I used to work at a medical supply company that sold colostomy products across the province. Mostly our clients were seniors with colon cancer and few were under 50. Of the under 50 who were not cancer patients about half were people (usually women) with extreme crones disease but a significant amount were gay sounding guys in their 30s/40s. Of course we didn't ask questions but it was clear to me its a common enough occurrence for a gay man to entirely lose the function of his bowels from their behavior

The gay butthole problems phenomenon is also referred to euphemistically more than you might think. If you’ve ever been to college, they college gays are quite passionate about “safe sex” and have seminars and lectures about it, and you might think they are talking about stds there, and they are, but you might not realize they are also talking about all the preparation required to minimize damage to buttholes. Such lectures and seminars are also about convincing gays with an instinctual fear of butthole damage that they should go through with the sodomy.

Alasotele:
Is that why boborisky ass looks big