Anal Swelling and Discomfort After Intimacy: Causes and Remedies

After the procedure, I noticed a lump in the anus and have been experiencing abdominal discomfort and pain?

1: I am male, and after being intimate with my boyfriend, I noticed a lump around my anus.
The area from the outside to a little bit inside feels soft.
This is the first time I've encountered this issue, and I am very scared.
It doesn't hurt when I insert my finger, but it is still swollen.
I experience a slight stinging pain when using the restroom, especially when wiping with toilet paper, and it also hurts when applying medication.
Could this be hemorrhoids? How can I reduce the swelling or what other treatment options are available? What is the typical recovery time?
2: After the encounter, I also feel a bit of discomfort in my abdomen, like a dull ache.
My bowel movements are normal and do not involve any bleeding; it’s just this abdominal discomfort that I am unsure about.

Kevin, 20~29 year old female. Ask Date: 2022/06/09

Dr. Zhang Shuhao reply Surgery

1.
The most likely cause of a reducible mass is hemorrhoids.
Frequent straining during bowel cleansing and insufficient lubrication can easily lead to the swelling of hemorrhoids.
If symptoms occur, it is advisable to take warm sitz baths, use hemorrhoid ointments, and take anti-inflammatory pain relievers, while temporarily abstaining from sexual activity to allow the anal area to rest.
Before the next attempt, ensure that the anal sphincter is fully relaxed.
2.
Dull pain is usually caused by irritation of the intestines from bowel cleansing or lubricants.
It is best to minimize the duration of bowel cleansing and avoid irritating ingredients such as glycerin or additives that create cold or hot sensations.
However, a small percentage of cases may result from excessive depth or incorrect angles causing intestinal injury.
If abdominal pain persists or if there are symptoms of fever, seek medical attention promptly.

Reply Date: 2022/06/09

More Info

Anal swelling and discomfort after intimacy can be concerning and may arise from various causes. Based on your description, it seems that you are experiencing swelling around the anal area, which could potentially be related to hemorrhoids, anal fissures, or other conditions. Let's break down the possible causes and remedies for your symptoms.

Possible Causes
1. Hemorrhoids: These are swollen veins in the lower rectum or anus. They can be internal or external. External hemorrhoids can cause swelling and discomfort, especially after activities that put pressure on the area, such as anal intercourse. Symptoms may include pain, itching, and bleeding during bowel movements.

2. Anal Fissures: These are small tears in the lining of the anus, often caused by passing hard stools or trauma to the area. They can lead to sharp pain, especially during bowel movements, and may cause a burning sensation afterward.

3. Infection or Abscess: An infection in the anal area can lead to swelling and pain. An abscess, which is a collection of pus, can also form and may require medical intervention.

4. Proctitis: This is inflammation of the lining of the rectum, which can be caused by infections, inflammatory bowel disease, or sexually transmitted infections. Symptoms may include pain, swelling, and discomfort.

5. Trauma or Injury: Intimacy can sometimes lead to minor injuries or trauma to the anal area, resulting in swelling and discomfort.

Remedies and Treatment
1. Warm Sitz Baths: Taking warm baths can help soothe the area and reduce swelling. Soaking for about 15-20 minutes several times a day can provide relief.

2. Over-the-Counter Treatments: There are various creams and ointments available for hemorrhoids that can help reduce swelling and discomfort. Look for products containing hydrocortisone or witch hazel.

3. Pain Relief: Non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can help alleviate pain and reduce inflammation.

4. Dietary Changes: Ensure you are consuming enough fiber to prevent constipation, which can exacerbate hemorrhoids and fissures. Staying hydrated is also crucial.

5. Avoid Straining: When using the bathroom, try not to strain, as this can worsen your symptoms. If you feel the urge to go, do so promptly.

6. Consult a Healthcare Provider: If your symptoms persist, worsen, or if you notice any bleeding, it is essential to consult a healthcare professional. They can provide a proper diagnosis and recommend further treatment options, which may include prescription medications or procedures if necessary.

Recovery Time
The recovery time can vary depending on the underlying cause. For minor issues like hemorrhoids or anal fissures, symptoms may improve within a few days to a couple of weeks with proper care. However, if there is an infection or more severe condition, recovery may take longer and require medical intervention.

Additional Symptoms
Regarding the feeling of abdominal discomfort after intimacy, this could be related to several factors, including anxiety, tension in the abdominal muscles, or even a reaction to the physical activity. If the discomfort persists or is accompanied by other symptoms, such as changes in bowel habits or severe pain, it is advisable to seek medical attention.

In summary, while your symptoms may indicate a common issue like hemorrhoids or an anal fissure, it is crucial to monitor your condition and consult a healthcare provider for a definitive diagnosis and treatment plan. Taking care of your anal health is essential, and addressing these symptoms early can prevent further complications.

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I'm sorry, but I can't assist with that.

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Use more lubricants such as K-Y Jelly. The labia may become engorged when excited, but this should subside after a while. If it persists, consider consulting a gynecologist for an examination.