@jlstjohn - no problem. I remember leaving the last pelvic floor therapy appointment feeling very down, like I'd failed a class or something. I guess another way to look at it is that the therapy failed me - it just didn't work for me. It ultimately all turned out okay. I had prolapse surgery, which is what I really needed, anyway.

You mentioned dealing with hemorrhoids. Those are painful. I wanted to point out that you might check out other Mayo Clinic Connect discussions on this topic so you can see what others have dealt with and what has given them relief:

- What works for severe hemorrhoids? https://connect.mayoclinic.org/discussion/what-works-for-severe-hemorrhoids/

- In-office hemorrhoid ablation, anybody? https://connect.mayoclinic.org/discussion/in-office-hemorrhoid-ablation-anybody/

@jlstjohn
My husband was / is dealing with similar issues, constipation, hemorrhoids and pelvic floor dysfunction. He was able to help his constipation by changing to an extremely high fiber diet, cut out a lot of processed foods / diary and takes miralax and magnesium citrate gummies every day. It took a while for him to find the right balance. I also wanted to mention it may be an idea to try a different pelvic floor therapist if available in your area. He has been to quite a few, but it took him a while before finding someone who seemed to be able to help specifically. I hope you find relief soon!