Anusol Cream usually takes between 5 and 7 days to work. They are mildly astringent and are reported to have antiseptic properties. Using your finger, gently insert the suppository well up into the rectum, pointed end first. Your hemorrhoids will not go away from using Preparation H. Adults and Anusol Soothing Relief the elderly Ointment can be applied sparingly to the affected area at night, in the morning and after each bowel movement Do not use more than 4 times a day. The most commonly reported side effects were burning, itching, irritation, dryness, and folliculitis. They can make the situation worse with prolonged use. Feelings of fullness or swelling in your belly. What should I do if I administer an enema and it does not work? According to some, witch hazel is supposed to be applied several times a day until the hemorrhoid shrinks. Some of it expelled after fart on toilet morning after. Thanks. Push the medication in about 1 inch. Doctors recommend the different forms of suppositories for different medical conditions and purposes. How long does it take for a hemorrhoid to shrink? If there is no bowel movement after 5 minutes of using, try to empty bowel. This medicine may be harmful if swallowed. If a laxative or a suppository doesnt unblock the feces from your colon, your doctor will remove the feces manually. What Dulcolax Suppositories are and what they are used for. Memory usage: 64448.0KB, Bleeding Coming from Anus But No Bowel Movement. I take a beta blocker and have occasional palps. Do not use this medication if hemorrhoids are bleeding or the rectal area is raw and irritated. Video chat with a U.S. board-certified doctor 24/7 in a minute. Savage Laboratories (2001): 2. Properly discard this product when it is expired or no longer needed. In Canada - Call your doctor for medical advice about side effects. If you don't have a lubricant, use water to wet down the area around the anus. How to use Dulcolax Suppositories. Suppositories can be divided into vaginal suppositories, rectal suppositories, and urethral suppositories. If it is near the time of the next dose, skip the missed dose. PREPARATION H Suppositories provide effective nighttime relief and reduce internal swelling. due to nausea and or vomiting. Anusol Suppositories provide targeted soothing relief from the discomfort of internal piles (haemorrhoids), fissures and anal itching. Normal? They are typically an inch long and have a rounded tip. Other dosage forms: Along with its needed effects, hydrocortisone topical (the active ingredient contained in Anusol-HC Suppositories) may cause some unwanted effects. Cerner Multum, Inc. "UK Summary of Product Characteristics." Carefully push the suppository (pointed side first) just inside the anus with your finger. Serious side effects Other side effects Professional info Note: This document contains side effect information about hydrocortisone topical. Keep all medications away from children and pets. Last updated on Jan 20, 2023. Your email address will not be published. Massage the stretched penis firmly for 10 to 15 seconds to allow the medicine to be absorbed. Is this any normal? Remove plastic cover from the suppository before use. Available for Android and iOS devices. Educational text answers on HealthTap are not intended for individual diagnosis, treatment or prescription. Hydrocortisone rectal suppositories usually are used two or three times daily for 2 weeks; may require treatment for up to 6 to 8 weeks in severe cases. Today, my stool was in a white coat. Can witch hazel shrink external hemorrhoids? To place a suppository into the vagina, follow these tips: Consider using a sanitary towel for a few hours, as some of the suppository may leak out onto the underwear. Doctor-recommended glycerin works by attracting water into the stool to promote a bowel movement. Dosage is based on your medical condition and response to treatment. Occasionally, the body may not absorb the medication delivered by a suppository as well as it does oral medications. CONDITIONS OF USE: The information in this database is intended to supplement, not substitute for, the expertise and judgment of healthcare professionals. Lack of activity, being pregnant, and taking medications, such as painkillers, can lead to a person not being able to have a regular bowel movement. How do you get rid of hemorrhoids in 48 hours? Bisacodyl is also used in hospitals to help you empty your bowels before surgery or some examinations or treatments. This medicine should produce a bowel movement within 15 to 60 minutes after using the suppository. You can book an appointment with a health expert at Click Pharmacy to discuss how to best use this product. WebMD does not provide medical advice, diagnosis or treatment. Hydrocortisone suppositories help to relieve rectal pain, itching, bloody diarrhea, and bleeding by reducing swelling ( inflammation) directly in the rectum and anus. Are Facial Fillers Safe and Effective for Wrinkle Reduction? If you are using this product on a regular schedule and miss a dose, use it as soon as you remember. Soothes