I agree and have always been surprised when a GI never said this. Yes, of course it has stretched out. But I'm telling you that my "normal" bowel movements have not been small or just token bits but considerable well-sized poops, it's just the first part of the first one. Yes, it's like walking a tightrope! So far so good with the ground flaxseed, I'm up to 3 tbsps starting today and just a small amount of Citrucel. My mornings are no longer lost. I've seen many GIs over the years, for sure. I cannot imagine at my age and after so many years that my intestines could go back to the right size. But I guess ya never know. I jsut reread my post and don't know why I didn't mention my fairly-recent fissure surgery ... I guess I was just looking for specific advice. Anyway, part of the surgery was Botox and I think it has started to work (I was told it can take a few weeks) which means there's a bigger opening for stools to pass. Thanks so much for commenting!