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Bottoming in anal sex can be immensely pleasurable until it isnt. If you do develop irritation, pain, or bleeding, or find that you are no longer experiencing pleasure, you should talk to a. Anal fissure what is an anal fissure? An anal fissure is a tear in the lining of the anus or anal canal (the opening through which stool passes out of the body). Who is at risk for anal fissures? Anal fissures can occur in anyone at any age. The chance of having an anal fissure decreases as people get. An anal fissure is a cut or a tear in the thin, delicate lining of your anus. The tear often exposes the muscle around the anus, called the anal sphincter. Older adults are also prone to anal fissures due to decreased blood flow in the anorectal area. Anal fissures are usually the result of direct trauma to the anal canal associated with passage and straining from hard and dry stools or recurrent diarrhea, says rice. Anal fissures usually heal within a few weeks without the need for treatment. But they can easily come back if theyre caused by constipation that remains untreated. In some people, symptoms from anal fissures last 6 weeks or more (chronic anal fissures). 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. Most anal fissures are caused by stretching of the anal mucous membrane beyond its capability. Acute anal fissures -- the ones that dont last longer than 6 weeks -- are common and usually heal on their own with self-care.

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