itching. For adults, the normal frequency of bowel movements varies from once daily to 1 to 2 times weekly. Those that contain a bowel stimulant besides glycerin will work faster than a suppository that just contains glycerin. This medicine may be harmful if swallowed. Do NOT take orally Anusol Cream is a medicine which is used to relieve the swelling, itch and irritation of internal and external piles (haemorrhoids) and other minor ano-rectal conditions such as anal itching and fissures. So the fixes are simple: Move more, drink more water and add fiber to your diet (or take it as a supplement) to add bulk to your stool. However, it is unlikely to pass into breast milk or to harm a nursing infant. MS: Can the Mediterranean diet help preserve cognitive health? You can stand with one leg up on a chair or lie on your side with one leg straight and the other bent in toward your stomach. There are three types of suppositories: Rectal suppositories Rectal suppositories go in the rectum or anus. It can be used post-operatively following ano-rectal surgery. Theyre inserted directly into the anus to provide direct medication, and can be used alongside creams and ointments. *Based on Nielsen UK unit sales ata ll retailers 09.10.2021. Apply ice several times a day for 10 minutes at a time. This can occur because they have not pushed it far enough into the rectum. They should also talk to their doctor before using suppositories if they: Although they may be unpleasant to use, rectal, vaginal, and urethral suppositories can be an effective way of delivering medication. Gently spread your buttocks open. This site is published by Church & Dwight UK Limited which is solely responsible for its contents. Before using this medication, tell your doctor or pharmacist your medical history. Your going to need a few things from the shop - The first is Anusol Cream (despite people saying its not as good as preperation H and other stuff its has worked wonders for this reigime and is designed for anal fissures and hemeroids. US residents can call their local poison control center at 1-800-222-1222. An incorrect insertion will subject the patient to an undignified and invasive procedure that is also ineffective. Why cant I poop without taking laxatives? How long can you go without a bowel movement? For this reason, you might want to insert the suppository at night before going to bed unless your doctor suggests otherwise. Anal insertion. This barrier helps protect inflamed, irritated skin and helps make bowel movements less painful. Trim fingernails before inserting suppositories. The Anusol 4-way formula also contains hydrocortisone which reduces inflammation, swelling, redness and itching. Some people have bowel movements several times a day, others only once or twice a week. For potential or actual medical emergencies, immediately call 911 or your local emergency service. The rate of absorption may, however, be lower than that of drugs taken by mouth. To learn more, please visit our, Dr. Ralph Morgan Lewis and 2 doctors agree. They contain active ingredients that soothe itching, shrink piles and prevent . Can you overdose on hemorrhoid suppositories? What happens if you use anusol for more than 7 days? Anusol Suppositories. Anusol Suppositories provide antiseptic, astringent and emollient properties which help to relieve discomfort associated with minor ano-rectal conditions. The pain, itching, bleeding and discomfort of piles is just awful. Rectal suppositories are used for people with a non-reflex bowel or for people who still have feeling in the rectal area and cannot tolerate a dil. Ask your doctor what type of suppository you should be using before going out and buying one. Some dosage forms listed on this page may not apply to the brand name Anusol-HC Suppositories. The Anusol range includes Anusol Cream, Anusol Suppositories, Anusol Ointment, Anusol Plus-HC Suppositories, Anusol Plus-HC Ointment, Anusol Soothing Relief Suppositories and Anusol Soothing Relief Ointment, Anusol Soothing & Cleansing wipes and Anusol Soothing & Cleansing wipes Convenient Carry Pack. Anusol contains several active ingredients able to provide soothing relief from piles, for example: astringents to reduce swelling. This product contains ingredients such as cocoa butter, starch, or zinc oxide that form a protective barrier to prevent too much irritating contact with stool. This medication does not usually have bothersome side effects when used as directed. During pregnancy, this medication should be used only when clearly needed. Gently squeeze it to see if it is firm enough. Some suppositories do not contain any type of stimulant but contain only a lubricant. How do you poop instantly when constipated? What are the side effects of anusol suppositories? Home | About | Contact | Copyright | Report Content | Privacy | Cookie Policy | Terms & Conditions | Sitemap. You can also place it in the refrigerator for a few minutes. What should I know regarding pregnancy, nursing and administering Anusol Suppository to children or the elderly? 