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If you are engaging in anal receptive intercourse, a good diet will do most of the cleaning work for you. Bespoke Surgical’s suggestion is to consume a high-fiber diet or take fiber supplements so that when you do go to the bathroom, your stool is collected together in one smooth, bulky mass and/or one is able to expel all colon contents in a single movement. When you consciously make fiber a part of your daily regimen, you’ll reach a point where the most important step of your cleaning regimen is simply using the bathroom and quickly rinsing off. Your body will get rid of mostly everything in a very natural way, without disrupting the pH balance of your rectum.

Elevated pH, from both improper dieting and enema use, may leave you more prone to injury – such as tears (anal fissures) – which subsequently elevates the likelihood of contracting HIV or other STDs. In terms of how to incorporate fiber into your diet, fresh fruits, vegetables, leafy greens, whole grains, and unprocessed bran are important sources of natural fiber. As for adding supplements, there are a number of brands out there that you can find at any local grocery or drugstore. Dr. Goldstein recommends a new daily fiber supplement by Future Method, a company he co-founded. The tablets not only include a patented Fibregumâ„¢ formula, but also the addition of Fructooligosaccharides (FOS), which are a prebiotic, and Peppermint Leaf Powder, which is known to help relieve gas, bloating, and indigestion.

Therefore, you’ll need to experiment to find the perfect timing and dosage of fiber to ensure maximum cleanliness for your body. We do recommend, if supplementing, to start with nighttime use since this allows absorption and optimization to occur while one is sleeping. Since the mechanism of defecation not only occurs when we awake, but also with changing of the pelvic angle while standing, all of this encourages movement to occur in the colon/rectum with final accomplishment of defecation.   It is quite difficult to naturally ingest the daily recommended dosage of fiber, so it may be fruitful to take a hybrid approach of both increasing fiber-rich food intake, but also supplementing with fiber pills or powders.


Dr. Evan Goldstein, D.O.

Dr. Evan Goldstein is the Founder and CEO of Bespoke Surgical, NYC’s leading sexual health private practice. He received his osteopathic doctorate from the University of Medicine and Dentistry School in 2002 and completed his residency in General Surgery at Maimonides Medical Center. In 2020, he was named one of NYC’s top LGBTQ+ business leaders by Crain’s New York and he is involved with GLSEN, ACRIA, HRC, and Callen-Lorde’s Howard J. Brown Society. All of these experiences and affiliations have shaped his whole-life approach towards the practice of private surgical care and sexual wellness.

Read More    Dr. Evan Goldstein’s NPI record  Click to send an email to egoldstein@bespokesurgical.com

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This page was medically reviewed by Dr. Evan Goldstein on November 13, 2020.



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