I had a large baby and an episotomy. I noticed that when I have a BM It comes out of my vagina also. It is very irritated. I went to the Dr the Dr I saw said it is not uncommon to have a internal tear, but sence it was not caught at delivery I would have to wait and see if it heals on it's own. If not I would have to have it repaired in a few months. Why not juse repair it now while I am already sore? Should I seek a second opinion on having it repaired. He did give me an antibiotic to prevent infection.