I (26F) never struggle with the urge to go. I always know when I have to pass a BM, but there have been a number of times where even when I want and need to pass a particularly large, hard, & constipated stool, I can’t bc of all the hemorrhoids in the way & how painful they get when on the toilet.

It feels like some are blueberry sized and some are skin tag like. They also protrude over each other so it’s hard to give an exact number of how many hemorrhoids I’m working with.

At the moment I am struggling with a constipation episode and have tried a ton of Miralax & that Calm magnesium powder. If it were up to me I’d poop everything out right now but sitting and attempting to evacuate is so painful, and nothing can get past the hemorrhoids.

Has anyone else experienced this/ something similar? Is there something other than a hemorrhoidectomy manual disimpaction that I can try?