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Anal care
4-minute read
Key facts
- The anus is the end of your bowel where your stool (poo) exits your body.
- Use wet toilet paper to gently wash and dry your anus after pooing and before bed.
- Improve your anal health by sitting on the toilet correctly and eating a fibre rich diet with lots of fruit and vegetables.
- Common anal issues include itching, anal fissures (tears) and haemorrhoids.
- Anal problems can be distressing, but there are things you can do to prevent and treat them.
Where is my anus?
The anus is the last few centimetres of your large bowel. It's the opening where the faeces (poo) leaves your body. During a bowel movement, your anal muscles (sphincters) relax to release faeces.
Many things can affect the health of your anus.
Good anal hygiene
Gently wash and dry your anus after pooing and before going to bed. Use wet toilet paper or a wet washcloth. Use plain water only, or an unscented soap.
Wear cotton underwear that isn't tight.
Do not use:
- scented soaps or bubble bath
- perfumes
- talcum powder
- deodorant
Avoid douching (using an enema) to clean faeces from your anus. Douching can damage your rectum.
Good toilet practices
Go to the toilet when you feel the urge to go. Try not to wait or 'hold on' when you need to do a poo.
Sit on the toilet seat:
- rest your elbows on your knees
- lean forward
- use a footstool to lift your knees higher than your hips
- keep your back straight
Try not to strain when going to the toilet.
Preventing constipation
To help keep your bowel healthy:
- drink 6 to 8 glasses of water each day
- eat high-fibre foods — fruits, vegetables and whole grains
- exercise for 30 minutes most days
- keep a healthy body weight
- stop smoking or vaping
Safe sex
The best way to practice safe anal sex is to use a condom or dam with lots of water-based lubricant. This can lower your chance of getting sexually transmitted infections (STIs) including HIV.
To lower your chance of anus damage, ask sexual partners to remove rings and trim their fingernails.
What conditions affect your anus?
There are many different conditions that can affect your anus.
Anal fissures are small tears in the lining of your anus. They are often caused by passing hard stool. They can also occur after:
- giving birth vaginally
- anal sex
- diarrhoea
An anal abscess is a collection of pus, caused by an infection. A doctor will treat an abscess by draining the pus. You may also need antibiotics.
There are many causes of an itchy bottom (pruritus ani), including threadworms.
Haemorrhoids (piles) are lumps that occur inside and outside your anal passage. Haemorrhoids often go away without any treatment.
Anal cancer is a rare cancer that affects your anus. Most anal cancers are caused by human papillomavirus (HPV). You can lower your chance of getting anal cancer by getting the HPV vaccine.
Relieving anal discomfort
A warm bath may help ease your anal pain.
Use an ice pack wrapped in a clean towel, to help with haemorrhoid pain and swelling. Do not use the ice pack for more than 30 minutes at a time.
Speak with your pharmacist if you have anal pain or itching. They can give you advice on pain relief medicines.
There are over-the-counter creams and ointments which can relieve itching around the anus. You can also buy medicines to treat threadworms.
Always follow the instructions on the packet.
When should I see a doctor?
See a doctor if you have:
- pain in your bottom
- bleeding from your bottom or blood in your poo
- discharge or poo leaking from your bottom
- any new or unusual lumps near your anus
- an itchy bottom that is not getting better
- difficulty controlling your bowel movements
It can be distressing when there are problems with your anal function.
Resources and support
See a doctor if you are concerned about your anus.
Learn more about pelvic floor training for males and females.
For support with faecal incontinence, call Continence Health Australia on 1800 33 00 66.
You can also call the healthdirect helpline on 1800 022 222 (known as NURSE-ON-CALL in Victoria). A registered nurse is available to speak with you 24 hours a day, 7 days a week.