by patience_and_healing » 14 Dec 2018, 12:01
I use a small bit of water after most BMs to get anything that's left out, so I don't think that's the problem. In my case I think the reason for the harder beginning BM is that miralax makes things move along faster, so the beginning part is sitting and getting dried out internally while I sleep. Hence I thought that extra water would help hydrate my colon before I start eating, which should help the next day. I also found that going twice a day means the next morning BM starts softer.
Yesterday I had a near perfect BM thanks to the gluteal massage I got from my massage therapist. It proved that my pelvic floor tension is the cause behind the regular pain. In order to heal I definitely need to have daily soft BMs, but not too soft or it causes burning.
8/16-12/16: Fissure due to antibiotics
5/17: Botox to sphincter, fissure healed
9/19: Trigger point injections and pudendal nerve block
11/19: Botox to pelvic floor
8/20: Botox to pelvic floor in new location.
On and off in pelvic physical therapy