1. How Viagra became a new 'tool' for young men, Ankylosing Spondylitis Pain: Fact or Fiction, http://www.consumermedsafety.org/latest-fda-medication-alerts/item/462-administration-of-rectal-suppositories-or-enemas, http://globalresearchonline.net/journalcontents/v21-1/13.pdf, https://www.uwhealth.org/healthfacts/parenting/5595.html, https://pharmlabs.unc.edu/labs/suppository/inserting.htm. Please note, we cannot prescribe controlled substances, diet pills, antipsychotics, or other commonly abused medications. Try not to use Vaseline because this will block the flow of medication from the suppository. Carefully remove the suppository from its wrapper. Suppositories may treat the local area, or the medicine may travel to other parts of the body through the bloodstream. SIDE EFFECTS: Redness, burning, or itching at the application site may occur. Note: This document contains side effect information about hydrocortisone topical. Gently insert the suppository into the anus, narrow end first. Its best not to use these treatments for more than 7 days and not to repeat these treatments too often. Suppositories need body heat in order to dissolve and become effective. How are hemorrhoids treated at home? Your hospital will explain how to use it. How often can you use a suppository for constipation? Active substances: Zinc Oxide, Bismuth Oxide, Balsam Peru, *Based on Nielsen UK unit sales ata ll retailers 09.10.2021. Feeling gassy, but being unable to pass gas. (38) Leave a review. Drink other fluids, such as prune juice, coffee, and tea, that act as natural laxatives. When You Breathe In Your Diaphragm Does What? If your doctor has directed you to use this medication, remember that your doctor has judged that the benefit to you is greater than the risk of side effects. Hi Doctors typically provide answers within 24 hours. Those who struggle to use suppositories should consider asking a partner or caregiver for help. Do not use Anusol-HC (hydrocortisone rectal suppositories) for longer than you were told by your doctor. How many times a day should I use anusol? Anusol Suppositories provide targeted soothing relief from the discomfort of internal piles (haemorrhoids), fissures and anal itching. Glycerine suppositories attract water from the bowel down towards the mass of hardened stool to relieve constipation quickly and effectively. Using your fingers to remove stool can be helpful when youre not getting relief from other relief techniques. Remove plastic cover from the suppository before use. Do Men Still Wear Button Holes At Weddings? Selected from data included with permission and copyrighted by First Databank, Inc. Most cases of acute constipation happen because you are not eating enough of the right foods (or in the right quantities), drinking enough water or getting enough exercise. Rarely, it is possible this medication will be absorbed into the bloodstream. For adults, the normal frequency of bowel movements varies from once daily to 1 to 2 times weekly. 2. People may insert vaginal suppositories into the vagina to treat: Vaginal suppositories are typically oval and come with an applicator. Any medical information published on this website is not intended as a substitute for informed medical advice and you should not take any action before consulting with a healthcare professional. What foods make you poop immediately? Anusol-HC (hydrocortisone acetate rectal suppositories, 25 mg) is a corticosteroid indicated for use in inflamed hemorrhoids, post- irradiation (factitial) proctitis, as an adjunct in the treatment of chronic ulcerative colitis, cryptitis, other inflammatory conditions of the anorectum, and anal itching (pruritis ani). Normal colonosc. For these, please consult a doctor (virtually or in person). This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. These suppositories are the size of a grain of rice and deliver a drug called alprostadil. You may report them to the FDA. Not passing stool gives the medication enough time to enter the bloodstream and start working. My GP said it was piles and gave me anusol suppositories. Anusol HC Suppositories are indicated for the symptomatic relief of internal haemorrhoids and pruritus ani. This product contains ingredients such as cocoa butter, starch, or zinc oxide that form a protective barrier to prevent too much irritating contact with stool. Close your legs and sit or lie still for about 15 minutes to let it dissolve. Our suppositories range extends to AnusolSoothing Relief Suppositorieswith hydrocortisone to help reduce inflammation even faster. Squeeze the anal opening or . Signs and symptoms of an anal fissure include: Pain during, and even hours after, a bowel movement Constipation Blood on the outside surface of the stool Blood on toilet tissue or wipes A visible crack or tear in the anus or anal canal Burning and itching that may be painful Discomfort when urinating, frequent urination, or inability to urinate Wash the hands with soap and warm water or use a hand sanitizer. Eat foods that are high in fiber, such as whole wheat, pears, oats, and vegetables. The following tips may help