Hello there. Welcome to the forum. I am hoping someone will respond to your questions with more expertise than I can offer. But I will say I have had this painful feeling, due to having had rectal cancer, almost all of my sigmoid removed, etc. I'm not exactly constipated but the opening feels restricted. And the walls of my colon feel swollen on the inside. Yes I can feel all these changes. What I personally find the most helpful is following a specific diet, which would probably be different from what you would need. This is purely a guess but it sounds to me like you need a high fiber diet, lots of water, possibly a fiber supplement or a stool softener. What you don't want to do is encourage more straining. You want the stool easily passed but not diarrhea either. It's a fine line but it can be done. Many of us here keep a food diary. That way you can track foods that help you the most and make sure you eat them everyday. Glad you are seeing a doctor for this. Has he prescribed high fiber? The pine cone feeling you described I have had! Hot tea seems to bring on more bm's for me so when I get into this painful stage (it doesn't happen often though, thank goodness), I find that it helps speed up the bm's. When I'm in this phase I want the stool out and over with. The tea actually speeds the entire process up. You could also try that. I've had the chills too, the hot tea helps take these away as well.
I hope you can somehow find relief.
- Diagnosed with rectal cancer, April 1999 - Stage I, no treatment necessary
(5 hour colon resection: 90% sigmoid removed, 15 inches of colon removed, gall bladder removed, given temporary colostomy)
- Colostomy reversal, June 1999
- Left with IBS/D symptoms, multiple bm's every day
- On a low residue diet at least 75% of the time
- Takes Colace 50 mg each evening
All in all I do okay, I just use the bathroom A LOT! But I survived and beat cancer!