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Hey there all 😃
So for some time, I have been suffering from rectal pain/bright red bleeding during bowel movements that all started months ago with a bout of severe constipation that lead to passing extremely large/hard stools. Visual examination showed cracks/fissures that literally were bleeding in real-time as I watched with a mirror 😦
Over the last few months I have self-treated this with hemm/fissure ointment, stool softeners, 2.5-3 liters of water per day + other liquids, and increased fiber. Nonetheless, even if I seem to heal, inevitably the problem returns the moment I am forced to pass a large/hard stool. So I am planning on doubling down on my fiber/water in-take but I am confused partially about which fiber I should prioritize.
I have read the standard definitions of soluble versus insoluble fiber, but the information I get seems conflicted. Should I avoid insoluble fiber completely? Regularity is not a problem. I have bowel movements daily. If anything, they are TOO regular and TOO big. So should I just focus on soluble fiber to soften stools? I have read that insoluble fiver speeds up the transit time of stool and therefore LESS water is absorbed. But then I have also read that soluble fiber retains water in stool but slows down transit time. What does this all mean lol.
I do eat quite a bit of black beans, broccoli, whole grain bread, dried prunes, bananas, avacados, fiber gummy supplements (soluble), and drink a ton of water. Should I stay way from high fiber cereals that have mostly insoluble fiber in them if my goal is primarily to soften stools?
Thank you all so much for taking the time to read and reply!
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