OMG Wounded. I am so sorry. Many hugs your way.
Do you have any idea why you tear? Is your BM supersoft or bulky? Hard start? Do the muscles feel tight while you go? When do you see your Doctor? I hope your pain eases real soon.
I, too feel like I am regressing again as the botox seems to have made things really urgent and wide right up to the sphincter (which tightens) and stretches this A LOT while forcing its way out. I sure hope this is just a rebalancing thing again. It can take me up to a month to figure out my 'new body' after botox. For example, this morning I learned that I cannot delay a BM AT ALL! Wow!