HiFor the past 3 months(and actually off and on in the past 2 years), I have had incomplete BM almost every day. I am taking zelnorm and have been diagnosed with a pelvic floor dyssynergia (more on this below).I was wondering if anyone had similar symptoms:This is what happens:I usually have 2 BM. The first one is normal (log like) stool that I pass sometime after waking up. I don't feel completely evacuated after that.The second one is what is the problem. If I am able to pass it - it is pasty stool (completely different from 1st BM). Day after day, I have felt it descending from the upper abdomen (or stuck if I am not able to have a BM). I have tried to explain this to doctors.(PCP / 2 colorectal surgeons / 2 GI). My colorectal surgeon (I have had anal fissure in the past 2 months) was the only one who recognized it and said that it should not be termed as 'incomplete evacuation' since that usually means that the stool is stuck in the rectum. He prescribed colonoscopy through my GI. The GI could not find anything in colonoscopy and prescribed zelnorm but he has no explanation of 'stools stuck higher in the abdomen'.Please share information if you have similar symptoms.My case history:anal fissure in Sep 06Healed on its own in Nov 06( on the day I was scheduled for surgery)Lost 20 pounds in 2 months and counting.Colonsocopy - clean / no polyps nothingBiopsy- cleananal manometry - unable to expel balloon (so they say pelvic floor dyssynergia)defacography - everything good (thus contradicting anal manometry)DietVegetarian (lifelong)Extra fiber (metamucil) caused bloatingcitrucel helped sometimes but not a lotPlanning to go to dietitianMy thinkingPelvic floor dysynergia may have devloped because of straining that was caused by constipation. So they are still not on the real cause of this.I read elsewhere that parasites may be an issue. That seemed to go well with the weight loss problem. Any other tips welcome. I can try discussing options with GI.