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From https://www.justanswer.com/ythealth JustAnswer Customer: I have an anal plug stuck inside of me. JustAnswer Customer: What should I do? Dr Basu: Experienced Specialist: The views expressed by me are for educational purposes only and do not establish a doctor patient relationship. Dr Basu: Experienced Specialist: Hello, Thanks for your question. Dr Basu: Experienced Specialist: You should take laxatives like dulcolax 2 tablets at a time along with a bulk forming agent like miralax to help the plug out with the stool. Dr Basu: Experienced Specialist: Also drink plenty of fluids. Dr Basu: Experienced Specialist: Sometimes, you may be able to use your fingers to get the plug out. Dr Basu: Experienced Specialist: If these measures do not help within next 24 hours, then you need to go to the emergency room to remove it by a surgeon. Dr Basu: Experienced Specialist: Best wishes, JustAnswer Customer: Does the size of the plug make a difference? JustAnswer Customer: It's about 2" across at the base. Dr Basu: Experienced Specialist: 2 inches can still be passed with the stool. Dr Basu: Experienced Specialist: Fingers also can be used if you feel it is in the process of coming out. Dr Basu: Experienced Specialist: If very uncomfortable, then you should go to the ER of course. Dr Basu: Experienced Specialist: Best wishes Family Physician: Doctor: As a physician with over 27 years experience in both primary care and emergency medicine, I would have to strongly disagree with the other expert. Family Physician: Doctor: Attempting to remove this yourself is likely to cause more significant problems, possibly even leading to a perforation of the intestines - a true surgical emergency. Family Physician: Doctor: While many people who have this type of problem try to avoid the ER because they are embarrassed, I can assure you that this is much more common in emergency medicine that most people might imagine. Family Physician: Doctor: If you were my patient, I would strongly urge you to go the ER to have this removed by a physician. Family Physician: Doctor: Do not try to remove this yourself. JustAnswer Customer: Now I'm confused. JustAnswer Customer: Conflicting medical advice. JustAnswer Customer: You are right about the reason I loathe going to the ER. JustAnswer Customer: I can almost reach the plug but can't quite grab it. Family Physician: Doctor: I can understand that you may be confused. Family Physician: Doctor: I suspect this may be based on the difference in experience between different physicians. Family Physician: Doctor: I have seen patients end up with serious complications from repeated attempts to remove something stuck in the rectum. Family Physician: Doctor: Some patients even need to have emergency surgery. Family Physician: Doctor: There are a number of approaches used by physicians to remove objects, but honestly this is NOT something you should attempt at home. Family Physician: Doctor: Sedation, local anesthetics and medications that relax the sphincter may be needed to help remove this safely. Family Physician: Doctor: This article reviews some of the approaches that are used by physicians. Family Physician: Doctor: As you can see, there is no single "easy" answer. Family Physician: Doctor: http:/www.ncbi.nlm.nih.gov/pmc/articles/PMC2731197/ JustAnswer Customer: How long should I wait to go to an ER? JustAnswer Customer: The plug has been lodged since this morning about 10:30 am CST. Family Physician: Doctor: If you were my patient and you had called me about this, my answer would be IMMEDIATELY. Family Physician: Doctor: The fact that this has been in place for this long is TOO long. Family Physician: Doctor: You need to be seen in the ER. JustAnswer Customer: OK.thanks. JustAnswer Customer: I think I will take your advice. JustAnswer Customer: This is very emabarrassing but I have no one to blame by myself. Family Physician: Doctor: Honestly, in a few years, you'll look back at this experience and have a good laugh about this all. Family Physician: Doctor: There is NOTHING to be embarrassed about this. Family Physician: Doctor: This is a common medical problem. Pearl Wilson: Assistant: If you have a health question and want to chat with a doctor now, visit justanswer.com/ythealth