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No, no pain as long you use some lubricant, and are careful inserting. Once inserted, while pushing some, turning the catheter helps keep things moving. Since it is so small, it doesnt take much to block the holes, so turning it helps stuff go thru the holes. I also cut the catheter down to around 6" long to help also. The catheter is the only thing I can do to eliminate completely. Its amazing how many times when there feels like there is little to no stool in the pouch, upon inserting the catheter, huge amounts comes out. A little challenging to use in places such as an airplane rest room, but I have managed over the years, 5 trips overseas, my trusty catheter with me at all times.
M
There is a slight learning curve, but the main thing is use lubricant (i use vaseline even though others say thats a no no. Ky doesnt stick good enough) slowly insert and if you feel something catching, try twisting a small amount while inserting. I dont recall ever having bleeding. I did get soreness if i used the catheter too often. If you are inflamed inside, then the catheter may just be making it worse though.
M

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