That's very frustrating, I'm so sorry you went through that. Hindsight is 20/20 and all, but this is why I try to stress to presurgery posters to fully discuss with the surgeon what will be done, intents, goals, and things like that. Him making assumptions about your "tightness" is subjective and, honestly, just kind of gross to me? Like, fuck off and do what we asked for?? But what is done is done, I hope your recovery is otherwise uneventful after this initial bump.
Bleeding and pain is still normal this early. It's going to get easier! It was almost exponential for me, how much pain improved from day 1, 2, 3, to 4. Since your incisions go farther back than most users here, I'd recommend being on a steady dose of stool softeners and laxatives to make it easier to pass for the next week or so. (Run all new OTC medications by your doctor first, but this is what I would suggest looking into for your comfort!) Peri bottle for rinsing after as well. And a panty-pad that holds ice packs in a little pocket could be a good idea. They are sold to postpartum mothers so you might find them in your local pharmacy or at least Amazon.