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Reply to "Horrible butt burn and gas is killing me!"

The broken glass description is more commonly associated with anal fissures than the skin irritation of “butt burn.” If in fact anal fissures are the problem (and an aggressive dilation could possibly have caused them) then the treatments tend to be sitz baths, topical treatment with dltiazem, nifedipine, or nitroglycerin cream, Botox injections in stubborn cases, and patience. The stool texture is best if soft but not liquid - fiber consumption (and the oxycodone) will influence this.

None of this directly explains your gas. I can’t tell if it’s a great quantity or just exceptionally painful (or both). Those of us who have had to give up on-the-go farting do have more gas on the toilet than we used to. Is it possible that you’re swallowing a lot of air during your painful episodes? Carbonated beverages, perhaps? Maybe one of those supplements does more than you were expecting? Dramatic gas is sometimes caused by small intestinal bacterial overgrowth (SIBO), generally treated with an antibiotic.

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