All Out with Jon Dean Bottoming Longevity: A Rectal Doctor's Golden Rules
Mar 13, 2026
Dr. Carmen Fong, a colorectal surgeon and sexual health expert, gives practical medical advice on anal care. She discusses douching risks and safe frequency. She covers timing sex after bowel movements, prep steps like enemas and fiber, anatomy and pelvic factors, dilation and relaxation techniques, lube safety, common injuries, bleeding concerns, and product recommendations for safer bottoming.
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Adopt A High Fiber Bottoming Diet
- Build a 'bottoming diet' of fiber, water and vegetables and consider fiber supplements if needed.
- Carmen Fong endorses psyllium husk and two kiwis daily as proven methods to regularise stools.
Pelvic Floor Anatomy Explains Bottoming Ease
- Anatomy and pelvic floor tone determine ease of bottoming, not willpower alone.
- Carmen Fong links tight pelvic floor, sphincter tone, pelvic angle and urinary symptoms to difficulty relaxing for anal sex.
Use A Muscle Relaxant Suppository For Tightness
- Try a muscle-relaxing suppository such as a low-dose Valium suppository to relax the anus before penetration.
- Carmen Fong reports it relaxes the rectum and produces a light woozy sensation aiding tolerance.