There are several things you can try.
First of all, I would suggest a stool softener, such as Colace, generic: ducosate. That will help. If you increase your intake of fiber, as in the form of fresh fruits and vegetables, whole grains, that will help with bulk. The more fiber in the diet, the more water that is drawn into the stool, thus aiding in softer stools. You could also try over the counter fiber medications, such as Benefiber, Metamucil, Citrucel, Fibercon, etc. Your physician may also be able to prescribe a medication you can take daily, such as lactulose or MiraLax. If you have no health problems that preclude you from fluids, taking plenty of water will help. Sometimes what might help would be to set regular times to go into the bathroom, such as half an hour after breakfast, or another meal.
For the skin tears/hemorrhoids, you can place some vaseline or an over the counter anaesthetic, such as Preparation H. A sitz bath, which is basically you sitting in a warm bathtub for about twenty minutes three times a day may help the anal area.
I hope this was of help to you. Please let me know if you have any further questions or concerns.
Usually, you want to take the fiber with a meal. Most people take the fiber in the morning with breakfast. You always want to make sure you take at least a full glass of water with the fiber, in any form.
Maybe you would do better with a high fiber cereal such as Allbran or Fiber One? It is excellent when made into recipes.
There is a recipe site called:
It is a site for those who want to lose weight, eat healthier, but yet get good tasting food. She revamps recipes, and she is always using FiberOne cereal in her recipes. I have tried many of them, and they are GOOD! You get daily emails, but you can archive for recipes and ways to use Fiber One, such as oven fried chicken, etc.
Maybe, also, a stool softener might help. You can take it up to twice a day. Many people do.
If you do increase fiber, just do it by a couple grams a week. You don't want to risk bloating and gas. Give your body a chance to adjust.
Please let me know if you have any further questions or concerns!
Fiber recommendations for men under 50 is 38 grams, and 30 grams for those over 50.