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question number four i got hey dr islam why do i have to endlessly wipe after a bowel movement all right who is brave enough in the comments to let me know if this is the problem that you have had or if its a problem that you know somebody else has had im really curious whos gonna be brave enough to really fess up to that so this is an age-old question i hear this a lot and people are always wondering hey i have to keep on wiping what the heck is going on well there are five main reasons why that may be the case number one is that you could have a small little tear or whats called a fissure a fissure is a tear in the rectum that can come from constipation straining very hard maybe pushing very hard and that can cause irritation of your rectum it can cause that sensation of needing to constantly wipe yourself and clean yourself number two is that you can have a skin tag yes you can get skin tags in your bottoms those skin tags typically are a consequence of hemorrhoids and they can