Serious injuries from anal sex are relatively rare; however, if you have internal pain or see blood, you need to see your health care provider. Here are some of the potential complications of anal sex:
The blood you mentioned could have been from a hemorrhoid, which is a swollen vein in the anal area. Hemorrhoids can be fragile and prone to bleeding, although they don't usually cause the kind of pain you've described. You can frequently feel a hemorrhoid as a swollen, tender lump in the anal area. You'll often notice blood from a bleeding hemorrhoid on toilet paper after a bowel movement, or on the stool itself.
Pain and bleeding can also occur when there's a small tear in the lining of the anus called an anal fissure. Even small fissures can be pretty painful because they often cause spasms of the opening of the anus. They heal slowly because they're irritated repeatedly during bowel movements. With anal fissures, you may also see blood on toilet paper or on the stool itself.
A rare, but serious, complication after anal sex is a hole (perforation) in the colon. This dangerous problem requires hospitalization, surgery to repair the hole, and antibiotics to prevent infection. A colonic perforation will usually cause fever and severe pain and pressure in the abdomen. This condition requires immediate medical attention, either through your health care provider or your local hospital emergency department.
If your health care provider isn't sure what's causing your pain, you may need to undergo a procedure to look inside your rectum. A small scope called an "anoscope" can allow your provider to check if there's a fissure. To go deeper, a scope called a "sigmoidoscope" may be used.
If you have either a hemorrhoid or fissure, you'll probably receive similar recommendations. Treatment for both conditions is sometimes called "WASH." The letters stand for:
Warm water: Sitz baths involve sitting in a warm pan of water to soak the painful anal area.
Analgesic agents: Various creams and ointments can temporarily numb the anal area to provide relief. Do not use these for more than a few days in a row, however. Your health care provider can tell you exactly how long it is safe to continue using these treatments.
Stool softeners: Taking over-the-counter medications to help keep your stool soft until the hemorrhoid or fissure heals. This can help avoid re-injuring and further irritating the anus while having a bowel movement.
High-fiber diets: A high-fiber diet will keep your stools soft and easy to pass.
Following these recommendations can help the hemorrhoid or fissure heal within a few days. Very rarely, a hemorrhoid or fissure will become infected, will develop a clot within, or will not heal promptly. If this occurs, your health care provider may recommend that you undergo a surgical procedure or use a newly researched medication to help heal the fissure.
Hold off on more anal sex until your current discomfort and bleeding are completely gone.
Once you are completely healed and are ready to resume anal sex, follow these tips and stop if you begin to experience pain:
https://www.empowher.com/sex-amp-relationships/content/bottoms-tips-anal-sex
Comment Reply
Hi Anon,
Thanks for your question and welcome to EmpowHer!
Serious injuries from anal sex are relatively rare; however, if you have internal pain or see blood, you need to see your health care provider. Here are some of the potential complications of anal sex:
The blood you mentioned could have been from a hemorrhoid, which is a swollen vein in the anal area. Hemorrhoids can be fragile and prone to bleeding, although they don't usually cause the kind of pain you've described. You can frequently feel a hemorrhoid as a swollen, tender lump in the anal area. You'll often notice blood from a bleeding hemorrhoid on toilet paper after a bowel movement, or on the stool itself.
Pain and bleeding can also occur when there's a small tear in the lining of the anus called an anal fissure. Even small fissures can be pretty painful because they often cause spasms of the opening of the anus. They heal slowly because they're irritated repeatedly during bowel movements. With anal fissures, you may also see blood on toilet paper or on the stool itself.
A rare, but serious, complication after anal sex is a hole (perforation) in the colon. This dangerous problem requires hospitalization, surgery to repair the hole, and antibiotics to prevent infection. A colonic perforation will usually cause fever and severe pain and pressure in the abdomen. This condition requires immediate medical attention, either through your health care provider or your local hospital emergency department.
If your health care provider isn't sure what's causing your pain, you may need to undergo a procedure to look inside your rectum. A small scope called an "anoscope" can allow your provider to check if there's a fissure. To go deeper, a scope called a "sigmoidoscope" may be used.
If you have either a hemorrhoid or fissure, you'll probably receive similar recommendations. Treatment for both conditions is sometimes called "WASH." The letters stand for:
Warm water: Sitz baths involve sitting in a warm pan of water to soak the painful anal area.
Analgesic agents: Various creams and ointments can temporarily numb the anal area to provide relief. Do not use these for more than a few days in a row, however. Your health care provider can tell you exactly how long it is safe to continue using these treatments.
Stool softeners: Taking over-the-counter medications to help keep your stool soft until the hemorrhoid or fissure heals. This can help avoid re-injuring and further irritating the anus while having a bowel movement.
High-fiber diets: A high-fiber diet will keep your stools soft and easy to pass.
Following these recommendations can help the hemorrhoid or fissure heal within a few days. Very rarely, a hemorrhoid or fissure will become infected, will develop a clot within, or will not heal promptly. If this occurs, your health care provider may recommend that you undergo a surgical procedure or use a newly researched medication to help heal the fissure.
Hold off on more anal sex until your current discomfort and bleeding are completely gone.
Once you are completely healed and are ready to resume anal sex, follow these tips and stop if you begin to experience pain:
https://www.empowher.com/sex-amp-relationships/content/bottoms-tips-anal-sex
Best Wishes,
Rosa
July 20, 2011 - 6:14amhttp://www.goaskalice.columbia.edu/2130.html
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