Hey there, you may end up having a doctor tell you it's Pudendal Neuralgia. I have it too, but it shifts from the rectal to genital/urinary region. I only mention PN so that you dont waste your time on invasive hemorrhoid treatments or anything like that or take unnecessary antibiotics. PN is horrific, but 90+% of the time, it's TMS. It's pretty rare to permanently damage the pudendal nerve, though many PN patients will swear a minor injury damaged it for life. I used to feel the same way, now i know it's TMS. I actually still have daily pain, but the baseline is lower and the flareups have been greatly reduced. In my case, increasing my physical activity and sitting MORE instead of less, is what helped train my brain that behaviors werent dangerous. All my doctors expected me to just stand or lay down and barely move the rest of my life to "protect" the nerve. All that did was confuse my ramped up brain. By all means if you need to do things in the meantime like change your diet or take meds to make the bathroom process easier while you figure this out, it's not a bad thing, but dont look at it like you're fixing a problem. You obviously have to go to the bathroom at some point and constipation or tension will only hurt worse. One of the things that helped me when i was afraid of doing a flare-inducing activity, was to just treat the activity like it was normal. I would approach them the way i used to before i was in pain. I used to use ice packs, hot baths, excess meds, Tens unit, etc. (actually, in an acute flare, a TENS unit can be a life saver for rectal pain, just keep in mind you're masking pain, not treating it....because there's nothing to treat) and any other thing i could think of to try and reduce the incoming flare that i was sure would follow. I stopped that mindset and just kind of pretended that certain activities were not to be feared. It's a mind game that goes against your instincts, but it works.