Curious about the ins and outs of anal play? Join us in this insightful video as Dr. Kumkum Patel, a gastroenterologist, shares ...

top-anal-sex-tips-from-a-gastroenterologist-ft-dr-kumkum-patel

Top Anal Sex Tips from a Gastroenterologist. Ft. Dr. Kumkum Patel

if you want to do foreplay with the finger consider using a glove or a condom and that way you protecting yourself from any STI and still getting to have fun yeah and then also in terms of analingus you can use a dental dam right like you you can cut up a condom or you can buy a dental dam and put it on the area before you sort of get involved to kind of prepare protect yourself from any sort of STI Y and protect your partner as well yeah any oral SDI that may be there and then in terms of preparing your body like if you're the one receiving the anal play is there anything you recommend oh yes absolutely I mean you want to be able to clean out for your partner right you don't want to have an accident on your partner and so you do want to clean your bottom out for approximately 30 minutes to an hour prior and you can use something called an enema you can get a 90cc bulb something around 90 to 100 cc's or so and you can use warm water don't make it too hot cuz that'll stimulate your colon don't make it too cold cold can cause cramping but clean out um approximately an hour before you can lay on your side you can bend on your knees and and arms and do that and then you don't want to go in too far you know deeper is not better right you're not trying to clean out the entire colon okay for your partner your partner is not that big that they're reaching into your ascending colon which is on on the right side okay so you're really trying to clean out the last 15 to 20 cm okay and beyond that is what we call the recto sigma Junction that starts to get to the twisty part so if you're trying to get deep in there you may actually making end uh making more of a mess than if you just try to clean out the last 15 to 20 centim you even really get in there I mean you have to use like a catheter to get in there you couldn't use just a regular bulb you well again that's the thing you don't want to go super crazy and get these massive catheters right again you're thinking you know I want to get in there with this 10inch long catheter and do it you probably either can perforate it or two get too deep where you actually stimulating more poop to come out than you need got it got it so just use the standard stuff that you get over the counter for an En don't buy extra anything else yeah exactly and then great great points about the temperature because I didn't know that so that's really helpful and then in terms of like prepare like not causing injury right so using either butt plugs or being getting yourself prepared for a penetrative anal intercourse receptive intercourse thoughts on that yeah I mean the first things first you lubric get permission number one get permission from your partner because when it's consensual then you're a lot more receptive being to being relaxative right you can relax and say okay I'm ready to to receive number two use lubrication and protection because when it's consensual protected lubricated it's more likely that your nervs are say okay I'm not so stressed out about it I'm gonna calm down which will actually allow for the rectal muscles to relax as well right and the anal muscles to relax as well so that could help to soften it up so that when you're when you're starting you can start slow and then you know get larger as as needed and so by starting slow do you mean that you should start essentially with smaller items like a finger or butt plug before you move on to a larger phus or a larger toy yes absolutely you can start with a smaller you know just a finger first using um gloves even and if your partner has late allergy don't use latex gloves use nit trial gloves I would recommend using a lubricant with it an oilbased or a water-based lubricant or silicone based lubricant and that way you know it's you decrease the amount of friction that's there and remember the anal tissue is much thinner than vaginal tissue so you want to be careful you don't want to just shove it in there start with a smaller finger especially if this is the first time start with a smaller finger and go slow and then see how how you feel and see I always tell people when you're looking at lubricants actually water-based lubricants have different phes so they're based on you can have a vaginal which is ISO Asmar to vaginal pH but the anal pH is actually different so you can actually look for anal pH lubricants that can be helpful and then yes absolutely use a lot of lube the water-based ones evaporate so you'll need to reapply so make sure that you do that and then if you're using silicone or oil based that's totally fine oilbased with condoms if you're trying to protect can break down the condom so make sure you feel comfortable that that person has been screened for STI or you're in a monogamous relationship and you've both been screened before you use oilbased lubricants yeah great and then in terms of injury right so I got a lot of questions about sphincter injury anal prolapse after anal intercourse or feal incontinence so do you see these things can they happen how should people avoid those sorts of injuries yeah of course if you if it's too fast and too hard and too soon in any in any of those orders it can happen right you can tear some of the skin in the anal Verge just by entering too fast without it you know having been stretched out right if this is your first time go slow go small and then work your way up if it's too large and you haven't experienced it before that can cause anal tearing and bleeding if you haven't cleaned out sufficiently and you've got uh fecal remnants in your anal Verge you can have accidents or cont uh conversely if you've cleaned too much right you really got in there and you that really long bulb that was you know you you were trying to get all