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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Anal Pain And Bowel Difficulty Post Anal Sex

Hi, I'm 20 years old and I had anal sex with another guy, he was larger and pounded very hard. He did say it felt like he hit a bone or something afterwards... When we got done, my anus started to hurt; this is the second week its been hurting and its hard for me too push out my bladder and when I make a bowel movement I bleed...please help me
Mon, 14 Mar 2016
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Dentist,  's  Response
Hi..
Welcome to HEALTHCARE MAGIC..

I have gone through your query and can understand your concerns..

As per your complain pain in the anal area after anal sex along with bleeding on bowel evacuation and pain seems to be pointing towards Anal Fissures, that occurs due to tear in the specialized mucosa of the anal canal known as Anoderm..
I would therefore suggest you to consult an Anorectal surgeon or a Proctologist and get evaluated as the exact cause of the fissure needs to be ruled out and treated accordingly to prevent further increase in symptoms and treatment of cause can relieve..
He can investigate clinically as well he can advise you Anoscopy confirm the cause.
You can be advised to apply topical anaesthetics like Lignocaine gel..
Calcium channel blocker containing ointments like Diltizem can be advised as it will dilate the blood vessels in the area and improve blood flow that will initiate healing..
You can be advised to take stool softeners like Docusate and increase fibre intake that will also smoothen the stool like Psyllium and methylcellulose..
You can also do Sitz bath by sitting in a tub of warm water 2 to 3 times a day especially after bowels..
You can also take painkillers like Ibuprofen if there is pain..
In case of no resolution surgical treatment can be advised..

Hope this information helps..

Thanks and regards.
Dr.Honey Nandwani Arora.
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Suggest Treatment For Anal Pain And Bowel Difficulty Post Anal Sex

Hi.. Welcome to HEALTHCARE MAGIC.. I have gone through your query and can understand your concerns.. As per your complain pain in the anal area after anal sex along with bleeding on bowel evacuation and pain seems to be pointing towards Anal Fissures, that occurs due to tear in the specialized mucosa of the anal canal known as Anoderm.. I would therefore suggest you to consult an Anorectal surgeon or a Proctologist and get evaluated as the exact cause of the fissure needs to be ruled out and treated accordingly to prevent further increase in symptoms and treatment of cause can relieve.. He can investigate clinically as well he can advise you Anoscopy confirm the cause. You can be advised to apply topical anaesthetics like Lignocaine gel.. Calcium channel blocker containing ointments like Diltizem can be advised as it will dilate the blood vessels in the area and improve blood flow that will initiate healing.. You can be advised to take stool softeners like Docusate and increase fibre intake that will also smoothen the stool like Psyllium and methylcellulose.. You can also do Sitz bath by sitting in a tub of warm water 2 to 3 times a day especially after bowels.. You can also take painkillers like Ibuprofen if there is pain.. In case of no resolution surgical treatment can be advised.. Hope this information helps.. Thanks and regards. Dr.Honey Nandwani Arora.