It's one year I have problems in my anal area. It began with itchiness, then some minor mucus seepage, then, passed time, I began to have pain: pain when sitting and pain when walking. Then bloating, some days really painful bloating and constipation. And cramps, which became stronger and stronger, until today when I almos cry for them. I can't go to the bathroom cause the time I need (15 seconds or 2 minutes, it's the same) to reach the toilet, the urgency disappear, the cramps disappear and I expell almost nothing. Then, I experience pain, until next strong cramp. If I'm near the toilet, sometimes I can empty, and for some hours I stop with having problems. I don't know what to thing. I consulted a proctologist who told me I have rectal puberal syndrome ("anism") and I have to take dilatators. I began with small and then medium diltator, and I noticed things were going well, I began to empty myself well, and was optimistic. Two days ago I started the bigger dilatator. I don't know if its a coincidence, but I began to exacerbate my symptoms. When I take antibiotics things improve, but I always suspended after 10 days under my doctor advice. I'm wondering if this is "just" pouchitis and perhaps I need long term antibiotics (perhaps rotating). I'm so desperate. I would like to stay better but it seems impossible. I don't know what to thing and I'm beginning again to be so pessimistic.