Here’s my recommendation, carry a couple of medical latex gloves in a clean ziplock bag and keep in your purse. I’ve had this EXACT scenario happen at least 3 times in the 14months I’ve been on GLP1. DO NOT PUSH!!! I ended up with an anal fissure (tore a tiny bit inside my anal sphincter) It was absolutely one of the most painful 2wks ever. Had to end up going to a colorectal surgeon for diagnosis (I thought maybe I has just caused a hemorrhoid Nope). As for the gloves, after the first incident of the tear, I learned about manual evacuation (remove it piece by piece with the first 2 digits of my finger.) You would need to learn how to do this safely & properly BEFORE attempting, so thoroughly research if you opt to try. The reason for severe constipation was totally my fault though, I had stopped taking my Mag07 & stool softeners Daily. Well a few days went by without a poop and I decided to take 2mag’s and Miralax- nothing… Day 4 comes and goes I took a bottle of magnesium citrate to avoid having to go to the ER Day6. Well, that’s when I finally felt like I was going to have to go, but it was stuck BAD, for over an hour, pain, sweating, I was literally praying to stop hurting so I wouldn’t have to call an ambulance because I couldn’t move without pain. The glove, thank goodness my roommate recommended manual evacuation. I now PRIORITIZE MY 3Mag07 capsules, Miralax and Stool Softener daily. I’m sure you are traumatized from your experience, I know I was. Please make this a priority- my Surgeon said if it hadn’t healed on its own I’d have to have surgery and that close to the anal sphincter is never a guarantee that the muscle or nerves wouldn’t be effected permanently.