Well... I have been in Mexico. Now they have a special motility specialist so i know I can get help with this if what I am currently doing doesn't help reverse this condition. I had a Sphincterotomy and that really helped the extreme pressure that I had in my anal sphincter. I couldn't even sleep due to the pressure. I was hoping the Mayo would look and explore my back (nerve conduction studies) due to all the problems I am am having and feeling neurological issues as well. I have since had a double spinal fusion with two titanium disk in my lumbar actually a month ago yesterday. I also need a a cervical double fusion. I am waiting still for a consultation from Duke due to having more questions regarding my thoracic... I have more issues in there that I need to get clarification on if I can.
Motility wise the Sphincterotomy did help me, I had asked Mayo about doing that procedure and a previous proctologist here where I live and they said no. I wish this was done 6 years ago... my health and sanity would have been better. The surgeon who did this also had me use Nulytely which is a colonoscopy prep medication in small amounts and that helped to heal. Otherwise, I am using MiraLAX daily and a stool softener.
I am hoping the back procedure will help my situation, but with the years of compression it will be a couple of years before i know 100 percent what has improved. Good luck. It is been two years since I was there.