the way to the end of your colon and you got in there and now you've made a mess I would recommend using a towel so that at least that that can prevent your sheets from getting tury people had asked are there certain foods that you should eat before anal play I would recommend foods that one help you clean out your bowels right so you want to not be constipated because the last thing you want is to have to find out that you have had four rocks you know that were right past your recto sigmoid Junction that never really came out and now you put three you know bouts of anas and now there's one that finally trickled back down and it's on its way out okay so fiber but not too much fiber because you don't want to have diarrhea either okay protein will help Harden your stool fiber will help to some degree soften it so have a good proportion of each you want to possibly likely avoid caffeine because again too much caffeine your colon will go crazy right so kind of avoid that before and then go from there and should you avoid prebiotics or probiotics before no it's not necessarily no okay yeah how long before anal sex should you eat like is there should they should they be trying to fast for a certain period of time or is there any recommendation like what's normal motility and like what can you sort of like estimate oh you know that I think is very person dependent right if you're someone who's got ibsd where soon after you eat and you know an hour or two after you eat you've got to go to the bathroom you got to personally time that out that has nothing to do whether or not you're going to get anal play right or you're going to have anal sex so if you ate something that has a ton of fiber in it and or you had had lactose in it and you're lactose intolerant whether or not you're going to have anal play you're going to be heading to the bathroom so time out your Foods prior to that and remember that you're going to be cleaning out your bottom likely 60 minutes prior to that so time out food maybe an hour even before that so that you have time to empty your bells and then get to your play yeah so it's very individualized is what you're saying so basically maybe take note of your normal body like how often you go after you eat and you can sort of figure it out from there absolutely does okay this one's this one sort of men this one came from our Instagram audience but does adal play have an a possibility of actually improving constipation like is there a or improving relaxation if you have pelvic floor dysfunction well that's that's a really good question I mean a lot of in times in pelvic floor Physical Therapy you they do help you in terms of relaxing the way you squeeze your own pelvic floor muscles so perhaps the act of allowing your own pelvic floor muscles to relax can likely help you relax when you're having a bowel movement right and so you are using those same muscles and so perhaps I don't know if that's my number one recommendation to constipated patients but that can be a potential side effect yeah I I think that makes sense I would just say make sure that when you're engaging in the adal play that you are fully relaxed because if you're like really stressed about it and like your partner's a little pushy and you don't really you're not really sure you want it you may have the opposite effect it could actually worsen your pelvic floor so if you are relaxed and receptive and ready and you're both listening to each other and communicating and saying no I want this yes I want this and like taking it very slow I think it can be beneficial absolutely yeah exactly and a lot of pelvic floor dysfunction does happen from anal trauma or sexual trauma that happened that was not welcomed and so when it was not welcomed your body tensed up and was like no I don't want this and so if that's the case you you don't you may not have that effect on on the pic floor so absolutely all right so we end our podcast with a quick like sort of fast four questions and so you just whatever comes to your mind what is one thing that you know now that you wish you knew when you were younger fiber is the key to it all that's really good what is a non-negotiable something that you do every day that if you didn't do you would feel like your day is incomplete sleep if I don't get adequate amount of sleep it's like I haven't gotten to hit the reset button and I don't do well without it yeah sleep is transformative I mean we talk about it a lot on my Channel about how sleep improves your testosterone improves and and lack of sleep is is so detri mental in performance whether it's mental Performance Physical performance driving a car so just super important to get good sleep and that's a great one what's one thing and I'm sure you have many but what's one thing that you wish could be done that would change the world oo acceptance uh whether it's personalities whether it's ideas whether it's religion whether it's gender acceptance of one another I think we are as as wonderful and as beautiful and as successful as we as you know we can be once we accept one another because everything everyone brings something new to the table so acceptance that's awesome and then lastly what is one it could be a personal or a health life hack Don't Change yourself for anyone you know I think we grow up in a society where there are a lot of societal expectations personal expectations and media and social media certainly influences so much of that and we feel as though we need to conform to those expectations in order for people to like us and as we get older we start to shed some of those and the happiest we become is when we are who we are and we accept ourselves and say okay this is who I am accept me if you don't that's okay I accept myself and this is what I'm going to do and you'll be happier and more successful if you accept yourself and learn to be receptive to having others love that as well acceptance all around yes

Dr.

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