
In Anal Fisting, Damage can happen. Sexual trauma associated with Fisting – The Ugly Truth about Anal Fisting
Anal fisting must always be done with caution and you must know what you are doing. Anal fisting incorrectly practiced can cause nasty dangerous situations. Learn more now!
Despite all caution, damage may always happen. In most cases, small bleeding is caused by a small ulcer. If the bleeding is small, and the lotion is just a little red, it is just a small ulcer that is unlikely to be serious, nothing to worry about.
Dangerous Accidents During an Anal Fisting Session
There is always a risk of serious injury during a fisting session. If you start bleeding, and the bleeding is abundant or bright color or in most cases dark red, it may be a more serious injury situation.
In the worst case, you may even be hospitalized. Please continue to read the following cases from some hospital descriptions of what can happen if you do not follow the exercise caution guide or when practicing anal fisting under the influence of intoxicants.
Sexual trauma associated with anal Fisting- The Ugly Truth about Fisting:
According to a polemic article Sexual trauma associated with fisting, There have been several reports citing rising trends in high risk sexual behavior among gay men with concomitant use of recreational drugs such as ecstasy, crystal methamphetamine, cocaine, ketamine, and poppers.
Read these three hospital cases as a result of complications secondary to fisting.

the diaphragm indicative if an intestinal perforation.
Anal Fisting, Pop a hole in The colon
A 39 year old man, was presented to a casualty department 14 hours after being fisted at a party with four other men. During the evening he had snorted ketamine and used some rectally.
While being fisted, a “pop” was heard and the partner stopped immediately. He began bleeding per rectum and 3 hours later developed abdominal pain and bloating, which increased in severity, prompting him to attend hospital.
Upon the arrival to the hospital, his abdomen was distended with guarding in the left iliac fossa. A chest radiograph revealed free air under the diaphragm (fig 1). At emergency laparotomy 550 ml of fresh blood was found within the peritoneal cavity together with a 1 cm full thickness laceration of the lower sigmoid colon.
This was successfully repaired and he made an uneventful and slowly recovery.
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During the evening he inhaled poppers
A 37 year old man, travelled to London for an organized weekend fisting circuit party with two other men.
During the evening he inhaled poppers, took ecstasy, and consumed one quarter of a gram of ketamine. Five hours into the party, while being fisted, a “rip” was felt, the activity stopped and the patient noted slight rectal bleeding.
However, after douching himself, he began bleeding profusely from the rectum and developed severe central abdominal pain. He presented to the casualty department within 50 minutes by which time he had abdominal peritonism.
A Hartmann’s procedure was performed and revealed 600 ml of fresh blood in the peritoneal cavity with a 10 cm upper rectal tear. His colostomy has since been reversed.
According to Doctors following his full recovery took him 2 years to become sexually active again.
Read more about safe ways to use poppers and do fisting correctly
- Best Poppers guide and Amyl Nitrite Guide
- The Anal Fisting basics and its techniques
- Playing deep is with inherent risks

A common mistake – His partner had inserted his hand and…
The final patient, A 54 year old man, who attended a private party, where he inhaled poppers, snorted ketamine, and smoked some cannabis.
His partner had inserted his hand, arm, and a 15 cm rubber dildo into the rectum and further into the sigmoid colon.
At this point, the patient felt immediate central abdominal pain as if he had been “punched,” which persisted despite analgesia. There was no rectal bleeding even after cold douching.
Thirty six hours after the event, he was admitted as a surgical emergency with peritonitis. Two colonic perforations were found at operation; the first at the rectosigmoid junction and the second more proximally in the mid-sigmoid colon.
A defunctioning loop ileostomy was performed which has since been successfully reversed.
Learn A Safe Way To Enjoy Anal Fisting
- All Anal Fisting secrets – How to enjoy more anal fisting
- Anal Fisting for Beginners – Learn Fisting Skills Step by Step
- Learn Anal Depth fisting skills fast and safely
Diagnosis of Anal Fisting Injuries
Patients may delay their presentation because of embarrassment, fear of stigmatisation, or ignorance regarding the seriousness of their symptoms. Physicians therefore need to be aware of the complications that can result from fisting and use of foreign bodies in the rectum, ranging from rectal bleeding and pain to overt peritonitis. In order to diagnose the cause accurately, a sensitive approach in gaining the history is mandatory, which will otherwise omit valuable clues.
These patients highlight concerns regarding unsafe sexual behaviour in some MSM, under the influence of drugs which increase the duration of sexual activity. They sustained significant injuries but were unaware of the symptoms of colorectal perforation, despite engaging in fisting for many years.
If they had delayed their presentations further, the outcome could have been fatal. It is important to state however, that many MSM do practice fisting safely using latex gloves and lubricant and follow recommended guidelines. The use of a “safe word” before starting may ensure that both parties can stop at any point when discomfort is felt.
Key messages
- Doctors recommend that you are aware of what you are doing. Just like other extreme forms of sexual practices even a small movement can be dangerous.
- Fisting carries a risk of colorectal perforation
- Recreational drugs can prolong the duration of sexual activity thereby increasing this risk
- Patients need more information regarding safe fisting and how to avoid transmission of infection with this practice
- If you need hospital emergency room be honest about what happened
UK Gay Men’s Sex Survey Fisting
Findings from the UK Gay Men’s Sex Survey showed that overall, 12.8% of respondents had engaged in fisting within the preceding 12 months.
Among men who had reported receptive anal intercourse in that time period, those who had also been fisted were more likely to have had unprotected anal intercourse (70.7%) than those who had not been fisted (50.7%).
However, few reports on this subject that emphasise the possibility of transmitting infectious diseases and the potential surgical sequelae reach MSM.
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Learn before you act – know what you are doing
Anyway, doing the Anal Fist Fucking safely. Also, Is definitely the most common questions that are being presented to us. So, learn first what you are doing.
Health professionals consider anal sex and Anal Fisting is generally safe. Provided that they have taken some precautions. So, Fisting is the practice of inserting the fingers, or hand into the anus for sexual Pleasure. With the appropriate, Anal Fisting is Mostly Safe. Now start practicing it safely.
Guys! Enjoy fisting safely – Learn the necessary skills first
ATTENTION: Above all else if an accident occurs. Call a doctor or first aid Call 911. Remember, be honest and tell what you did in details and what happened. And most important – don’t leave the victim alone. Safe moments for anal fisting pleasures. It is possible when you know what you are doing.
SOURCE: C E Cohen, A Giles, M Nelson: Sexual trauma associated with fisting and recreational drugs
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