Jul 262005

I have always enjoyed the feeling of anal penetration while making love to my husband. He enjoys finger fucking me or using a butt plug or other toy. It all feels great and we both enjoy it very much. Here’s the problem: about four days after anal sex and continuing for another week or so, I experience something akin to irritable bowel syndrome. It gets progressively worse, until about the eighth day after sex, and it slowly goes away. The feeling is very discomforting, yet we don’t want to give up anal sex. Any thoughts as to why this happens, and what I can do to eliminate it?

–Angry Butt Wants Relief

Anal sex alone does not cause irritable bowel syndrome (also known as IBS), or symptoms associated with it. Those symptoms can include chronic diarrhea and/or constipation, cramping, bloating, frequent bathroom trips, and abdominal discomfort. When you use plenty of lubrication — which you always should — sometimes you can have loose or runny stools for up to 24 hours after sex; also, if you engage in heavy anal play (for example, using big toys or fisting), you can have some cramping afterward. However, neither of these things should go on for as long as you describe.

It’s also odd that the symptoms don’t appear right away, but several days later which could mean they are not related to the anal sex at all. I suspect that you have an existing gastrointestinal problem and that your anal play is aggravating that condition and causing it to flare up. I recommend you see a gastroenterologist promptly to get to the bottom of your problem. When you do, make sure to be honest about your anal play with your doctor, as it’s important to give health care providers “the whole picture” so they can treat you more effectively.

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