Have you ever been diagnosed with pelvic floor dysfunction? I have a combo of this with stc. Might be something to look at. You can try therapy for it. The only thing that gets me to have bm is coffee/caffeine, stool stimulants, enema or suppository. Sometimes if i drink mag citrate. But will still have all the discomforts, gas, bloating, cramping. Ive tried most of the pills without luck, all the mixes. Though dr thinks miralax twice a day and low fodmap diet are the best.