I am new to the forum and am sooooo happy to have found yall. I have dealt with chronic constipation for the last 8 years which I have treated with changes to diet (more fiber and water) and miralax when needed.
In late September 2015 I experienced what turned out to be my first af. Scary with lot of blood in the bowl but red, not dark red so not too worried. Before I have had times when there was a little pinkish smear on my tp but nothing like this. I did not have much pain at first, just some minor discomfort.
After a couple weeks I went to my doc. He examined my bum and diagnosed as an af. He gave me proctosol and an increase again in fiber to my diet. I made these changes and used the creme but then chafing began and my bm's became more and more painful. It seemed to eventually heal somewhat with these changes but then my doc changed my meds due to hormonal needs inciuding adding Metformin to decrease my insulin levels. Well, Metformin tends to lead to uber liquid and immediate bm's which seemed to somehow bring back the af pain. Now I have been dealing with this for the past 3 weeks with increasing pain to the point I almost passed out after a couple recent bm's. I am using deep breathing to get through them as my doc is on vacation until 1/5, and there are no openings with the covering docs.

My questions to you all: what do I ask for from my doc in additon to a referral to a proctologist? Do I ask for nitro creme? I ordered a sitz bath that should arrive Friday as we only have showers in our home. I am scheduled to do a 5k in less than 6 weeks that I have been training for the last 6 months after healing from two broken legs. Please help...all suggestions will be much appreciated!!!
