Latest news with #Colace
New York Post
31-07-2025
- Health
- New York Post
‘Dr. Butthole' reveals surprisingly common problem that can make pooping hell — Botox can help
No need to crack under pressure. Each year, an estimated 250,000 Americans suffer a small tear or crack in the lining of their anal canal, which can lead to painful and bloody bowel movements. 'Anal fissures are incredibly common, especially among people who engage in anal sex,' Dr. Evan Goldstein, founder and CEO of Bespoke Surgical in Manhattan and the Future Method sexual wellness brand, told The Post. 6 Dr. Evan Goldstein has developed a regimen for addressing anal fissures. 'They can be caused by a number of things: sometimes it's muscular, like spasms or tightness during bowel movements or bottoming,' added the anal surgeon, who goes by 'Dr. Butthole.' 'Other times, it's structural: thinner skin or tissue that simply can't accommodate penetration or pressure, which we often see in women.' It sounds really tear-ible, but Goldstein reports that there are three major ways to wipe out anal fissures. Here's what you should do to prevent — and treat — this gaping problem. Anal fissure symptoms Brutal and annoyingly persistent pain that feels like you're pooping glass Blood Spasms or tightness in the muscle Burning or itching around the anus A visible tear in the anal skin Constipation 6 Anal fissures can lead to painful and bloody bowel movements. cunaplus – Most fissures start acute — around 50% or more heal on their own. Left untreated, a fissure can progress to a chronic problem. 'The tissue becomes fragile and prone to re-tearing,' Goldstein explained. 'You might develop skin tags or scar tissue that affects both function and appearance.' At-home remedies If you're dealing with a new fissure, the tush technician typically recommends this protocol for a week. An over-the-counter stool softener like Colace three times a day A fiber supplement such as Metamucil Calmol 4 suppositories twice a day Sitz baths with Epsom salts A prescription compound ointment (pea-sized amount of Lidocaine 2% / Anusol 2.5% / Cardizem 2%) that is applied at night, in the morning and after bowel movements High-fiber foods like grains, fruits, veggies, legumes and seeds Eight to 12 10-ounce glasses of water daily No caffeine because it dehydrates Gently wash and blow dry the area. Limit wiping and don't use baby wipes or medicated pads because they can contain chemicals that delay healing. Healing takes time — try to be patient. 'The area is delicate, and every bowel movement is a potential setback,' Goldstein said. 'But don't avoid pooping.' 6 Anal fissures, anal fistulas and hemorrhoids can cause pain, bleeding and discomfort while pooping. Loh – If there's no improvement after five to seven days, or if it's a recurring issue, it's time to see a specialist. An evaluation can include a physical exam, anoscopy to examine the anal canal and rectum, anal manometry to assess the anal and rectal muscles and a skin analysis. From there, Goldstein suggests one of three paths. Acute care Topical therapies, such as prescription creams, suppositories and stool softeners, aim to reduce inflammation. 'Once symptoms stabilize,' Goldstein said, 'we introduce at-home anal dilation using the Future Method Glass Anal Dilators and then the Future Method Silicone Anal Cone to gently train the area.' 6 A proctologist performs a rectal exam to diagnose and treat conditions related to the colon, rectum and anus. Tatsiana – Dilation is like physical therapy for your butt, helping to manage scar tissue and improve muscle tone. The glass dilators focus on the deeper muscle mechanics and the mind-body connection, while the silicone cone targets the skin and rim tissue. Botox and tissue optimization You've heard of Botox, but did you know there is Butt-tox? 'For more chronic or recurrent fissures, anal Botox has been a game changer,' Goldstein said. 'It works by temporarily relaxing the anal muscles to reduce pressure and allow healing.' 6 Administering anal Botox is a booming business in the Big Apple. Piotr Marcinski – Butt-tox typically lasts three to four months. Goldstein tends to recommend two or three in-office rounds, paired with at-home dilation and pelvic floor therapy. 'We also use a radiofrequency device called TempSure to stimulate collagen production in the anal tissue,' he said. 'This specialized treatment thickens the skin, improves elasticity and helps the tissue better tolerate pressure from both bowel movements and sex.' Fissure surgery 'When a fissure has progressed to scarring or excess tissue, Botox alone won't cut it,' Goldstein said. 'Many people come to me after failed treatments elsewhere.' The scar tissue needs to be surgically removed to rebuild the area with healthy, pliable skin. 6 The first three days after anal fissure surgery are the most painful. 'You're not going to love me,' Goldstein admits. Satjawat – Patients can usually return to the gym and basic activity within five days of anal fissure surgery. They can resume masturbating and vaginal sex one to two weeks after the procedure and anal play and sex by the third month. Dilation and physical therapy help with long-term success. Prevention of fissures 'It all comes down to pressure — too much of it, from too many angles,' Goldstein said. 'Hard bowel movements, pushing too hard, sitting too long, skipping lube or using the wrong kind, toys that are too big — or too pointy — all of these increase your risk of fissures.' Here's what to do instead:
Buzz Feed
07-07-2025
- Health
- Buzz Feed
36 Hidden Truths About Pregnancy And Childbirth
Reddit user NovellaJokes recently asked, "Women of Reddit, what's something they never tell us about pregnancy and childbirth?" Here are the fascinating, terrifying, and downright brutal things people shared in the thread: "I feel like I was pretty prepared, but the one thing I didn't know about was how the nurses will 'massage' your belly after giving birth to help the uterus go back down. I say 'massage,' but it's more like aggressively kneading dough." "That you need to pack a bottle of gel-cap stool softeners (like Colace) and start taking them soon after you give birth. The first time you poop afterwards is really scary. You'll be afraid you'll rip stitches or something will fall out that's supposed to stay in. You can get stool softeners from the hospital, of course, but at least here in the USA, you could probably buy a really great pair of shoes for what they'll charge you." "You can lose your teeth, or your teeth will decay easily. Like, no matter how well you brush, floss, rinse, etc. You will end up with cavities every time you see the dentist." "Just how many weird symptoms can crop up. I got gestational carpal tunnel, and I was like, 'This is a thing?!?' The temporarily increased amount of liquid in your body squeezes the median nerve as it passes through the carpal tunnel. No one ever explained this to me, but during the last trimester, I lost the ability to feel the air temperature and tell if I was hot or cold. It lasted until about five months post-partum." "The shakes you get. Not sure if it's the adrenaline, the epidural, or both." "The sheer indignity of the whole process. Your cooter is out for everyone to see. You get it out at every doctor visit, and it's obviously out during childbirth. If you have a C-section, at that time you are lying on your back after the spinal block, nurses are coming in and cleaning you up, all in your business. You can't move or help because you're basically paralyzed. Then, if you breastfeed, your boobs are out all the time. Motherhood really isn't for those who are modest about their bodies." "Nobody told me I might throw up during labor. I was so mad. Labor AND vomiting? Whose idea was THAT, lol?" "You may get back to your pre-pregnancy weight, but whether you return to your pre-pregnancy shape is a crap shoot. My hips stayed wide, even at my lightest. Postpartum depression can just…not go away. I've been dealing with intractable depression since three days after my son was born. He's 18 now. You will not know how to breastfeed (which you've probably heard). Neither will your baby. I mean, they'll have a vague idea, but it takes practice to get it right. Demand equal help from your partner immediately and don't let up. He works all day? Well, guess what? So do you. All that breastfeeding, changing diapers, and cleaning is WORK. You deserve breaks, too. Take them, or he'll assume you're 'doing fine' without them." "You'll likely go up at least one shoe width size, which may be permanent." "I was so embarrassed because I got an epidural, and when I was pushing, I had like, nonstop gas. I had no control over it!! Just nonstop toots. And I probably pooped, though my husband promised to never tell me if it happened." "There is a huge chance that you rip towards your anus. But there is also a chance that you rip upwards. And rip your clit in the process." "Don't get too attached to your birth plan because there's a good chance that the whole thing will go out the window at any given moment. Also, no one warned me about the catheter." "C-section recovery. I didn't anticipate having a C-section, but after 20 hours of labor, we had an emergency Cesarean. Nobody warned me about the recovery and how difficult it is to be recovering from abdominal surgery with a newborn." "Your water breaking feels like a balloon popped between your hips. The baby's kicks feel like a baby kicking you. The whole 'butterfly' feeling lasts like a month tops. Then it's just a whole ass kid kicking you from the inside out. It sounds magical, but it gets real old, real quick. Be prepared to be absolutely certifiable. I'm not an emotional person. I don't have big feelings, and I certainly don't cry in front of strangers. But here's just a short list of some of the things that made me sob for minutes on end: Fried chicken was good. The cat meowed at a bird through the window. The Mars rover exists. A baby panda