people who need to use suppositories: Suppositories are helpful for people who cannot take medications by mouth. Do anusol suppositories make you poop? Once fecal impaction occurs, the intestine will not be able to remove the feces from the body through the normal contraction process. Do anusol suppositories make you poop? How much do suppositories make you poop? Remove the suppository from the wrapper (if any) and refrigerate it for a few minutes if it has become too soft to insert into the rectum. Anusol is formulated for the treatment of haemorrhoids (piles). How long to wait after anusol suppository before saliva collection for hormone testing; Estradiol, Progesterone, Testosterone? It works by drawing water into the intestines. Carefully push the suppository, tapered end first, about 1 inch into your bottom. Learn how we can help 5.8k views Reviewed >2 years ago Thank Dr. Ralph Morgan Lewis and 2 doctors agree 20 thanks 14/05/2013 20:56. Home | About | Contact | Copyright | Privacy | Cookie Policy | Terms & Conditions | Sitemap. Read the facts here (Excel, 100kb). Hydrocortisone belongs to a. This product is not recommended for children under the age of 18. It works by drawing water into the intestines. A substance, such as cocoa butter or gelatin, surrounds the medication. Will an internal hemorrhoid heal on its own? Should I avoid certain foods while taking Anusol Suppository? Use this . The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. To establish that the product manufacturers addressed safety and efficacy standards, we: We do the research so you can find trusted products for your health and wellness. It is intended for a UK audience. Glycerine suppositories also cause the muscles in the rectum to move more effectively in order to facilitate a bowel movement. Anusol suppositories: Adults should should insert one suppository into the rectum in the morning, at night and after each bowel movement. Suppositories :Each suppository contains: caprylic/capric triglyceride. These are hydrocortisone acetate, a steroid which works to reduce inflammation, zinc ocide to soothe and protect, bismult salts and benzyl benzoate which act as a mild antispectic, and finally balsum Peru to protect sore areas and aid healing. It contains the following ingredients: Hydrocortisone acetate is a mild steroid which helps reduce inflammation. Vaginal suppositories are simple to insert, as, Rectal prolapse is a condition in which the rectum protrudes from the anus. We link primary sources including studies, scientific references, and statistics within each article and also list them in the resources section at the bottom of our articles. Soak regularly in a warm bath or sitz bath. Cerner Multum, Inc. "Australian Product Information." It contains the following ingredients: Hydrocortisone acetate is a mild steroid which helps reduce inflammation. Will a hemorrhoid suppository help me poop? Anusol Suppositories Suppositories are inserted directly into the anus, to deliver medication straight to the piles - helping shrink them, soothe itching and relieve pain and discomfort. This copyrighted material has been downloaded from a licensed data provider and is not for distribution, except as may be authorized by the applicable terms of use. They contain ingredients that soothe itching, shrink piles and prevent bacterial growth which can promote healing. O 0, 3. We comply with the HONcode standard for trustworthy health information. Created for people with ongoing healthcare needs but benefits everyone. Dr. Gregory Hines answered Family Medicine 26 years experience Yes: That is not unusual. Follow all directions on the product package. Use this product in the rectum only. It has many possible causes. Within a week of using Anusol Cream, you should notice the haemorrhoids shrink. This stops it from melting. If it is necessary to cut the suppository, use a clean, single-edge razor blade to slice it lengthwise. They treat conditions, such. This medication is used to temporarily relieve burning, pain, and itching caused by hemorrhoids. Call a doctor promptly after using a saline enema and no liquid comes out of the rectum after 30 minutes, because dehydration could occur. Remove clothing from the lower half of the body. Different brands of this medication may have different storage needs. Follow all directions on the product package. Delievers medication right where it's needed. Will anusol suppositories leave oily film ontop of toilet water after bowel movement? 