by jr2 » 23 Mar 2013, 18:11
Since your Botox should still be somewhat active, you might want to try adding a stool softener like Miralax to your regimen to get your stools softer and easier to pass. A lot of us here find Metamucil bulks up stool too much, but with the addition of Miralax you might still be able to benefit from the Botox you already had injected. Surgery is always an option, and with the new baby arriving you might just want to get it done with, but there is still a chance with consistently softer stools ( and I would add back either the nitro. or the nifedipine right now to boost the Botox effect) you might still have a shot at healing without surgery.