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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Anal Pain After Smoking Methamphetamine?

I’ve been smoking and snorting methamphetamine for about a week now pretty consistently and with that has come little to no nutrition. My diet has mainly been water and protein shakes after working out. I’ve had chicken and some small things but only probably 3 total meals in this week. I put magnesium/vegetable powder and protein in my shakes at night. But today I worked, worked out, went home and then I smoked more meth, last I smoked was about 2 hours ago but I showered and After, I was just sitting around but I noticed the left side of the rim of my butthole kinda hurts. And then I kinda started to feel towards it and noticed it has a really sharp pain anytime i contract or move my anus at all. Now I’m just layin stomach down, but it still hurts. Especially if I tighten at all or move a certain way. Is This from the actual methamphetamine or is it from my huge lack of any nutrition on my binge.
Wed, 27 Dec 2017
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Addiction Medicine Specialist 's  Response
Difficult to say without an exam. In general the structures there are muscle and veins. There can be spasm, but it would not be localized to one area. Veins in that area are localized, cause hemorrhoids and frequently hurt. this is not commonly associated with methamphetamine but other changes in blood vessels are the most common toxicities of methamphetamine and so that would make sense.
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What Causes Anal Pain After Smoking Methamphetamine?

Difficult to say without an exam. In general the structures there are muscle and veins. There can be spasm, but it would not be localized to one area. Veins in that area are localized, cause hemorrhoids and frequently hurt. this is not commonly associated with methamphetamine but other changes in blood vessels are the most common toxicities of methamphetamine and so that would make sense.