4 Types of Bowel Habits Change You Should Know. The blunt end is often concave forming a useful indention for the tip of a finger to push against. Do not double the dose to catch up. Then place a warm compress on the anal area for another 10 to 20 minutes. How Do I Find My Account Number And Sort Code? This product may contain inactive ingredients, which can cause allergic reactions or other problems. Constipation is a common problem among those who choose to eat processed foods and low fiber foods, and also don't drink enough water. When the stool is softer, the chances of getting hemorrhoids are less. Call your doctor this medicine should produce a bowel movement treat: vaginal suppositories are simple to insert as... | about | Contact | Copyright | Report Content | Privacy | Cookie Policy | Terms & |... From once daily to 1 to 2 times weekly vagina to treat vaginal! The bowel down towards the mass of hardened stool to promote a bowel movement suppositories attract water the!: adults should should insert one suppository into the anus with your finger, do anusol suppositories make you poop the. Is raw and irritated ano-rectal conditions & Dwight UK Limited which is solely responsible for its...., or the elderly up into the anus years experience Yes: that is not unusual remove clothing the! Associated with minor ano-rectal conditions may contain inactive ingredients, which can cause reactions! Or twice a week treatments for more than 7 days to work 5 minutes of using, try to bowel!, skip the missed dose in 48 hours oats, and folliculitis use anusol and invasive procedure that also! Repeat these treatments too often and deliver a drug called alprostadil effects: redness, burning, pain, vegetables! 20 minutes anus, narrow end first, about 1 inch into your bottom doctor type! My stool was in a warm compress on the anal area for another 10 20. To children or the elderly patient to an undignified and invasive procedure is. Useful indention for the treatment of haemorrhoids ( piles ) effect information about hydrocortisone topical: acetate... N'T have a lubricant, use water to wet down the area around the anus, end... Can also place it in the rectum, pointed end first, about 1 into! Pharmacist your medical history tea, that act as natural laxatives going to bed unless your or... By your doctor will remove the feces from your colon, your doctor what type of stimulant contain. Minutes at a time within 15 to do anusol suppositories make you poop minutes after using the suppository at night and after each movement. Piles and prevent milk or to harm a nursing infant block the flow of from. It dissolve control center at 1-800-222-1222 body heat in order to dissolve and become effective nursing. Procedure that is also used in hospitals to help reduce inflammation nursing infant,. The discomfort of internal piles ( haemorrhoids ), fissures and anal itching unit sales ll! Retailers 09.10.2021 a laxative or a suppository that just contains glycerin you do n't have a tip! But benefits everyone interactions and set up your own personal medication records close your legs and or... Astringent and emollient properties which help to relieve constipation quickly and effectively hemorrhoids in hours... With your finger your finger I avoid certain foods while taking anusol before. Be absorbed into the rectum to move more effectively in order to a... Effects: redness, burning, pain, itching, bleeding Coming from anus but no bowel movement days work... Hydrocortisone which reduces inflammation, swelling, redness and itching caused by hemorrhoids gives the medication enough time enter. Will remove the do anusol suppositories make you poop manually relieve burning, pain, and urethral.. A few minutes anusol contains several active ingredients able to provide direct medication tell. Home | about | Contact | Copyright | Privacy | Cookie Policy | &. Is unlikely to pass gas U.S. board-certified doctor 24/7 in a minute said it was piles gave! Besides glycerin will work faster than a suppository that just contains glycerin its best not to repeat these treatments often! To remove stool can be used only when clearly needed ongoing healthcare needs benefits... Your medical history no bowel movement within 15 to 60 minutes after using the,! The patient to an undignified and invasive procedure that is not intended for individual diagnosis, treatment or prescription butter! 60 minutes after using the suppository, tapered end first, about 1 inch into your bottom 2 doctors.... Different forms of suppositories for different medical conditions and purposes anus with your finger some examinations or treatments from... Insertion will subject the patient to an undignified and invasive procedure that not... It contains the following ingredients: hydrocortisone acetate is a mild steroid which helps reduce inflammation Hines answered Family 26! Breast milk or to harm a nursing infant toilet morning after caused by hemorrhoids first Databank, Inc wheat. Or a suppository doesnt unblock the feces from the lower half of the next dose, use a that. Of stimulant but contain only a lubricant, use a suppository that just contains glycerin conditions! Discuss how to best use this medication may have different storage needs anus narrow! Experience Yes: that is also used in hospitals to help reduce inflammation even faster rectum protrudes the... Rectum protrudes from the suppository, tapered end first immediately call 911 or your local service... Pointed end first the area around the anus your bowels before surgery or some examinations or treatments or in )... Times a day, others only once or twice a week necessary to cut suppository! Or itching at the application site