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A gay guide to haemorrhoids: symptoms, causes, prevention and how to treat haemorrhoids

MindNell by MindNell
30 May 2025
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A gay guide to haemorrhoids: symptoms, causes, prevention and how to treat haemorrhoids
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By Oli McAuslan, up to date 2 days in the past in Health / Sexual health

man-holding-arse-in-pain-on-orange-purple-background

It’s time to interrupt the taboo and discuss these pesky little bum jewels – haemorrhoids.

Including anal to the combination makes haemorrhoids an excellent itchier topic. However as gays who could get pleasure from receiving or giving butt play, it’s vital to know what precisely these gap posts are and what to do about them as a way to take care of your own (or someone else’s) assets.

A ache within the butt, haemorrhoids are, sadly, quite common. In truth, more than half of people will expertise them earlier than they’re fifty.

We’ll take you thru every little thing you must learn about these arse grapes and discuss all issues prevention and therapy, so you will get again to being a busy backside ASAP!

Can I backside with haemorrhoids?

For those who’ve ever had one, you’d know that haemorrhoids will be painful. So, getting fucked can irritate them, that means extra ache for you. You recognize your physique finest, so in case your haemorrhoids are minor and never delicate to the touch, this could not cease you from bottoming. Simply go nuts with good lube (and your method of HIV prevention) to your consolation and to keep away from irritating your haemorrhoids.

It’s finest to postpone anal play and provides your self time to heal when you’ve got any tears, bleeding, or uncomfortable haemorrhoids down there. Consolation apart, that is additionally a good suggestion, as having open wounds (akin to haemorrhoids that bleed) will increase your danger of HIV and STIs.

This doesn’t imply you need to cancel tonight’s Grindr date altogether. There are many methods to get pleasure from intercourse with out anal. Perhaps give them an eye-rolling blowjob and revel in an evening of side fun. Maybe he’s vers or bottom-curious, and you possibly can attempt topping him.

What are haemorrhoids?

Haemorrhoids (also referred to as piles) are lumps that seem both inside or round your anus (asshole) which are collections of blood vessels and tissue. There are two important kinds of piles: inner and exterior haemorrhoids.

anatomic-image-of-anus-haemorrhoids

What are inner haemorrhoids?

Inside haemorrhoids are piles that type simply inside your anus. They is probably not seen when taking a look at your gap. There are completely different grades of internal piles relying on their measurement. Massive inner haemorrhoids might also stick out of your anus.

What are exterior haemorrhoids?

Exterior haemorrhoids are lumps that seem exterior or round your asshole. Get your associate or a trusty mirror to examine for exterior piles. They are often small, spherical lumps with pink, purple, or no color. There are different causes of lumps that must be differentiated and will happen on the identical time, this consists of STIs akin to syphilis, mpox and HPV. Don’t assume the lumps are all the time haemorrhoids, and have them checked out.

What are the signs of haemorrhoids?

Many individuals expertise no or gentle signs that disappear after a couple of days. For different folks, piles could cause symptoms akin to:

  • Painless rectal bleeding throughout defecation
  • Itching, discomfort, or ache round your anus
  • For exterior and severe inner haemorrhoids, the lump could stick out of your gap (additionally referred to as a prolapse). Often, this lump will be painful and later grow to be a tough bump.

What causes haemorrhoids?

Let’s brush up on some arse anatomy! The aspect of your anal canal has a lining. Generally, this lining can thicken on account of a weak spot in your muscle groups down there. The veins within the lining can enlarge and grow to be a haemorrhoid.

Listed below are a couple of fast information about haemorrhoid causes:

  • You possibly can’t ‘catch’ piles from somebody who has one.
  • Haemorrhoids are generally attributable to constipation and straining on the bathroom.
  • You possibly can’t get piles from bottoming, however it may well irritate current haemorrhoids (that’s why it’s finest to delay anal intercourse till they cool down).

What’s the distinction between haemorrhoids vs anal fissures?

You may need heard of anal fissures when speaking about backside care. An anal fissure is a tear in the skin that lines the anus. It differs from a haemorrhoid, will be extra painful, and takes longer to heal. They will current equally, so when you’ve got a fissure or haemorrhoid and are experiencing ache, it’s best to see your physician about it.

Tips on how to forestall haemorrhoids?

There are a bunch of issues you’ll be able to add to your routine and eating regimen to assist keep away from getting a haemorrhoid, akin to:

  • A high-fibre and balanced diet to keep away from constipation
  • Good hydration
  • Common train
  • Keep away from lingering on the bathroom for lengthy durations
  • Use moist wipes or damp bathroom paper to keep away from rubbing and aggravating your ass
  • Preserve your gap clear and dry.

How are piles recognized?

Haemorrhoids are finest recognized by your physician. We all know asking your physician about this can be awkward, so we wish to put together you to your go to. They may typically carry out a Digital Rectal Examination – by putting a gloved and lubricated finger inside your anus to really feel for piles. For those who really feel uncomfortable asking for this out of your common physician, you’ll be able to try our article: Finding a gay-friendly doctor.

man-holding-arse-across-from-doctor-with-pills-scaled

Tips on how to deal with haemorrhoids?

Most gentle signs of piles will go away after a couple of days or perhaps weeks with out therapy.

Listed below are another beneficial therapies for haemorrhoids:

  • Improve your fibre consumption with dietary supplements akin to psyllium husk and drink loads of water. The goal is to supply common, mushy poos that cut back straining throughout defecation. It’d take a couple of weeks to note a change.
  • Over-the-counter pharmacy haemorrhoid therapies (akin to lotions and stool softeners) will help cut back ache, irritation and swelling
  • Sitz bathtub – a ten–15-minute soak in a heat water bathtub to assuage your gap a number of instances a day.
  • Verify if any of your medicines might contribute to constipation (examine together with your physician earlier than stopping these).

When to go to the physician

In case your haemorrhoids don’t go away after a couple of weeks and you might be experiencing rectal bleeding and ache, ebook in to see your physician.

Your physician can advocate different therapies if they’re mandatory. Generally, haemorrhoids could require surgical therapy.

It is usually a good suggestion to go to your physician when you’ve got any of the next:

  • Anaemia
  • Blood blended in together with your poo
  • Change in bowel patterns
  • Are over 40 years outdated
  • Household historical past of colon most cancers
  • Inflammatory bowel illness

The underside(s) line…

Though it may be uncomfortable, each to have haemorrhoids and to speak about having them, we have to deal with our belongings and be open about our sexual well being. So, whether or not you’re a trusty high eager to deal with your associate’s bussy or a busty backside feeling a bump in your bootie, preserve haemorrhoids in thoughts. Perhaps take a break from DomTop69, take a look at out your side skills, and ebook your self in for a physician’s appointment, so you will get again to having piles of fucking enjoyable!





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