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·Is it that the muscles have become so lax afters years of not working correctly to "push" a stool that they don't know how to react to a formed stool?This is day two on Lotronex (only 1 pill a day)- what a weird day it has been- alternating between feeling O.K. cramping and stabbing and still have four BM's although formed in one day. I had two small BM's this morining and found I had a hard time "moving it". I really think my rectal muscles just don't know what to do with THAT! I am having cramps and the urge to go- and it's right there- and could only go a little. Try number three resulted in more volume and softer stool. What are your thoughts?------------------Here's to pain free days!SandiIBS/D For 20+ years