Digestive and Bowel Disorders Forum

Hello, ive had a bad problem for a few months now. First, out of nowhere one day I started getting an intense dull pain in my rectum/colon area (it felt deeper than rectum). It was so bad that I didn't feel like getting out of bed and had trouble sleeping. bowel movements were incomplete and stringy. I went to the doctor and he set me up with a colonoscopy. the colonoscopy came back clear and the pain went away and stayed away. Now i have no pain but I have two problems.
1)after bowel movements on occasion, it feels as if the stool doesn't fully come out as if it just breaks off or something up inside instead of it all exiting. Its messy to wipe and doesn't feel uncomfortable right away but a little later I'll have to wipe again and see residue on the tp. the weird thing is, i went for almost two weeks not having this problem at all, bowel movements felt complete and no leakage after but then out of nowhere i'll get it again and I could be back to normal the next day with a normal bowel movement. My stool seems to be fluctuating as far as consistency goes as well. sometimes it is normal and sometimes it is soft, and other times most of it comes out normal then the last bit comes out very soft. the leakage problem is driving me crazy. I tried adding fiber and it didn't make much difference either way, id still get the leakage problem maybe once a week. actually, the week after i stopped adding more fiber to my diet my bowel movements seem to get a little more regular in consistancy.

My second problem is, and i dont know if its related, im getting a dull ache in my pelvis. it feels like its just a dull, inflamed feeling behind my pubic bone and in my rectal area. it seems to always get worse after bowel movements. its not bad, I can still work out and excersize with it but its just an annoying feeling after bowel movements.

I do have IBS (mildy, but every so often I get random bouts of diarrea) but i've never had this before. Im wondering what the leakage problem could be? I've heard of colon spasms from IBS causing the incomplete evacuation thing but never anal leakage. I also thought maybe the dull ache (along with the sharper rectal pain I got when this all started) was from levator ani syndrome but that isn't supposed to affect bowel movements? I can't seem to find an answer. please help, thanks

btw im 24/m and otherwise in good health

anal leakage problem