Up Your Bum
How far will you go before you try an alternative?
Warning: Contains explicit information for injecting drug users
A quick and safer alternative to injecting
Sticking drugs up your bum has been done by both drug users and pain control specialists for many years. Up Your Bum (UYB) is a quick and easy way of taking drugs that’s safer than injecting.
You may choose to use UYB all the time or some of the time, to replace injecting or only when fixing might be too risky. Just remember it’s your health, it’s your choice.
• It’s quick and easy to do.
• There’s no needle so unless you tear the inside of your rectum there’s no blood. This means there’s much less risk of getting HIV and hepatitis B and C.
• Your bum is used to dealing with bacteria so putting drug UYB is not going to give your insides big problems.
• You get a fast hit and rush.
• The anus (outside of your bum) has two muscles which act like a double seal to avoid leaks.
• No needle means less risk.
Non-injectors
While UYB is a safer alternative for injectors it carries greater risks than other non-injecting ways of taking drugs such as smoking, swallowing or snorting. Drugs taken UYB have a faster and fuller effect than when smoked, for example – so take care.
How to do it
• Before you start UYB go to the toilet if you think you might need to and then wash your hands.
• Prepare the drugs in a spoon as you would for injection.
• Remember to use a separate set of equipment for each person.
• Draw the drugs into the barrel. You don’t need to use a needle. You can draw the liquid straight into a barrel. The filter is optional.
• Don’t use more than 1.5ml of water to avoid flooding your bum.
• Once you have drawn the drugs into the barrel you are ready to go. Wipe some spit or lubricant on your anus to help ease the barrel in.
• Make a farting motion to open up your anus. Push the barrel in one centimetre. No further or the drug won’t come on fast.
• While sitting, squatting or standing release the farting motion and gently squirt in the liquid.
• Withdraw the barrel and dispose of it in a sharps bin.
• The two muscles in your anus act as a double seal to prevent leakage. The liquid and drugs will be absorbed quickly (in under 30 seconds) and that’s all there is to it.
• Wash your hands. If you don’t you could contaminate your remaining drugs or your clean using equipment.
UYB Take Care
• Be careful not to tear or cut the inside of your rectum as there may be a risk of spreading blood borne viruses if you share barrels.
• Even if you don’t have tears or cuts you can still spread infections or viruses like hepatitis A if you share barrels.
• With UYB the risk of overdosing is just as high as with injecting. So remember to avoid mixing benzos and alcohol with heroin or cut your dose if you’re pissed or pilled up.
• Having squirted drugs up your bum, you may feel a sudden urge to squirt them back out again! This is rare but don’t panic as you have to hold it in for 30 seconds for the drugs to be absorbed.
• If you regularly squirt cocaine or crack up your bum then you might limit the flow of blood to the rectum and cause serious damage inside your bum. You can reduce the risk by taking breaks from using or by switching between different ways of using cocaine or crack.
Why does it work?
You have a rich blood supply around the rectum. The bottom third of the rectum is supplied by a set of blood vessels that lead directly to the heart. By inserting the drugs slowly while you are in an upright position, gravity will make sure the drugs reach the right part of the rectum to give you the best rush. UYB is quicker than intramuscular or skin popping. It’s the best rush without injecting into veins.
What kit do I need?
You will need your own spoon and any other equipment you usually use for making up your drug ready for fixing. A barrel (smaller the better to avoid damaging the inside of your bum) and a water-based lubricant like KY Jelly.
Sex & Drugs
Anal sex or playing with sex toys potentially increases the risk of passing on infection as it may lead to tearing or cuts in the wall of your rectum. To protect yourself from sexually transmitted infections (STIs) you should always use an appropriate condom for vaginal and anal sex.
Don’t share barrels. Use a new barrel each time you use. Mark your barrel to stop it being accidentally used by another person.
Some drugs like cocaine may numb the inside of your bum making it difficult to tell if you’ve damaged it.
So Remember
• Treat your rectum with care to avoid tearing or cuts.
• Don’t share barrels.
• If you put drugs UYB, they’ll come on faster and harder like with injecting.
• Don’t worry about leaks. Pushing the barrel deeper up your bum won’t work as well.
• You don’t use a needle!
Warning
This handbook is designed to help injecting drug users to move away from injecting to reduce health risks. This handbook should not be shown to anyone other than injecting drug users.
Written by Matthew Southwell © 2005-2008 HIT UK LTD
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