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What is the cause of anal discomfort after anal sex?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I had anal sex, and now my butt has been hurting all day for six days. And every time I have to poop or wipe it, it is very painful. It is very uncomfortable when I sit or lie on my butt.

Kindly guide.

Hello,

Welcome to icliniq.com.

There might be a small tear in the anal region, which is commonly called an anal fissure. Even a small fissure can be really painful as it causes a spasm of the anal opening. It heals slowly, as it gets irritated repeatedly during bowel movements. You might even notice blood on the toilet paper or in the stools. I suggest you get examined by a physician. A warm water sitz bath, which involves sitting in a tub of warm water, to soak the painful anal area, helps a lot in this condition. The other recommendation is to take a high-fiber diet. Your physician, after an examination, can prescribe you analgesics and a stool softener. Hold off on more anal sex until you recover from the current problem.

I hope your query is answered.

Please feel free to reach out in case of further queries.

Thank you.

Medically reviewed byiCliniq medical review team

Published At July 12, 2018
Reviewed AtDecember 30, 2025

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