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The can be "outlet obstruction"You get it to the end, but can't relax the sphincter enough to go. People tend to strain a lot, but not go very much.Might also look at "pelvic floor dysfunction".They can test for this, and biofeedback is often used to train the muscles to relax when the should relax, and for the converse when people have leaking problems because they are not tight when they should be tight.see http://www.mayoclinic.org/constipation/K.
 
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