If you have particularly severe anal pain, the GP may prescribe a topical anaesthetic to numb your anus before you have a poo. A digital rectal examination, where a GP inserts a lubricated, gloved finger into your bottom to feel for abnormalities, is not usually used to diagnose anal fissures as it's likely to be painful.

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A GP may recommend starting treatment at a low dose and gradually increasing it every few days until you're able to pass soft poo every 1 or 2 days. Painkillers Whether you’re a total beginner to anal sex or an anal pro, it’s not just something you can jump into. But if you’re completely new to anal and planning on doing it with a partner, it could be worth it to do some solo exploring first. This can mean taking some time to work anal into your next masturbation session, whether by stimulating yourself with your fingers or sex toys. Though injuries are uncommon, it’s good to be aware. According to Dr. Frankhouse, you should see a doctor if you’re experiencing any of the following within a few days of having anal sex: It is generally considered to be the most effective treatment for anal fissures, with more than 9 out of 10 of people experiencing good long-term results. However, it does carry a small risk of complications. Even if you are in a fluid-bonded relationship, using condoms is especially important if you’re switching from anal to vaginal penetration. Otherwise, you risk moving bacteria from your anus to your vagina or urethra. Your anus is home to all kinds of bacteria your vagina and related parts aren’t used to—namely, gastrointestinal (GI) bacteria, like E. coli. When this bacteria reaches your vagina, it can cause vaginal infections, like bacterial vaginosis, which can lead to vaginal itching, burning during urination, a “fishy” vaginal odor, and gray, white, or green vaginal discharge, according to the Mayo Clinic. It can also spread to your urethra, where it can cause a urinary tract infection (UTI). According to the Mayo Clinic, this can cause symptoms like constantly needing to pee, then a burning sensation when you do, along with cloudy urine and pelvic pain.Do not let embarrassment stop you seeking help. Anal fissures are a common problem GPs are used to dealing with. A topical medicine is one you rub directly into the affected area. It will not help fissures heal, but it can help ease the pain. The effects of botulinum toxin injections last for around 2 to 3 months, which should normally allow enough time for the fissure to heal. Follow-up This will allow existing fissures to heal, as well as reduce your chances of developing new fissures in the future.

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An anal fissure is a tear or open sore (ulcer) that develops in the lining of the large intestine, near the anus. Anal fissure symptomsThis step is totally optional, of course, but it’s a good rule to keep in mind. “I always recommend people try most things on their own first before a partner,” says sex educator Dr. McDevitt. “It helps you gain comfort and confidence, learn what you like, want, and don’t like and don’t want.” During anal In some people, symptoms from anal fissures last 6 weeks or more (chronic anal fissures). How to ease symptoms of anal fissure

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Less than 1 in 20 people who have this type of surgery will experience some temporary loss of bowel control ( bowel incontinence) afterwards as a result of damage to the anal muscles. The GP will ask you about your symptoms and the type of pain you have been experiencing. They may also ask about your toilet habits. Numbing creams that use anesthetics like benzocaine are widely available. That doesn’t mean you should use them for anal, says Dr. Chinn. Your nerve endings are sensitive for a reason. They alert your brain to pain so you can prevent yourself from getting seriously injured, Dr. Chinn says. While numbing creams might make anal penetration feel easier, they don’t make it any easier physically. By numbing your anus, you or your partner could be pushing your body past its point of comfort without even realizing it. This may include a more thorough examination of your bottom carried out using anaesthetic to minimise pain. If you’re bringing silicone anal toys into the mix, you’ll want to avoid silicone-based lubes, since this kind of lube erodes silicone toys. But don’t worry—if you want to use silicone-based lube and toys, there are other toy materials out there that work just fine, such as glass or metal.

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The GP may refer you for specialist assessment if they think something serious may be causing your fissure.