wasn't born that day. A dollar store plastic spatula was bent. My husband said, 'Hello, gorgeous.' The store DID have peanut butter ice cream. My ceiling fan was off when I wanted it on." "You can get so exhausted between your contractions that you can start falling asleep. Then you're shocked out of your droopy stupor by the next one." "You also have to push out the placenta after you've pushed out the baby." "How long you bleed afterward." "Pregnancy-wise: the heartburn. Oh my god. Probably one of my worst symptoms. Plus, being unable to eat anything tomato-based (including pizza and pasta) was devastating." "The first time you poop after giving birth. Oh my god, it was right up there with childbirth." "Nobody ever talks about the postpartum period, but as someone almost two years PP, you still get phantom baby kicks sometimes that'll scare the hell out of you randomly! It didn't start until about six months PP when my hormones started settling back down, but it's absolutely wild and makes you second-guess every period you have afterwards!" "The intense night sweats after giving birth. This doesn't happen to every woman, and it didn't happen to me until about a week later when I returned home from the hospital. But every time I would fall asleep, I would wake up DRENCHED in sweat. I'm talking able-to-wring-your-clothes-out wet." "A happy one: I didn't realize until my second pregnancy that babies move differently. My first was a kicker and would regularly get hiccups. He was always moving. The second hardly kicked, but she liked to stretch and roll. Also, when they get big, you can see them move. I remember the horror in a colleague's face when he happened to glance over as a little foot pushed out and traveled down my stomach." "No one warned me you can get varicose veins in your vulva when you're pregnant. They are excruciatingly painful and may or may not go away once you give birth. If not, you have to have them STRIPPED." "How much your complexion can change. During one pregnancy, I had terrible breakouts. Another, the dryest skin imaginable. Another, somewhere in between." "All the hair you lose in the months after giving birth. I had no idea and thought something was wrong." "I had an easy birth and then some time after, I went to shower and I saw my eyes were bloodshot and there were red blotches all over my chest and lower neck. The midwife said it was quite fine and they'd be gone soon. I just ruptured some tiny blood vessels while pushing. Huh??? They WERE gone very soon, and it didn't happen again with my second baby." "Your vision can change during pregnancy and breastfeeding. It literally changes the fluid balance in your eyeballs." "After a certain point in your pregnancy, it's this fun game of 'Is this pee, my water breaking, or discharge?' For the rest of the third trimester, I had to wear those disposable underwear/diaper things because my baby would kick and I'd pee myself a little bit." "The moment I started showing, women came out of the woodwork to tell me their worst labor horror stories. Why. Why do we do this? When I talk with pregnant people now, I deliberately let them know my labor experience was good. Which is the truth, but also hopefully alleviates some anxiety." "Excess saliva, restless legs at night, indigestion, exhaustion, and swollen everything during pregnancy!" "The. Ring. Of. Fire! I birthed my first naturally/no epidural, and oh boy, the pain of tearing flesh when he was crowning was something I was not prepared for! His head measured just above the 99th percentile, so he was humongous! Because it was so painful, I pushed when I should have let them ease him out, and as a result, I had a third-degree tear. When they say stop pushing, stop! And try and breathe through the pain (or scream as I did with my third) to not tear badly." "It felt like my organs were going to fall out of me every time I stood up for the first couple of days while things were settling back into place. Weird feeling." "Morning sickness is not limited to the morning. I'm currently pregnant with my second, and I am extremely nauseous all day long, to the point where I can't do anything. Anti-nausea meds lead to extreme constipation, which you're already prone to have during pregnancy. And OMG, those pregnancy poops are like practice for giving birth." "Postpartum constipation is common. Include fiber and water in your diet to avoid getting anal fissures." "The aversions! Cravings are one side, but there are things that I love, and then as soon as I'm pregnant, I can't even think about eating or drinking without feeling sick. Didn't expect that." And: "That every time you go to the doctor for any pain, strain, pop, crack, or injury, it will be blamed on being pregnant at some point in your life." What's something about pregnancy or childbirth you wish you'd been more prepared for or warned about? Tell us in the comments or share anonymously using this form. Note: Submissions have been edited for length and/or clarity.
