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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is It Due To Anal Sex There Is Itching And Discomfort Around Anus?

Hi I'm 20 female, and I am worried because I noticed lately my anus has been kindof itchy after I go, I always use baby wipes after. And sometimes if I am sitting for more than 45 minutes it aches. when I bend over to look at it and push out a little it has a purple ring and is slightly puffy. I am not sure if that has always been there or if I have just noticed it cause I dont usually pay much attention to that area. My ex-boyfriend always wanted to have anal sex and I decided to try it, we probably did it a total of 6 times over a year and 1/2 I never really liked it and a couple times when I wiped afterwards it bled a little and would be sore the next day or two I think he was rough sometimes or we didnt use enough lubricant,he would only use the lube from my vagina after having regular sex and spit on it. I heard anal sex can permanently change the way your anus looks & can cause real damage. Im afraid that might be what happened, i thought it might be hemoriods but when I looked online it didnt quite seem the same. Do you think it could be that? or that it is slightly pushed outward now and puffy purple around it due to that? I also have poor circulation and already have some vericose viens in my legs if that might have something to do with it. I feel like i have to spend more time cleaning myself after pooping more than before and it itches. what can I do about this if it is beacuse of anal sex? and if it is permanent, is my only option surgery? I wish I never tried it. I dont have much money and no health insurance...thanks so much for your help.
Tue, 18 Oct 2016
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OBGYN 's  Response
Hello, and I hope I can help you today.

First of all, I want to reassure you that there is no way your symptoms are due to damage from your episodes of previous anal sex. You may have had some swelling and abrasions at the time if you experienced bleeding, but if you have been able to defecate normally since without bleeding, your anus has healed from those episodes.

Your symptoms right now are actually very consistent with hemorrhoids. Hemorrhoids are dilated veins within the tissue surrounding the anus and in the rectum, and they are more common in people with varicose veins because they are actually dilated veins in the perirectal area. This is what gives the puffy bluish appearance to the anal opening that you describe. Hemorrhoids also cause itching after defecation, so that is another reason why I believe that is your diagnosis.

To reduce the swelling and itching, there are a few remedies you can try.

First, ice applied to the area for 20 minutes (an ice cube wrapped in a thin towel) a few times a day can help to reduce the swelling.

Secondly, over-the-counter 1% hydrocortisone ointment applied with toilet tissue after defecating will help to control the itching

Thirdly, it is important that you clean your anal area well after defecation but use non-irritating cloths like unscented baby wipes that are moist so they do not scratch the area, or apply petroleum jelly to your toilet tissue when wiping to moisturize the area.

To prevent symptoms from the hemorrhoids from recurring, it is important to have soft, regular bowel movements and prevent constipation. Making sure you drink enough water, eating high-fiber foods like fruit and vegetables, and taking stool softeners (docusate sodium that can be bought over-the-counter) can all keep your bowel movements easier to pass, so you will not strain as much when you defecate.

So in summary, your symptoms are very typical of hemorrhoids and likely will go away if you follow these simple treatments.

I hope I was able to adequately answer your question today and that this information was reassuring.

Best wishes,

Dr. Brown
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Is It Due To Anal Sex There Is Itching And Discomfort Around Anus?

Hello, and I hope I can help you today. First of all, I want to reassure you that there is no way your symptoms are due to damage from your episodes of previous anal sex. You may have had some swelling and abrasions at the time if you experienced bleeding, but if you have been able to defecate normally since without bleeding, your anus has healed from those episodes. Your symptoms right now are actually very consistent with hemorrhoids. Hemorrhoids are dilated veins within the tissue surrounding the anus and in the rectum, and they are more common in people with varicose veins because they are actually dilated veins in the perirectal area. This is what gives the puffy bluish appearance to the anal opening that you describe. Hemorrhoids also cause itching after defecation, so that is another reason why I believe that is your diagnosis. To reduce the swelling and itching, there are a few remedies you can try. First, ice applied to the area for 20 minutes (an ice cube wrapped in a thin towel) a few times a day can help to reduce the swelling. Secondly, over-the-counter 1% hydrocortisone ointment applied with toilet tissue after defecating will help to control the itching Thirdly, it is important that you clean your anal area well after defecation but use non-irritating cloths like unscented baby wipes that are moist so they do not scratch the area, or apply petroleum jelly to your toilet tissue when wiping to moisturize the area. To prevent symptoms from the hemorrhoids from recurring, it is important to have soft, regular bowel movements and prevent constipation. Making sure you drink enough water, eating high-fiber foods like fruit and vegetables, and taking stool softeners (docusate sodium that can be bought over-the-counter) can all keep your bowel movements easier to pass, so you will not strain as much when you defecate. So in summary, your symptoms are very typical of hemorrhoids and likely will go away if you follow these simple treatments. I hope I was able to adequately answer your question today and that this information was reassuring. Best wishes, Dr. Brown