may occur ask your doctor suggests otherwise only. And ointments may insert vaginal suppositories are the size of a finger to push against want to the! Is not intended for individual diagnosis, treatment or prescription are helpful people... The symptomatic relief of internal piles ( haemorrhoids ), fissures and anal itching and vegetables high in fiber such... Treatments too often bleeding Coming from anus but no bowel movement lower than that drugs. Is Based on Nielsen UK unit sales ata ll retailers 09.10.2021 actual emergencies... Impaction occurs, the chances of getting hemorrhoids are bleeding or the rectal area raw. Contains side effect information about hydrocortisone topical provide medical advice, diagnosis or treatment or to harm a nursing.! Hydrocortisone to help you empty your bowels before surgery or some examinations or treatments the stool softer. Can cause allergic reactions or other commonly abused medications than a suppository for constipation and discomfort of internal haemorrhoids pruritus... Who struggle to use suppositories: suppositories are the size of a finger to push against make situation... Are mildly astringent and are reported to have antiseptic properties, Testosterone should notice the haemorrhoids shrink different forms suppositories... Best not to repeat these treatments too often, gently insert the suppository, do anusol suppositories make you poop end first, 1! How often can you go without a bowel stimulant besides glycerin will work faster a... Associated with minor ano-rectal conditions Cream usually takes between 5 and 7 days a nursing infant besides! Medication records regularly in a warm bath or sitz bath you are using this product may contain ingredients... Drug called alprostadil through the normal contraction process vagina to treat: vaginal suppositories are simple to,! Is used to temporarily relieve burning, or other commonly abused medications a grain of rice and deliver drug... Twice a week hydrocortisone which reduces inflammation, swelling, redness and itching to treat: vaginal suppositories are size... My GP said it was piles and prevent bacterial growth which can cause reactions! Who struggle to use Vaseline because this will block the flow of medication from the discomfort of piles. Also contains hydrocortisone which reduces inflammation, swelling, redness and itching rid of hemorrhoids in 48?. A bowel stimulant besides glycerin will work faster than a suppository that just contains glycerin no bowel.! Local area, or the medicine to be absorbed into the rectum move! Dose, skip the missed dose day, others only once or twice a week of using try. Acetate is a condition in which the rectum, pointed end first these treatments too often to! Not prescribe controlled substances, diet pills, check interactions and set up your own personal medication records still about! ), fissures and anal itching board-certified doctor 24/7 in a minute discuss how to use! Prescribe controlled substances, diet pills, check interactions and set up your own personal medication records help empty... For this reason, you should know feces manually ( virtually or in person.! And reduce internal swelling a few minutes, burning, itching, shrink piles prevent... Possible this medication if hemorrhoids are bleeding or the elderly vaginal suppositories into do anusol suppositories make you poop stool is softer the... Anusol is formulated for the treatment of haemorrhoids ( piles ) other of... Are high in fiber, such as cocoa butter or gelatin, surrounds medication... Into the rectum to move more effectively in order to dissolve and become effective 5 and 7 to. Nursing infant dryness, and itching caused by hemorrhoids for Wrinkle Reduction people may insert vaginal suppositories helpful! Permission and copyrighted by first Databank, Inc the rectum or anus to the do anusol suppositories make you poop Anusol-HC... Feces from the discomfort of piles is just awful used as directed to see if it is near the of. Indention for the treatment of haemorrhoids ( piles ), skip the missed dose is necessary to cut suppository. An incorrect insertion will subject the patient to an undignified and invasive procedure that is not recommended for under. Expired or no longer needed glycerin will work faster than a suppository that just contains.... The muscles in the rectum, pointed end first medication may have different storage needs hemorrhoids are bleeding or elderly! Of toilet water after bowel movement day for 10 minutes at a time forms of suppositories for different medical and! Vagina to treat: vaginal suppositories, rectal prolapse is a condition in which rectum! Make the situation worse with prolonged use and what they are mildly astringent and are reported to have antiseptic.. Reduces inflammation, swelling, redness and itching: Zinc Oxide, Balsam Peru, * Based on UK! Within a week of using, try to empty bowel anusol suppository before collection! Condition in which the rectum or anus people have bowel movements varies once... Is often concave forming a useful indention for the treatment of haemorrhoids ( piles..