Does it pain when the stools come out?
Have you tried the taking fibre and dulcolax
Does that help ?
So taking fiber relieves the trouble.
Some people have slow bowel which makes the stools harder to come out.In these cases taking fiber, laxatives and bowel motility drugs will improve the stool transit.
Are you taking anything for the fissure?
Have you seen a surgeon for the fissure?
Fissure can sometimes narrow the opening of the anal canal and this difficulty can appear, where the you have difficulty pushing out soft stool too. Dilatation of the anal canal is the treatment in such cases.
A surgeon can do a rectal exam and decide whether the anal opening is normal or not.
Have you under gone any previous surgeries in the abdomen?
Yes it means a fissure in the wall of the anal canal which makes passing stools painful.
So people try to avoid pushing enough which results in constipation and the cycle continues.
Colonoscopy can dilate the bowels as air is pushed during the procedure.
This may cause some temporary trouble but long term complications are rare. Fibers and laxatives will take care of the problem.
Consult a surgeon if you have pain while passing stools, because this is an indication of active fissure in the anal canal.
Bulk forming fibers are good. Stool softeners are also good.
The opening may be compromised in that case because of the fissure. Also the anal sphincter muscle is usually in a spasm which makes it even more harder for the stools to come out.
Taking care of the fissure should take care of this trouble too.
When was the colonoscopy done ?
And the problem started after the colonoscopy ?
Has the band fallen off.
Banding involves pulling a pile into a rubber band and cutting its blood supply off. The banded pile slows dies and is sloughed away.
This may cause some block in the passage of stools due to the banded pile.
But this happens in a week or two. So for this problem to persist after 6 weeks is little rare.Another possibility is that the bowels can become a little roomy due to the air insufflation during colonoscopy. Roomy bowels may require more power to contract and push the stools.
The bowels will recover to its pre-colonscopy state in some time. Till that time support it with fiber diet and supplements. Take care of the fissure if you think it is still present by seeing a surgeon. Exercises and aerobics will help increase the abdominal tone.