I've done some research on this as it has become more and more intrusive in my life. I don't defecate very often (sometimes 2 weeks in between stools) because I am so afraid of the thought. I get pains when I hold it in, which I know is my fault, but I am so afraid of the pain I get when I defecate.
It's been like this for several years now probably because it is a vicious cycle. I don't defecate because it is so painful, and it's probably painful because I don't defecate. I've tried stool softeners and they probably don't have any effect. What's weird is sometimes (with no change in diet) I'll get a completely pleasant stool. It's not of abnormal size, not painful, and not bloody whatsoever.
And I'll have waited about 6-7 days to pass the stool which is average. But recently I've had about 3 extremely painful occurrences where I almost can't pass the stool. It gets stuck and while it's stuck in my anus, the anus remains stretched and no matter how hard I push it won't come out.
I have to defecate right now but I am very afraid that it might be another one of these extremely painful stools. If I take a laxitive or stool softener now is it too late for it to effect this coming stool?
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