Severe chronic constipation unresponsive to osmotic laxatives and high fiber?

Difficulty coordinating rectal evacuation differs from hard stools, and the same medicine may not fix both.

Your answer can help your clinician choose which possibility deserves priority. Stool softness and ease of evacuation are different; the first does not establish whether pelvic-floor coordination or transit is normal.

Keep original test and prescription dates if available; there is no need to guess what a report contained.

Pelvic-floor history and medication exposure can change the best evaluation.

This answer helps connect findings across time, but the relationship still needs clinical interpretation.

Bring the relevant history to your clinician; what matters depends on its onset and severity.

A brief scan cannot exclude causes. Further adaptive questions may clarify the picture.