Blue,
I would be very very careful! I am only up to my crs offering me botox at this stage. I do think I need LIS.
My worry for you is that if you stop creams then use vaseline before a bm? The last thing you need is a re-tear and we all know in the UK at least, how long we have to wait to see a CRS.
Then, also vital is of course the stool softeners. I use movicol/miralax. If my CRS tells me what you have been told I will be most upset! She/he aint with you day after day with the painful bm and then the spasms that follow! Never mind all the other symptoms we suffer. I really feel sorry for you!! So, be careful and be sure ur crs isn't copping out??? Please tell me she advised you and gave you painkillers at least for the pain ur still in????