i have not experienced what you are going through. but i did have anal fissures leading to bleeding. also hard stools. here is what worked for me: i have boiled okra regularly for dinner as part of my diet. spinach (indian recipie for plain palak) 1 apple a day dried prunes in office for munching (about 5 to 6). atleast two liters of water every day almond oil with warm(or hot for me) milk after dinner. and important: walking 30 mins a day if possible before the first visit to the toilet int he morning. i never buy ebooks but i bought this one and some of them helped me: <link> ebook pdf is called: constipation help i'm not saying this will cure your condition which looks a bit further away from where i was. but these things in my diet helped me. from what i experienced once you have this situation its better to see what foods you eat and make a regular schedule. disclaimer: i only told what i faced and how it helped me. im not a docotr and have no medical knowledge.
most of my bowel movements are hard pebbles most of the time i use a rubber glove on my hand to get the stool out why. i eat a lot of fiber and have used senocot and miralax without much relief i also have pain in my groin area that affects my walking sometimes. i have been having this problem for a few years i also have gerd and take protonics for that. what can i do?