Anal Issues

I had anal sex with a very well endowed man. Ever since then I have had constant anal pain. It hurts to sit down, once I'm sitting and situated the pain subsides until I move or try to get up. My first BM had blood in the stool and I had have had a constant feeling if having to go #2. I notice that when I wipe there is spots of blood (still). When I went to bed Saturday night I woke up sore and achy with a headache. Also sometimes when I go to urinate I am forced to sit down because I have to BM which is excruciatingly painful. As a seasoned 'bottom' I have never had this before... Should I go to the doctor (I don't have insurance). I'm scared...

I would wait a couple of days and if the bleeding and pain continues you should see a doctor. Do you have hemorrhoids? Anal sex could make them bleed, creating pain, blood in the stool, and often a feeling that you got to do # 2. It may be nothing more serious than that -- they can be pretty painful --  but if it doesn't clear up you should have it checked out. If you think it is hemorrhoids, also known as piles, you can get a cream for it at the drug store. If you do decide to see a doctor, there are low-cost clinics you can go to. If you're in New York, a place called Callen Lorde Community center services the LGBT community, including uninsured, on a sliding scale and there may be similar places in your town if you're in another city. Or you can call a gay center and ask for referrals. Try not to be scared, it may be nothing, but DO check it out if it continues more than a week to ten days, especially if it gets worse or is really painful. 

Should add that the "worse case" scenario could be an anal fissure or tear, which can be caused by anal sex and other reasons. However, in most cases this self-heals within two weeks. Again, hemorrhoid cream can be helpful. So definitely see a doctor if this doesn't clear up in two weeks. Don't worry -- surgery is only required in the most extreme cases, which I doubt you have -- and there are simple ways of healing it without surgery. But in all likelihood it should clear up on its own. And I probably don't need to add -- no anal sex until it does! Bill