37 y/o M. Generally fit and healthy (running, general gym exercise, etc).
So here is what I'm experiencing (slowly gotten worse over 1.5-2 years) - any advice would be welcome.
When I get up in a morning, after around 5-20 minutes of pottering around the house I have a sudden urge to go for a BM (bowel movement). It's normally always extrmemely loose or only parlty formed stool.
After a dash to the loo I have a forceful BM where I feel the stool exiting quickly....before it suddenly stops. I know there is more to come out but it just completley halts. I don't wish to strain (I've had a haemorroihds removed before) so I have to begin cleaning up.
After cleaning up (which can take a while!) I continue with my morning; feeling full, uncomfortable, feeling a bit dirty and unclean and sometimes lethargic. Luckily I spend a fair amount of time at home with my job but it does sometimes kill my drive and enthusiasm.
Then, after varying times, sometimes a few minutes, sometimes 30 minutes, sometimes an hour, I have another urge (not as strong as the first) for another BM, which is obviously the 'left over' from the initial toilet trip.
The second time is normally a lot easier to clean up and is a little more solid (still not sausage shaped, though) and leaves me feeling completley empty with a spring in my step. Sometimes I have to go 3 times, but normally twice does the job.
This can sometimes happen in the afternoon (around 3-4) and/or in the evening (around 8-9), too, but the morning toilet trips are always the worst.
I know people sometimes 'feel' they haven't emptied their bowels properly after a toilet trip even though there is nothing in there - but for me there IS still stool in there as sometimes a few minutes later I'm passing another stool.
I sometimes have other IBS symptoms, such as a bloating in my belly, passing wind (which sometimes I have to suck up at the last minute as I think something else may pop out!) but the morning routine is BY FAR the most frustrating thing.
I follow a heavily plant-based diet with hardly any meat or diary, so I don't need to add any fibre to my diet (I may need to decrease the fibre). When I first switched to beans/lentils and lots of veg, I noticed my stools were looser (as I sometimes became constipated), so was very happy and it all came out in one go.
I have also tried some anti-spasmodic tablets, which seem to be a little hit-and-miss.
I've had various blood checks and swabs to rule out other things and have had a colonoscopy, too.
Any advice or comments would be welcome.
Thanks, guys.