I’ve had them since my 20’s, worse after kids. Now 64. Always constipated. Usually just flared after bout of IBS. Last fall out of nowhere, burning pain. GI doesn’t know. Colo-rectal surgeon says protalgia fugax. Then, pelvic floor dysfunction. So when I say people having their hands in places, believe me, you have no idea! So did the therapy for months. Sorry this is so long. During all this excruciating abdominal pain. And cyst on ovary but other side. 6 trips to ER, colonoscopies in Dec and Feb, ovaries and tubes out in Feb. colonoscopy showed the severely tortuous colon reason for pain. Burning had improved but back after surgery. Saw a colo-rectal/PF spec who said tense muscles back do more therapy. But I went and saw gi who said 3 internal hemorrhoids which could be banded. 99% success rate. PF therapist doesn’t think that is my problem but also doesn’t think PF could be causing it either. So I’m ready to literally tear my hair out! Have this burning all the time. Sorry, for ranting.