Anal fissure gay men
One of the more painful and lesser discussed aspects of anal sex is the occurrence of anal fissures. If you’ve had one you know the searing pain associated with it and the weeks-long recovery time to obtain things back to active order down there. As with most things, prevention is the best treatment for anal fissures, so we brought in the good Dr. George to give us some tips on how to elude them and what to do if we come about get them.
John: Hey Dr. George. The topic of the day is anal fissures. Let’s start with the basics and then work our way deeper into it, pun always intended. At the most basic level, what are anal fissures and what causes them?
Dr. George: An anal fissure is a tear in the lining of the anal sphincter. Basically, it could be a small scratch or it could be very, very significant tear. Now if you go onto Google looking for anal fissures, the main people you&#;re going to glimpse suffering with them are women who&#;ve been pregnant, and the reason for that is because the muscles around the area were stretched beyond their capacity.
So, within the context of gay men, there are three reasons that they&#;re going to obtain anal fissures: One is const
What is it?
An anal fissure is a tear in the skin of the anal canal or perianal area which most commonly occurs in the posterior midline.
The majority of anal fissures are caused by local trauma to the anal canal, such as passage of hard stool or anal sex.
Anal fissures are often superficial, however with deep anal fissures, the exposed internal sphincter goes into spasm causing severe pain and principal to delayed healing. Subsequent bowel motions cause further pain and bleeding.
Patients may describe a tearing pain with the passage of bowel movements. The route of stool may be accompanied by bright rectal blood, usually limited to a small amount on the toilet paper or on the surface of stool.
Clinical presentation
An acute fissure appears as a laceration best seen by stretching the perianal skin.
Look initially at the posterior midline. A chronic fissure has raised edges exposing the white, horizontally oriented fibres of the internal anal sphincter at its base.
Chronic fissures are often accompanied by external skin tags at the distal end.
Recurrent or non-healing fissures despite medical therapy should lift concern about other inflammatory conditions such as Croh
Anal Fissures Can Be The Biggest Pain In The Ass For Bottoms
For all you bottoms, we hold some news. Anal fissures are real, and they hurt like hell. A fissure is a little tear in the anal canal. Although they are small, the pain caused by fissures is massive. You can get an anal fissure in many ways. For starters, you can get them when you are pooping, and the stool is too hard. If you strain out the poo, it could leave your anal canal ripped and in pain. So, next moment you need to poop, grab your poppers, and sniff them. Hopefully, everything will come out easier after that.
Preventing Anal Fissures
Another, and more common way, of getting an anal fissure is through anal sex. If you are bottoming, you can hold steps to prevent anal fissures. The first is to educate yourself on understanding what can arise after anal sex and proactively prevent it. Training about anal, preparing and even the foods to eat for the optimal anal sex will preserve you safe and hinder tears.
Tips for Safe Anal Sex
If you want to enjoy anal sex without a fissure, you can use an anal kit that dilates you and teaches you muscle control. If you prefer something you can stick in gently and go, yo
I’m Suffering a Terrible Effect of Sex. No Doctors Will Believe Me.
How to Do It is Slate’s sex advice column. Have a question? Send it to Stoya and Rich here. It’s anonymous!
Dear How to Do It,
I am a gay bloke in my late 20s who almost exclusively bottoms. For the past year, I have had a persistent, painful anal fissure that continues to frequently reopen as a fallout of bowel movements. This has prevented me from having penetrative sex with my partner as I am often in too much pain and scared of harming the fissure or bleeding. I possess had two consults with colorectal doctors, but they have been relatively aloof and one was fairly homophobic. They don’t contemplate my case meets the definition of acute bc of the level of pain I am in, but I also ponder they are not considering why this problem and its persistence is an acute problem for a gay man. Instead, I have made lifestyle changes (more fiber, water, apply , etc.) and used several prescription creams in various combos but the equal fissure reopens again. This has left me frustrated, both medically and sexually to the point of having a hard age feeling sexual enough for non-penetrative sex.
Do you hold
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