Treatment of Halitosis Patients who Say “Anus Smells” in an Ano-proctology Clinic

Abstract

The treatment of halitosis patients who say “anus smells” in an ano-proctology clinic is reported. Nineteen patients presented at my clinic from 2017 to 2019. Three patients were operated on, and all of them improved compared with at the time of their first visit to my clinic. I performed low-frequency electrostimulation in the anal canal for 11 patients. The conditions of four female patients with maximum squeeze pressure below 90 mmHg improved greatly as expected. The four female patients were also instructed in pelvic floor muscle exercises. Unfortunately, 9 of 10 patients who had no anal disease did not improve compared with when they were treated technically.

Surgery and medicine are highly effective for halitosis patients who have anal disease. Low-frequency electrostimulation in the anal canal and pelvic floor muscle training exercises are considered to be effective for female patients with maximum squeeze pressure below 90 mmHg.