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Christine Lee, MD, a gastroenterologist at Cleveland Clinic, likens anal fissures to having a paper cut on your butt. Luckily, they usually get better on their own, though you can ask a doctor if they can recommend an anesthetic cream to dull the pain in the meantime. It can also help to take a sitz bath and increase your fiber intake (so that your future poops are a little more manageable). Still, as you know from a lifetime of pooping, rectal bleeding isn’t a typical thing. So how do you know if you can brush it off or if you need to seek medical care? We asked some experts about why you might be pooping blood—and when it’s time to see a health care provider. That’s because bleeding can also be a sign of other issues like an ulcer, a side effect of medication, a precancerous polyp, or even anal or colorectal cancer. Anal penetration can also irritate hemorrhoids you may not even realize you have, Dr. Sokol says. Hemorrhoids are essentially cushions of blood vessels inside and outside of your anus, according to the Mayo Clinic.
Pop culture’s depictions of sex typically focus on the romantic, the salacious, and (in some refreshing cases) the embarrassing. Finally, when it comes to matters of slickness, never use an oil-based lube with latex condoms (or dental dams). The oil can break down the latex and render your safe-sex method less effective. Both of these more intense hair removal methods can keep strays away for longer periods of time. Waxing basically involves yanking hairs out of the follicles (ouch), while laser hair removal works by zapping the melanin in your follicles to burn (and destroy) the strands down to the root. Instead, just prep the area with shaving cream, gel, or foam, which Dr. Gohara says should create a slick layer that’ll help your razor glide smoothly. That way, you’re not tugging at long strands that could get caught in the blade(s) and pull (and hurt) your sensitive skin. With the right technique though, you can avoid a nightmare scenario while also getting rid of any unwanted strands. Below, two dermatologists break down everything you need to know about how to shave butt hairs effectively—and, more importantly, safely.
But there’s a difference between a sexual kink and undesired, severe, or persistent pain in the vulva, vagina, or pelvis. “Diverticulosis is the presence of little pouches in the colon, which can sometimes cause bleeding,” Kyle Staller, MD, a gastroenterologist at Massachusetts General Hospital, tells SELF. You can get hemorrhoids when you strain too much when trying to poop, sit on the toilet for too long, or have diarrhea or constipation. Pregnancy, which often causes constipation and increases pressure on your lower body (including your anus), is another common culprit. Sometimes you won’t even realize you have hemorrhoids, but pushing in the bathroom can make a hemorrhoid bleed. You may be able to prevent an anal fissure by taking measures to prevent constipation. Eat high-fiber foods, drink fluids, and exercise regularly to keep from having to strain during bowel movements. Anal fissures are very common in young infants but can affect people of any age. Most anal fissures get better with simple treatments, such as increased fiber intake or sitz baths. Some people with anal fissures may need medication or, occasionally, surgery.
Your anus simply cannot go from zero to 60 without time to warm up. That progression might look different with a partner than it does on your own. But whatever you landed on by yourself can give you a good working knowledge of what your body needs to feel ready. One way to do this is by trying some anal play on your own time, without a partner. “It’s really important to know your body,” Kelly Wise, Ph.D., an LGBTQ-friendly sex therapist based in New York City, tells SELF. To put it simply, understanding what your anus can handle may prevent you from going too big too soon with a partner or not using enough lube. But having one of these types doesn’t automatically mean you’ll develop any health issues.
Any one of these options should be able to get PEP for you as quickly as possible, or better direct you to someone who can. If you have that itchy-bottom feeling or lumps and bumps around your bum (these engorged blood vessels can sometimes even prolapse, a.k.a. fall out of your anus), it’s natural to want to scrub extra hard to clean the area. Try to resist that urge, Dr. Singhal says, because irritation can make hemorrhoids worse. If possible, your doctor will perform a digital rectal exam, which involves inserting a gloved finger into your anal canal, or use a short, lighted tube (anoscope) to inspect your anal canal. However, if this is too painful for you, your doctor may be able to diagnose an anal fissure only by observation. It’s possible to get a serious anal tear due to anal sex, Dr. Sokol says, though it’s much less likely if you follow all the steps above. “This is easily diagnosed by a colorectal surgeon or a gastroenterologist,” Dr. Sokol says. Just like when you play around with anal on your own, you need to prepare your butt when you’re with a partner.
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