I am so glad I'm not the only one with these issues. I am 6 months out from VSG and man, I'm just starting to heal. My doctor didn't mention this particular side effect, so I had no idea! After about 7-10 days of no BM, I took a laxative and it hurt SO bad I ended up with not 1, but 2 fissures. It has taken 5.5 months for them to heal and I'm happy to say I finally had a non-bloody painful BM yesterday. What I do:
800mg Chelated Magnesium (Chelated helps it absorb faster for our small stomachs)
1 colace softener with Breakfast and 1 with dinner
3 Fiber gummies a day
2 probiotics(13 billion cultures)
Added in a serving or two of whole grains
Increased Water
Minimal cheese
No Protein shakes
No pain killers ever
Added chia and flax to my Breakfast daily
Cacao nibs for extra magnesium
It sucks without the shakes trying to keep calories low and carbs low, but honestly they were like concrete in my intestines.