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Many factors lead to anal itching. An anal fistula is a small channel that connects the infected anal gland to an opening on the skin. Internal and external hemorrhoids fishy smelling anal discharge some common symptoms; both types can bleed, for example. According to the American Cancer Societythe lifetime risk of developing anal cancer is only 1 in When this vascular tissue becomes swollen, similar to varicose veins, they can cause problems such as:.