6PM (1 week post-op)
- Sat on the toilet late last night, but didn't have to go. Didn't push or try at all, just figured it would wait until the morning.
- No pain medicine since early this morning
- slept until 4PM, woke up in no pain at all. I do get these random shooting sharp pains that last about 1 second. They happen about 1-3 x day. Not enough to yell out or anything. General discomfort (aware of the area) most of the day. I still don't want to sit on hard chairs.
TODAY'S UPDATE
- Ate, drank 2 big glasses of water, then had a BM around 5PM. I had the urge building up and I had been passing a lot of gas (mostly while walking around the house AND with no effort on my part). My teenagers, who nicknamed my condition "Butt Cut" or "BC" when in public, think its so funny

. I think they have even extended the nickname to me, "What's up, BC". I told them that they won't be young forever...
TODAY'S FIRST BM
It was VERY thick with a lot of volume. I think everything is fine; however, you know I am going to dive into a brainstorming deep analysis of it.

I didn't push at all. I am guessing 5 or 6 pencils bunched up would repesent the thickness (hard to tell since I didn't really get the pencils and compare the 2) --
the damn subjects I study these days...
WAS IT TOO THICK?
Well, the first part that comes out goes to the bottom of the toilet, so I can't ever see it once i'm done. It sure felt much thicker than yesterday. The part that I could see did look pretty thick. Doc tole me (pre-LIS) that keeping my BM too thin would provide short term relief. However, it would make the area too tight up there and lead to later stretching. So, is thick actually a good thing post LIS to keep things loose as the damage sphincter slowely gets a bit stonger over the next year?
So anyway, I'm not sure what to think of the thick BM. It as soft, a lot of volume came out, and the same burning followed the BM. i didn't push at all; although, I felt it slow down at first like it might have been having some issues coming out. It always feels like it thickest when first coming out. But, then it continued on. I was a bit worried, but it seems it was fine. There was blood when wiping, but very little. The blood spot was probably about the size of a pencil eraser or so. I got in the tub for 10 minutes, the burning stopped. And remember, i'm not really on pain meds right now. After the tub, I got on the heating pad. I feel a little discomfort, but for no pain meds, I really think the pain is really nothing right now. I mean, after going, I surely couldn't wait to get into the tub.
What do you think? To thick? Not an issue? Cut back on the fiber and up on the fruit? Don't worry about it?
LIS LOOSENESS SEEMED TO HELP
I think the added looseness down there from the LIS made things better. its hard to tell if this BM would have been a problem pre-LIS. Often a thick BM would stretch and I would see large amounts of blood, pain, followed by throbbing/tighness. However, this bm was very soft and loose. In other words, it seemed to just fall apart in the water.
Anyway, lots of blood and pain are not the case today. I don't feel anymore pain than before. I really think the burning is less. I used some of the balneol lotion after.
DISCHARGE:
low upon waking, but this pad fell out a few times. Sometimes, the pad is a bit uncomfortable if I press it up there a bit. However, if I don't press it up there good, it seems to fall out. Anyway, after the BM, 15 minutes had a spot of light blood, penny sized. After sitting on the heating pad for 15 minutes (which followed a warm tub soak), I wiped some more. There was some matter. I'm not sure if its just more waste from me cleaning a little more on the inside now that its a bit looser from the heat. Or perhaps, this is dried blood tissue from the mild trama of the BM. either way, if you add it all up, maybe a couple of spots pencil erasers of thickness on the non-liquid clumps of whatever they are.
WHY BM SO THICK?
Not sure, here is my guess. Before, I was waking up every 3 hours to eat and I was eating less bulky fiber. Maybe, the first few days that was keeping me going a bit more frequently (3-4 times a day) and it was keeping the thickness down. However, I think I ate larger meals further apart from each other in time. maybe, I added more flax scoops and some more veggies? All the junk food I ate a waffle house? I'm eating less bananas and applesauce lately. Perhaps, I supressed the urge to go last night while eating at waffle house in order to wait until I got home and then it was too late? Drinking less water over last 12 hours? This is why I call this an imperfect art. There is a lot of variables. The only think I seem to have down is that if I eat tons of soft fruit, not too much fiber, eat every 3 hours, and a ton of water, things seem to stay soft and move through frequently. Other than that, I'm not sure how to absolutely control when you go, avoid all pushing, keep things super soft, and not to thick. But, I sometimes overthink things and I'm still trying to figure all this out.
COULD I GO TO WORK TODAY:
I think I could manage. I would definetly have to wait until the first BM of the day and tub soak was over. If I had a BM (especially the first of the day) at work, it would take a long time and would surely consist of me suffering in pain in the stall for a few minutes as I waited for the burning to stop. Maybe I could have heated up a corn bag and bring it in the stall. Then I could wipe a few times, place some Toilet paper in the way, and slap that bag up there for a while. Like I said, I'm not in a lot of pain now, I could work. I may not want to be in front of a meeting speaking as the center of attention right after a BM. But, I might be able to pull it off.
CAN I DRIVE?
My long car ride wouldn't be too comfortable either. I would definetly bring a corn bag to sit on. The seats sort of spread things apart and the bouncing and swaying upon turns or hard breaking didn't seem to fun yesterday. It wasn't a screaming type of pain, just a

kind of burning.
Anyway, I'm off the pain pills for now. Overall, I think I'm doing really good. I'll start working from home on Monday- Wed, then I'm off until Saturday. As a test, I'll drive the boys to the gym to drop them off after a while, its about a 15 minute drive one way. So, I'll let you know how it goes.