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Thanks Sara!  I had been reading a little bit about pelvic disfunction earlier this morning - some of the therapies sound pretty radical.  I will do a search of what you recommended.

I've been trying to make sure I relax as much as possible when I'm trying to empty the pouch.  I've been experiencing so much discomfort and pressure lately, that its almost to the point where I don't want to try and push at all.  Most of my output is either liquid, or smaller bits of stool, which still makes me think there is something "in the way". 

At this point, I'm just trying to find a way to stay comfortable and possibly get something else to pass, while I await my appointment.

Thanks everyone

This might not work with a prolapse, but I personally use my hands to push and avoid using my internal muscles to bear down as much as I would like to-instead I focus on relaxing them.  I do this by pushing in towards the sacrum and down below my belly button on both sides with all four fingers of both hands in sync, in a kind of massaging action (massaging down, then down again-not up, like the kind of action that the colon would normally do).  I get more traction if I put the backs of my wrists against my thighs when I do this.  It helps to get the pouch emptied, particularly of gas.  If I feel like I'm having too much downward energy/motion, like a dull pain in the lower abdomen, I massage back up after I'm done emptying.  I wouldn't do any of this if it causes pain, though.  You know your body, so you'd know if you experienced discomfort that was signaling you not to do it.

Yeah, I seem to respond much better to non-invasive, non-radical stuff, like the yoga techniques that have been around quite some time. Those bandhas are pretty old health care-they came way before most of the yoga we commonly see people using for exercise.

Thanks Sara, for the info & recommendation.  I'm never exactly sure where the pouch is with relation to my external body, but I will try that.

Been a rough night / day, but I'm still trying and collecting info along the way.  This afternoon I tried to be productive and went it to work in the yard.  I must have overdid it.  I came in sore in the general pouch/rear area, with a major urge to empty.  As soon as I sit, my actual butt, my opening and somewhere inside all start to throb immediately.  It makes it impossible to try and relax. I did take a recommendation from elsewhere and I leaned back while sitting for a minute - resulted in passing more gas than I have in a week. 

It was a brief victory, as I couldn't sit any longer and I've been sitting on heading pad ever since. 

@Scott F I know we discussed almost everything from stricture to prolapse and in between... But why so much pain in my actual butt??  To not be able to sit is new to me.

Hemorrhoids?  Pouchitis?

(Nothing protruding, no noticable lumps)

If you’ve been straining to empty for an extended period then it would almost be surprising if you didn’t have hemorrhoids. That being said, I can’t tell from your description exactly where the pain is. I’ve never seen a diagram with the “actual butt” labeled.  It the pain external? Along the anal canal? Does it move or stay in one place? Does anything make it better (or worse)? Did it change when you passed that gas?

I find it difficult to explain.  I'd say, the is a dull ache/pressure that is always present. I feel that is at the bottom, but internal.  It does but feel like an inflammation.

During and immediately after BMs, that dull feeling is amplified to a much more throbbing like pain, both internally, as well as right at the anal opening (I think).  It's such an obnoxious feeling, that is hard to pinpoint.  Also at that time, it actually pains me to sit on the toilet. That feeling is more of an ache, and it's like it surrounds the anal opening (including my "cheeks"). 

At this point, I can only sit a few minutes, which is probably better off. Once I get up, I need to lay a few minutes for everything to calm down, and I've been using a heating pad to assist.    And then it's back to the always present dull ache.

It was a momentary relief when passing that gas, but quick.  Otherwise I've been having to lay face down and contort my body to get gas out.  And even that type of pushing is irritating.

I'm sorry for the lousy explanation, just hard to explain.

I also employ the laying down in the stomach to get the gas out. One time I had a thrombosed internal hemorrhoid that hurt like crazy. The pain also radiated out into my butt cheeks and it hurt to sit. I have had fissures that make these things painful too, but that thrombosis was the worst.

I used aloe Vera to help heal the butt pain. It took a long time to heal.

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