Anal tract issues

Patient : What causes white substances while 'trying' to pass stole and blood which is not on faeces?
Symptoms:  Diarrhea
White ragged substance or rarely small circular white substance possibly mucus while passing stool
Fatigue
Nausea
Blood while passing stool (not on stool itself)
Frequently passing gas
Foul smell when passing gas
Decreased appetite
Gained Weight (from 47 to 50 kg)(average calorie intake perday before loss of appetite is 1200 and started to do aerobics and muscle exercises such as squats and lunges)
Period is late but possible due to having ovarian cysts
Have been practicing anal sex
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