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Joseph Janes, Senior Lecturer in Criminology, Swansea University

Boofing: why taking illicit drugs rectally is so risky

The route a drug takes into the body can matter as much as the drug itself – and rectal use brings risks that are rarely talked about openly.

Often called “boofing”, “booty bumping” or “plugging”, the practice involves taking drugs via the rectum rather than swallowing, snorting or injecting.

In health settings, this route is familiar through suppositories and enemas, especially when patients cannot take medication by mouth. Outside clinical contexts, however, rectal drug use brings a distinct set of dangers that are widely misunderstood. What matters from a public health perspective is not what people call it but how it affects the body.

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