Just found the site. Lord willing I can find something I haven't seen or tried. I have been with my af's for probably 5 years. My daily routine is wake up hoping my bm will not come for several hours so that I can at least get a terribly large dose of ibuprofen. Dreading the building pressure and eventual required release. Once the time for the bm comes that's when the fear and trepidation comes and the desperate stroll to the torture chamber. Then there is the great pain of the af and the struggle to complete the bm. Once that is over there is the hour or so of complete comfort and no pain. Then the leakage and pain whizzes in and the fear of eating comes. I have continued infection as indicated by the funky discharge.
I have had the minor surgery, temporary relief. Stool softeners worked occasionally. Fiber diet never relieved anything. When I switched to a healthy diet things got way worse.
Haven't found a dr. that seems to be able to understand or help. The only answer is shove a bunch of hydrocordizone up your bum and you "should " heal fine. Not quite.