Tear.....in my hole...

[mattyboi_aus]

Hey all,

I've been 'gay' since I was 11, and been having anal sex (protected of course) since I was 13. I've never had any problems with being fucked, which is why I've always considered myself a bottom - I love it incredibly, I really am a dirty bottom at heart.

ANYWAY for the last few months I've had the problem of having a tear. Instead of it being deep inside me, it's feels like it's actually just inside my hole!

Taking a finger or small dildo is fine, but trying to take anything bigger is incredibly painful - a cock I used to...er....ride quite a lot, I can't go near now. It's horrible.

Does anyone know what I can do to get rid of it, I've tried leaving the damn thing alone for a few months to try and heal, but still no luck!

Help?!

 

[Horschallen]

Talk to a gay or gay friendly doctor.

 

[3nipples]

It's been a few months, so you should really go see your doctor. I wouldn't worry about trying to find a gay one; just go to your usual one and tell him about the pain without necessarily going into all the details of what you're trying to do when you feel it.

My thinking is that a wound would have healed by now, so maybe it could be something like genital warts, but I'm really just guessing. Go get help!

 

[Gayguy41]

Sounds like an Anal Fissure

Since i can't post links b/c my account is new.. Ill just copy and paste it for you.

What is a fissure?
A fissure is a tear or ulcer in the lining of the anal canal. The anal canal is the last part of the rectum before the anus. Fissures can occur in anyone, but are more common in middle age or young adults. A fissure can be difficult to heal as it causes a spasm in the anal sphincter and aggravates itself.

What are the symptoms?
Symptoms of a fissure include:

Bright red blood in toilet bowel or on paper
Painful bowel movements

How are fissures diagnosed?
A fissure is typically diagnosed with a visual or a rectal exam. A special tool called an anoscope or a sigmoidoscope may also be used. Either of these two tests can determine if the bleeding is truly from a fissure or caused by another problem.

What causes fissures?
Fissures can be caused by constipation or by forcing a hard bowel movement through the anus, during childbirth, or ulceration of hemorrhoids.

There are several risk factors for fissures. These include:

Anal sex
Constipation
Crohn's disease
Chronic use of laxatives
Immunodeficiency disorders
Leukemia
Multiple pregnancies

How are fissures treated?
Fissures are treated in a variety of ways. A physician will help you understand the various treatments and their differences.

Acute
For acute fissures, treatment aims to lessen pressure on the anal canal by making sure stools are soft and ease discomfort or bleeding. These methods include:

Warm baths (or Sitz baths)
Eating more fiber to create softer stools
Stool softeners (as prescribed by a physician)
Topical hydrocortisone (suppositories or foams)
Zinc oxide
Petroleum jelly
Topical anesthetics for pain
Topical nitroglycerin cream

Patients may also be advised to avoid straining during a bowel movement, and to drink at least 8 glasses of water per day to prevent constipation. Cleaning the area after bowel movements may also be recommended. About 90 percent of fissures will heal without surgery.

Chronic
If a fissure persists even after treatment, it may become chronic. A chronic fissure may need to be treated with surgery. Two types of surgery are done today -- anal dilation and lateral internal sphincterotomy (LIS).

Anal dilatation may be a choice for some patients, but it is being used less often due to the potential of incontinence as a complication. In anal dilatation, the anal canal is stretched.

More often the LIS surgery is used. LIS is usually done with a general anesthetic on an outpatient basis. In the procedure, a portion of the anal canal muscle is cut. The fissure itself is not removed, but any muscle spasms in the anus sphincter will be relieved, which helps the fissure to heal. This will allow the fissure to heal, and at a cure rate of more than 90 percent.

After surgery, it is important to keep the area clean and dry. Moist wipes instead of toilet paper and a stool bulking agent may be recommended.

Newer Treatments
One new non-surgical method being researched for use in healing fissures is Botox (botulism toxin) injections. The injections work by weakening the anal muscles and thereby allow them to heal. This method is considered more invasive than other non-surgical options, but it has a higher success rate than treatment with nitroglycerin.

How do fissures relate to other conditions?
Fissures are more common in people with Crohn's disease. Elderly or diabetic patients also have more difficulty in healing fissures. Fissures are not related to colon cancer.

What is the prognosis?
The prognosis is good for acute fissures; they generally heal with non-invasive treatments. The cure rate using LIS surgery for chronic fissures is also encouraging. LIS can be repeated if the fissure does not heal with the first surgery. Fissures do not cause cancer and complications are uncommon.

 

[KaraBulut]

Another person recommending that you see a doctor.

 

[mattyboi_aus]

Yeah I've had a fissure before, and it's always cleared up within a couple of weeks. I'm def. going to go and speak to a doc, thanks guys.

 

[Corny]

Just a slightly offtopic question. What effect does nitroglycerin have on the body? It is rather known for other qualities than healign wounds

 

[KaraBulut]

Just a slightly offtopic question. What effect does nitroglycerin have on the body? It is rather known for other qualities than healign wounds

Again off topic...

Nitroglycerin cream (usually called NTG paste in the US) is one of the older means of administering nitrates. Nitrates are used as vasodilators and they have preferential dilatory effect on the venous system and on the coronary arteries. For patients with heart disease, NTG paste is used primarily to reduce cardiac work by reducing preload and to a lesser extent afterload. Although NTG paste could be used for angina, it is not absorbed quickly enough for this use, so NTG sublingual tablets are preferred for this use.

I'm not aware that NTG paste is used for fissures in the US- I'll have to ask one of my colleagues about it.

As an aside, one of the more amusing stories told in Emergency Rooms is the story about the blind man who would pass out periodically through the day for no apparent reason. The only pattern that seemed to emerge after several episodes was that the episodes seemed to occur after his trips to the bathroom. Finally, one of the nurses realized that the patient had confused his tube of nitroglycerin paste with his tube of hemorrhoidal cream, so following his trips to the bathroom, he would apply the NTG paste instead of the hemorrhoidal cream and shortly thereafter would pass out.

 

[mattyboi_aus]

Just a slightly offtopic question. What effect does nitroglycerin have on the body? It is rather known for other qualities than healign wounds

There is actually a cream available here in Aus, recommended by doctors/pharmacists called Rectogesic - it's main active ingredient being Glyceryl Trinitrate 0.2% (the pharmaceutical/medical name for nitroglycerin) works by:

Glycerin trinitrate (nitroglycerin) has been shown to cause relaxation of the internal anal sphincter and to decrease the anal resting pressure. When ointments containing nitroglycerin are applied to the anal canal, the nitroglycerin diffuses across the anoderm and relaxes the internal sphincter and reduces the pressure in the anal canal. This relieves spasm of the muscle and also may increase the flow of blood, both of which promote healing of fissures

So in other words, it stings like all buggery when you put it on, but constant usage for a week or so is supposed to help heal the...tear.

Ouch.