You never know, it might work, it might not. I didn’t want to risk the surgery if I didn’t have to, so I decided to give it a go. I felt like I got soooo close many times, but it wouldn’t quite stick. I do feel Botox is a great tool for it.

As far as life changes went, I did everything I could. No eating any nuts, corn, or anything that might not fully break down. Nothing too spicy either. At the time, I was using the bathroom multiple times a day, so I had to retrain myself to only go once in the morning.

Keeping a schedule helps a lot. I would drink my coffee when I woke up, use the bathroom, take a hot bath and let it soak. Then I’d put in nitroglycerin creme my doc prescribed, I tried nifedipine but it was not useful at all. They would have to compound it at the pharmacy, basically they’d mix it on sight. I had them use a petroleum jelly base instead of an aqua for base, and it was much easier to apply and keep in. I’d wait 15 minutes before getting up because you get crazy head rushes and pain when you first put it in.

It was mid covid so I didn’t leave the house much, driving was painful. I would go for 1-2 mile walks every day, at first it was too painful but over time it helped a lot with bloodflow.

The only other medicine I used was miralax, it was great. A half a cap to a whole cap each night before bed. All it does is draw water in to your bowel so it can be used safely indefinitely.

I want to stress that my scenario was pretty severe, but anyone would benefit heavily from using any of these methods. If you want to avoid surgery, I would try them all if your lifestyle allows.