I finally went to the surgeon today for a 'proper' examination. I was quite nervous for him to examine so I think he only saw the 'tip of the iceberg'.
I'm a little confused as what he said contradicts a bit of what I have learnt from this forum.
Firstly he said to make sure I bulk the BM's. Here everyone says to not bulk. When people say not to bulk... do they mean don't go larger than an everyday sort of BM or do they mean try and make the stools as narrow as possible. I understand that having narrow stools for too long means the internal sphincter can get tighter which is bad. It also means the scar tissue forms too tight as well which is also bad. But then can an AF actually heal if passing 'normal' sized stools? He suggested psyllium but if I were to increase the insoluble fibre I would prefer nutritious food as I'm fading away so perhaps I'll add some LSA to my porridge.
Interestingly, lately when I had normal sized stools it has hurt the same or less than the narrow stools and the same amount of blood. I just get nervous that they might be firmer than is desirable.
Secondly he proposed two procedures if my conservative methods don't work over the next three weeks, given its been 5 months I'm not sure there will be much difference over that time. They are either to stretch the internal sphincter by him putting fingers up there and stretching it like that or the other is a sphincterotomy. The former will probably mean retearing anything that has healed, no thank you.

Anyway, I've been given a script for lidocaine and some more rectogesic so hopefully they will work wonders :) He said he would do a more thorough examination in a few weeks.
Something else I wanted to mention but I forget. Ah yes, do people here know how deep their AF goes? cm's?
Thanks heaps for reading, a bit of a long one.