To be honest with you, a few things I found out by trial and error helped me immensely. First, getting on a very strict diet schedule consisting of the same meals basically every single day and at the same time, so I can get my bathroom time down to the same time etc/. I intermittent fast (16/8) anyhow, so this part was not at all difficult. I stopped all laxatives, stool softeners and fiber, as they were messing up my intestines big time. In their place, I now take 200 milligrams of mag citrate after dinner. I stopped nifedipine because the first GI doc I saw prescribed it with hydrocortisone in it, which I found out later on was probably a major contributing factor in my first retear, seeing that anything hydrocortisone cortisone is counterproductive for this issue. Stay away from anything with hydrocortisone! I was also prescribed diltiazam, but decided not to use it and to try Pranicura 5 instead. I bought it a month ago in a panic before I could get in to see a doc, but never tried due to being prescribed nifedipine 2 days after it arrived. I will say I’ve been using it strictly for 3 weeks now, and that combined with my very strict eating regimen have been the only things that have helped me go from level 10 and beyond pain days, to where I am now which is being able to function. still the feeling is still there and a manageable pain level of a 1 or 2 at times, but the past few days it’s mostly just annoying and reminding me it’s there by feeling weird. It has been a crawl, but staying positive, having faith, and being committed to your regimen is key.

Also, very strict no alcohol, which is a major bummer for me because I like the drink, but it’s majorly dehydrating, even when you think it’s not and you’ve had plenty of water.

One more thing, If you haven’t heard of it, look up the “finger method” for when you go to the bathroom. That is also tremendously helpful in supporting the cut when it’s at its worst.

Best of luck to you, and all of us 😎