except that but it was very yellow and my stools are light brown. 
 Any advice is greatly appreciated. 
H. Hunter Handsfield, MD
83 months ago
Welcome back. But I'm pretty sure you know what I'm going to say. Directly to your questions.

1) There is little or no chance you acquired chlamydia, and even if you did, the large majority of chlamydial infections are cleared by the immune system in a few weeks or months. Persistence beyond a year is uncommon. And a longstanding infection would not be likely to only now start to cause symptoms.

2) You observed this and I didn't, but I'm inclined to agree with your doctor friend. Stool can appear quite yellow and it seems to me that's by far the best bet. Also, occasional burning or stinging of the anus isn't rare in entirely healthy people, either from something they ate or just irritation from feces itself.

3) Your next step should be to a) stop worrying and move on without further worry or concern about your sexual exposure 16 months ago; and b) consider professional counseling. Your several questions on the forum all point to unresolved anxiety over a sexual decision you regret, and I'm inclined to doubt you'll ever get past it by repeated professional opinions either on this forum or anywhere else.

You could also see a physician for rectal swab testing for gonorrhea and chlamydia. For all the reasons discussed above and in your previous threads, I'm sure the results would be negative and if somehow I were in your situation, I wouldn't do it myself. But perhaps the negative resutls would help you move on with less worry about all this.

Repetative anxiety driven questions are discouraged, so let's make this your last question about this exposure. Future ones will be deleted without reply or refund of the posting fee. (We take this position to protect people from themselves, i.e. to no be tempted to ask questions with obvious answers; and because such questions have little educational value for other readers, which is one of the main purposes of the forum.) You're fine and it won't do you any good to hear the same, predictable answers yet again. Anyway, you've already said, twice, that you have heard this message "loud and clear". 

That said, I hope these comments have been a little bit helpful. Best of luck--  HHH, MD
83 months ago
Thank you Dr Handsfield. I do still feel guilty but I have not stressed at all in a while now. The yellow spooked me as I always associated yellow with infection. 
 I do understand where you are coming from and appreciate everything you do. This will be my last post on the subject. I trust your medical expertise and that's why I came here. Take care and thank you again for the great service and advice. 

H. Hunter Handsfield, MD
83 months ago
Thanks for the thanks. I'm glad to have helped.