A patient presents with severe anal pain, lasting hours after each bowel movement. She notices some intermittent bleeding with defecation. She comes to the office with the presumed diagnosis of hemorrhoids. Are her symptoms consistent with hemorrhoidal disease, or does she have another disorder? Benign anorectal disorders are common and increasing in incidence. The decreasing intake in dietary fiber over the 20th century and into the 21st has contributed to a steady rise in preventable anorectal disorders.
Anal masturbation is an erotic stimulation focusing on the anus and rectum. For humans, common methods of anal masturbation include manual stimulation of the anal opening, and the insertion of an object or objects such as fingers, tongue, phallic-shaped items, water play, or sex toys such as anal beads , butt plugs , dildos , vibrators , or specially designed prostate massagers. Pleasure can be derived from anal masturbation due to the nerve endings in the anal and rectal areas.
The goal of anal fissure treatment is to lower the pressure on the anal canal by making stools soft, and to ease discomfort and bleeding. Conservative treatments are tried first and include one or more of the following:. These practices heal most fissures 80 to 90 percent within several weeks to several months. However, when treatments fail and anal fissures persist or come back, other measures can be tried, including:.