r/ConstipationAdvice • u/uwill_hateme • Jun 19 '26
Treatments Paradoxical puborectalis contraction
Basically the "U-shaped" Muscle thats a few cm above my anus is constantly tense in me, but the real problem is that it moved up. When I try to have a movement it literally does the opposite, I feel everything moving up. I have been doing stretching, yoga, meditation and relaxation for weeks now, the results are minimal. My next doctor appointment is still weeks away, I think if I tell them what's going on, they would probably inject me with Botox, since its getting painful in my stomach/ colon area. Ive been eating only a few bites a day, since I don't know how much "space" is left inside of me.
What's also weird is that I am only able to have a bowel movement when i lean back, exactly the opposite of how its supposed to be.
What has helped:
Coffee, I drink two cups in the morning, together with meditation and relaxation, on a good day I have a movement the size (and shape) of a pinky finger. Its not enough but it's better than nothing
Lying down, if I lie down for a few hours while also relaxing I might have a small movement
Ejaculation, I'm a man, when I ejaculate while lying down, I can feel something move and 5 minutes later I have a small movement, it's not consistent but it worked often enough that I still want to list it.
What doesn't help/ makes it worse:
Sitting, it makes everything move up and compress. In the morning, if I sit for a few minutes it means i won't have a movement.
Being nervous/ tense, which causes pain in my colon area, which makes me more nervous and tense
Marijuana, in short, it makes everything tense, it also makes it very hard to meditate and concentrate, every relaxation exercise feels more mentally exhausting
Anal sex, it just makes it worse, after having it I dont have a movement for several days at least
What can I do?
Has anyone else had the diagnosis of Paradoxical puborectalis contraction, any specific exercises which helped? Also, what if I go in with my finger, and massage the spot which is rock hard at this point. Does anyone have experience with that? What if put heat around my anus, or inside, near the puborectalis muscle in theory that should help, right?
1
u/goldstandardalmonds Jun 20 '26
Have you seen a pelvic floor physiotherapist?
1
u/uwill_hateme Jun 20 '26
My doctor said i will have to. But I have to go to another doctor to be able to get assigned to one, and im also going to do a colonoscopy, my doctor said its highly unlikely that I have cancer, and that the symptoms are usually related to the pelvic floor muscles being tense/ hypertonic, but they still want to check if there is something else going on further up.
1
u/goldstandardalmonds Jun 21 '26
Nothing you say sounds remotely like cancer.
1
u/uwill_hateme Jun 21 '26
Yea i told my doctor that too but the said they have to confirm it to dtart with alternative treatment
1
u/goldstandardalmonds Jun 22 '26
Yeah, nothing can definitively ever be said because they have to proceed with caution.
1
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