Don't know exactly what's been the problem with me, but it's been going on for almost 2 years. Thinking back it started as an annoying feeling of having some small pieces stuck. I would notice this after I had gone to bed and had to get up again and push them out. This escalated over a few months and I got worried about what was wrong. I pushed too much, got swollen/sore/could barely sit. Had a hemmoroidh confirmed eventually. Now? Better, but still lots of problem with incomplete evacuations. I often feel the need to go multiple times a day, with only a little comkng out at a time. Sometimes looser, sometimes harder. Annoying!