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Anal Fissures: A Real Pain
So for those gay men that bottom, anal fissures, small tears in the lining of the anal canal, are a reality. Things like passing a hard stool can cause the tear. But it is often the case that the tear is associated with the trauma of anal intercourse. Symptoms include pain, discharge, bleeding or the development of a skin tag.
Anal pain can occur before, during, or after a bowel movement. It can range from a mild ache that can get worse over time to pain that is bad enough to restrict daily activities. Anal pain has many causes, most of which are common and treatable. However, if anal pain does not go away within 24 to 48 hours, it is important to see your physician. If fever is present with anal pain, a more urgent appointment is needed.