I have seen rather an unhelpful GP today due to severe anal discomfort that has slowly got worse over the last two weeks...I am now in agony. I refused a digital examination as I know my body could not tolerate this, although I do understand it made it difficult for the GP. She is treating me for proctitis and has prescribed an internal foam using an applicator.My problem is that everything is so sore and my sphincter muscle naturally very tight, and I think there might also be a fissure there .....so I can't insert the wretched thing. Any practical tips please? Thank you.