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Home»Sexual Health»A Gay Guide to Hemorrhoids: Symptoms, Causes, Prevention and How to Treat Hemorrhoids
Sexual Health

A Gay Guide to Hemorrhoids: Symptoms, Causes, Prevention and How to Treat Hemorrhoids

healthtostBy healthtostJuly 27, 2024No Comments6 Mins Read
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A Gay Guide To Hemorrhoids: Symptoms, Causes, Prevention And How
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By Oli McAuslan, updated 5 days ago on Health / Sexual health

It’s time to break the taboo and talk about those pesky little jewels – hemorrhoids.

Adding anus to the mix makes hemorrhoids even itchier. But as gay men who may enjoy getting or butt-play, it’s important to know exactly what these positions are and what to do about them so you can take care of your (or someone else’s) assets.

A pain in the butt, hemorrhoids are, unfortunately, all too common. In fact, more than half the people he will live before he is fifty.

We’ll take you through everything you need to know about these donkey grapes and talk about all things prevention and treatment so you can get back to being busy as soon as possible!

Can I get bottoms with hemorrhoids?

If you’ve ever had one, you’ll know that hemorrhoids can be painful. So, fucking can turn them on, which means more pain for you. You know your body best, so if your hemorrhoids are small and not tender to the touch, that shouldn’t stop you from bottoming out. Just go crazy with good lube (and HIV prevention method) for your comfort and to avoid irritating your hemorrhoids.

It’s best to postpone anal play and give yourself time to heal if you have tears, bleeding or uncomfortable hemorrhoids down there. In addition to comfort, this is also a good idea, as having open sores (such as bleeding hemorrhoids) increases your risk of HIV and STDs.

That doesn’t mean you should cancel tonight’s Grindr date entirely. There are many ways to enjoy sex without anus. Maybe give them an impressive blow job and enjoy a fun night out. Maybe he’s weird or down and you could try to get over him.

What are hemorrhoids?

Hemorrhoids (also known as hemorrhoids) are lumps that appear either in or around your anus (anus) that are collections of blood vessels and tissue. There are two main types of piles: internal and external hemorrhoids.

anatomical-picture-anal-hemorrhoids

What are internal hemorrhoids?

Internal hemorrhoids are piles that form right inside your anus. They may not be visible when looking at your hole. There are different ones grades of internal piles depending on their size. Large internal hemorrhoids may also protrude from your anus.

What are external hemorrhoids?

External hemorrhoids are lumps that appear outside or around your butt. Get your partner or a trusted mirror to check for external piles. They can be small, round bumps that are red, purple, or colorless. There are other causes of lumps that need to be differentiated and could occur at the same time, these include STDs such as syphilis, mpox and HPV. Don’t assume lumps are always hemorrhoids and get them checked out.

What are the symptoms of hemorrhoids?

Many people experience no or mild symptoms that disappear after a few days. For other people, piles can cause symptoms such as:

  • Painless rectal bleeding during defecation
  • Itching, discomfort, or pain around your anus
  • For external and severe internal hemorrhoids, the lump may protrude out of your hole (also called a prolapse). Occasionally, this lump can be painful and later become a hard lump.

What causes hemorrhoids?

Let’s take a look at the anatomy of the ass! The side of your anal canal has a lining. Sometimes, this lining can thicken due to weakness in your muscles down there. Veins in the lining may enlarge and become hemorrhoids.

Here are some fast facts about the causes of hemorrhoids:

  • You can’t “catch” stacks from someone who has one.
  • Hemorrhoids are usually caused by constipation and straining on the toilet.
  • You can’t get piles from the bottom, but it can irritate existing hemorrhoids (so it’s best to delay anal sex until they subside).

What is the difference between hemorrhoids and anal fissures?

You may have heard of anal stretch marks when talking about bottom care. The anal fissure is a tearing in the skin covering the anus. Different from a hemorrhoid, it can be more painful and take longer to heal. They can appear in a similar way, so if you have a stretch mark or hemorrhoid and feel pain, it’s best to see your doctor about it.

How to prevent hemorrhoids?

There are many things you can add to your routine and diet to help prevent hemorrhoids, including:

  • A fiber-rich and balanced diet to avoid constipation
  • Good hydration
  • Regular exercise
  • Avoid staying on the toilet for long periods
  • Use wet wipes or fresh toilet paper to avoid rubbing and irritating your butt
  • Keep your hole clean and dry.

How are piles diagnosed?

Hemorrhoids are best diagnosed by your doctor. We know asking your doctor about this can be uncomfortable, so we want to prepare you for your visit. They’ll often do a Digital Rectal Exam – placing a gloved and lubricated finger inside your anus to feel piles. If you feel uncomfortable asking your regular doctor, you can check out our article: Finding a Gay-Friendly Doctor.

man-holding-scissors-opposite-of-doctor-with-pills-escalated

How to treat hemorrhoids?

Most mild symptoms of piles will go away after a few days or weeks without treatment.

Here are some other recommended hemorrhoid treatments:

  • Increase your fiber intake with supplements like psyllium husk and drink plenty of water. The goal is to produce regular, soft drinks that reduce straining during bowel movements. It may take a few weeks to notice a change.
  • Over-the-counter hemorrhoid treatments can help reduce pain, irritation, and swelling
  • Sitz Bath – 10-15 minute soak in a warm water bath to soothe your hole several times a day.
  • Check if any of your medications could be contributing to constipation (check with your doctor before stopping them).

When to go to the doctor

If your hemorrhoids don’t go away after a few weeks and you’re experiencing rectal bleeding and pain, make an appointment to see your doctor.

Your doctor may recommend other treatments if they are necessary. Sometimes, hemorrhoids may require surgical treatment.

It’s also a good idea to see your doctor if you have any of the following:

  • Anemia
  • Blood mixed with your corpses
  • Change in bowel patterns
  • He is over 40 years old
  • Family history of colon cancer
  • Inflammatory bowel disease

The bottom line…

Although it can be uncomfortable to both have hemorrhoids and talk about them, we need to take care of our assets and be open about our sexual health. So whether you’re a trusty top looking to take care of your partner’s busy bottom or a busty bottom feeling a bump in your booty, you’ve got hemorrhoids on your mind. Maybe take a break from DomTop69, test your skills and make an appointment with a doctor so you can get back to fucking fun!

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Is it okay to skip meals? This is what could happen.

January 18, 2026

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