I always need to push to start a BM. I have the urgency to go but I can't seem to go without pushing. Sometimes it's a small push and sometimes it's a larger push. I haven't been straining but I have been pushing. I'm concerned this is delaying my healing (been on nifedipine for 5 weeks now with a little bit of healing). I know these fissures can take a long time to heal sometimes but I'm trying to figure out a way to push less.
I eat a lot of fiber (pears, raisins, fiber bars, broccoli, etc) and my stools are soft, between 4 and 5 on the bristol stool scale. They are not as soft as soft serve ice cream that some people mention but they are soft.
I asked my CRS about this issue and my CRS seemed surprised that I would need to push at all. My CRS recommended taking a hot bath before the BM, which I tried but no improvement so far. And my CRS recommended more fiber. I asked my CRS if pelvic floor therapy would help and my CRS said no since I wasn't incontinent. I asked my CRS if Miralax would help and my CRS said no since I wasn't constipated. I mentioned squatting helping some people and my CRS didn't comment on the idea.
Any advice would be appreciated!