‘doctor. Butthole reveals a common problem that can make hell

No need to break under pressure.

Every year, and It is estimated that 250,000 Americans It suffers from a small tear or crack in the lining of the anal canal, which can lead to painful and bloody bowel movements.

“Incredibly common anal cracks, especially among people who participate in anal sex,” Dr. Ivan GoldsteinFounder and CEO of Surgical joint In Manhattan and Future method The Severage brand, I told the Post.

“It can be caused by a number of things: sometimes it is muscle, such as cramps or distress during bowel movements or bottom.” Whoever goes from “Dr. Bathol”. “At other times, it is a structural: the skin is insomnia or tissues that cannot simply absorb penetration or pressure, which is what we often see in women.”

This really seems, but Goldstein states that there are three main ways to wipe the anal cracks.

Here is what you must do to prevent – and treat – this gap problem.

Symptoms of anal conditions

• Brutal and annoying pain appears to be glass
• blood
• Muscle cramps
• Burning or itching around the anus
• A visible tear in the anal skin
• holding

Most sharp cracks begin – about 50 % or more healing on their own.

Leave without treatment, the fissure can advance to a chronic problem.

“The tissue becomes fragile and vulnerable to re -update,” explained Goldstein. “You can develop signs of skin or scar tissue affecting both function and appearance.”

Treatments at home

If you are dealing with a new incision, the Tush technician usually recommends this protocol for a week.

• The stool antiseptic without a prescription loaf Three times a day
• Fiber supplement like metamucil
• Calmol 4 control Twice a day
• Sitz baths with Epsom salts
• A prescription ointment (a quantity of the size of the peas of 2 % 2 % 2.5 % / Cardizem 2 %) that is applied at night, in the morning and after bowel movements
• High fiber foods Like grains, fruits, vegetables, legumes and seeds
• From eight to 12 cups of water from eight to 12 ounces per day
• Not caffeine because it dries
• Gently wash and dry the area.
• Reducing the survey and not using children’s napkins or therapeutic platforms because they can contain chemicals that delay recovery.

Healing takes time – try to be patient.

“The area is sensitive, and all bowel movement is a possible setback,” said Goldstein. “But do not avoid fatigue.”

If there is no improvement after five to seven days, or if it is a frequent problem, then it is time to see a specialist.

The evaluation can include a physical examination, theoretical and rectal channel examination, anal measuring to assess the anal and rectum muscles and skin analysis.

From there, Goldstein suggests one of the three tracks.

Acute care

Topical treatments, such as prescription creams, preparations, and stool lines, aim to reduce inflammation.

Goldstein said: “Once the symptoms stabilize, we offer anal expansion at home using A future method for glass from the anus then A future method of silicone cone anal Gently training the area. “

The expansion is similar to the physical therapy of your hurricane, which helps to manage the tissue of the scar and improve the muscle tone.

Glass spoilers focus on the deepest muscle mechanics and the connection of the mind and the body, while the silicone cone targets the skin and the edge tissues.

Botox improvement and tissues

I heard about Botox, but did you do that? I know that there is a butt?

“For more chronic or repeated cracks, anal botox was a changing games,” Goldstein said.

“It works by temporarily relaxing the anal muscles to reduce pressure and allow healing.”

Tox tox usually lasts from three to four months.

Goldstein tends to recommend two or three rounds in the office, associated with an extension at home and the pelvic floor treatment.

He said: “We also use a radioactive frequency called Tempsure to stimulate collagen production in the anal tissues.”

“This specialized treatment thickens the skin, improves elasticity and helps tissues to withstand pressure better than both bowel and sex movements.”

Surgery surgery

Goldstein said: “When the fissure leads to excessive scars or tissues, Botox alone will not cut it,” Goldstein said.

“A lot of people come to the failure of treatments elsewhere.”

The tissue of the scar should be removed surgically to rebuild the area with healthy and flexible skin.

Patients can usually return to the gym and basic activity within five days of enemy surgery. They can resume sex and vaginal sex after two weeks after the procedure, anal and sex by the third month.

Stretching and physical therapy helps in long -term success.

Creativity prevention

“Everything related to pressure – a lot of it, is very many angles,” said Goldstein.

“Solid bowel movements, pressure strongly, sit for a long time, skip lubrication or use the wrong type, and games that are very large – or very pointed – all these things increase the risk of cracks.”

Here is what to do instead:

• Stay well.
• Take fiber capsules at night and two hardness (a mixture of probiotics and bibiotics) in the morning.
• Do not sit on the toilet for a long time or stress.
• Try to fall less in squatting in the gym.
• To prepare anal sex, focus on stretching to relax the muscles, enhance the skin and build tolerance.
• Use more lubrication than you think you need-and go to the silicone lub because it is inverted and longer than the water-based lubrication.
• Start at the top to control depth and speed. Go slowly and know when to stop, especially if it is very fast.
• Be careful with Chemsex – Using drugs to enhance sex – because you can lose the ability to feel injury at the present time.