Hi Jessieblue, sorry to hear about the trouble with the rear exit. With reccurent fissures, piles, a rectocele & a tendency to constipation it all sounds like a frustrating vicious circle. Like Maryjane, I thought first of proctalgia, but as Sparkle says, with the other stuff being recurrent/ongoing it's not surprising to have pain from any of these, or a combination. It's a horrible situation to be in & I know from reading past threads how many of us are sadly afflicted with such problems at this time of life. The other ladies have shared helpful experience & you already know about relaxing the pelvic floor (though that can be easier said than done), but as you mentioned the constipation being recurrent, I wasn't sure whether you're on meds for this or perhaps have not found anything that helps without causing other problems. Getting this under the best possible control should help with the other problems, but I know that's rarely a simple matter & imagine it's stating the obvious to say the least! Anyway all this preamble is really because I wondered whether you had ever tried Linaclotide (Constella) for the constipation? This works by not only drawing water into the large bowel to keep everything softer, but by stimulating motor function directly to help move everything through. It's unlike any other bowel medication & those it suits seem to get on very well with it, so I just thought it worth a mention. If you haven't tried it & decide you might like to give it a go (prescription only), you might need to experiment with timing. It has to be taken once daily before a meal, on an empty stomach, but won't necessarily work best taken pre-breakfast, as I think the PIL recommends. As this is a relatively new drug, not everyone is aware of it, so you may need to Google it & take the details in to your GP. I agree with the others about sigmoidoscopy for reassurance.
