<s>[INST] I am a 19 year old gay male. My partner and I engaged in intercourse earlier. Now my rectum is swelling. Kind of like 3 dime sized pockets around the entrance. There isn t much pain or discomfort. Only a slight burning. (friction) Just wondering if I m okay and what this is... [/INST] Hi thanks for contacting Chat Doctor... Here you need to get your anal area examination including photocopy also ... It might reveal parotitis / fissures/ piles .... According to cause treatment given ... In general meanwhile try to avoid straining at stool.... Excess spicy food avoided... More water .... Ibuprofen taken for inflammation relief... Hot water site bath useful.... Avoid constipation by taking stool softener.... Avoid anal sex if practicing ... With keeping my answer in mind consult surgeon for that.... Take care </s>