 [ Symptoms ] why am i having stomach cramps lower pack pain and shortness of breath tired all the time i have had stomach cramps in my lower region and havnt had a normal bowel movement in four days i have lower back pain due to this problem and shortness of breath its very difficult to walk at times i have gien my self three enimas and nothing has change when i do have a bowel movement it is little ball size and sometimes it not formed i am to the point of going to see my doctor and see whats going on any advise would be helpfull [ Disease ] there are many reasons for an itchy andor painful butt worms like pinworms are only one of many causes other causes including anal fissures tiny tears along the anal ring hemorrhoids skin tags and other skin conditions rather than feel you have worms it would be best to see a medical provider so that you can be properly examined and lab tested if necessary