@lisalucier@flind During the birth of my son I ripped right through my anal sphincter which is what they suggested may have caused my problem, even though it was many years later. I had pain similar to you, Lisa, when I had BMs. It was terrible, and every time I had one it of course made the problem worse. It took three months for me to heal. I could not ride comfortably in the car as a passenger so I would lay down in the back seat. Interestingly I could drive, maybe because I could anticipate the shifts in the car better and prepare for them.