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Topical applications, oral medications, or surgery are all viable treatment options for anal leakage. Anal leakage common causes, symptoms and natural treatments by dr. David cummings, md published october 30, 2017 updated january 23, 2018 a leaky anus can be an embarrassing condition causing uncontrollable anal discharge. Anal leakage is sometimes called bowel incontinence, fecal incontinence or anal seepage. Some people only realize that they suffer from a leaky anus when they notice anal discharge on their underwear. The seepage may be watery stool or mucus that has passed unknowingly from the rectal muscles. Obesity is a risk factor for diarrhea and accelerated colonic transit. Besides predisposing to acute leakage by virtue of higher viscus (bladder or rectal) pressure, it is suggested that a higher intra-abdominal pressure may damage the pelvic floor in obese people 9. Women undergoing evaluation for fi between 20 were identified. By jamie seiler, pa-c fall 2010 to view a pdf version of this article, click here. Hemorrhoids are more common in the overweight population for several reasons and can be both painful and irritating.