Some medical experts include streaks or stains of stool or mucus on your underwear—called soiling—as a symptom of fecal incontinence. You should see a doctor if your fecal incontinence is frequent or severe. Although some people are able to manage mild or infrequent fecal incontinence on their own, you should see a doctor if your fecal incontinence is affecting your quality of life or causing emotional or social distress. Fecal incontinence has many causes, including digestive tract disorders and chronic diseases.
Cleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission. We do not endorse non-Cleveland Clinic products or services. Anal fissures are small tears in the skin around your anus. They commonly cause itching and bleeding, and they tend to cause more pain than most types of hemorrhoids.
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Try out PMC Labs and tell us what you think. Learn More. Clinicians, however, continue to refer to changes in the hymen to assess for a history of consensual or nonconsensual sexual intercourse. We reviewed published evidence to dispel commonly held myths about the hymen and its morphology, function, and use as evidence in cases of sexual violence. An examination of the hymen is not an accurate or reliable test of a previous history of sexual activity, including sexual assault. We call on clinicians to consider the low predictive value of a hymen examination and to: 1 avoid relying solely on the status of the hymen in sexual assault examinations and reporting; 2 help raise awareness of this issue among their peers and counterparts in law enforcement and the judicial system; and 3 promote fact-based discussions about the limitations of hymenal examinations as part of clinical education for all specialties that address the sexual or reproductive health of women and girls. The online version of this article In some settings, clinicians who evaluate women and girls suspected of being victims of sexual assault, or suspected of having engaged in intercourse with or without consent , rely on an examination of the hymen for their assessments. The hymen is a small membranous tissue outside of the vaginal canal that has no known biological function.
Download the abridged report in Arabic. Download the summary and recommendations in Arabic. Download the summary and recommendations in Spanish. These examinations often involve doctors or other medical personnel forcibly inserting their fingers, and sometimes other objects, into the anus of the accused. Law enforcement officials and some medical personnel claim that by doing so they can determine the tone of the anal sphincter or the shape of the anus and draw conclusions as to whether or not the accused person has engaged in homosexual conduct. This argument is based on long-discredited 19 th century science: the overwhelming weight of medical and scientific opinion holds that it is impossible to use these exams to determine whether a person has regularly engaged in same-sex conduct. Forced anal examinations are a form of cruel, degrading, and inhuman treatment that can rise to the level of torture. Forced anal exams are invasive, intrusive, and profoundly humiliating. Some people subjected to these examinations experience lasting psychological trauma.