In my case, nothing extends outside of the anus (yet) so I'm not pushing it back in, but rather maneuvering the mucosal prolapse of the anterior wall out of the way of blocking the outlet of the pouch. This is done digitally via the vagina for every BM. I just don't think I am doing it correctly as I have yet to have much success without tremendous pain. Still waiting on Rx to be approved by insurance.
AndrewAZ707, what a wonderful solution for butt burn! I drank a glass of lemon water immediately after reading your suggestion.
LJZ, Dr Shen left it up to me to decide if I wanted to try the vaginal maneuvering technique or just have surgery. I don't do well with surgery, so I hope to quickly slide thru this learning curve. Surgery, for me at least, is always the last resort. I hope you won't have to wait much longer for your referral for more testing and your surgeon sets you up with Hydrocortifoam this week.
Smiles!