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I started having pelvic pressure and recctal tenesmus in mid Feb 2024..  I have been through EVERY test imaginable and have seen more than a dozen doctors.  My symptoms feel VERY gastro but I was told to see a pelvic rehabilitation specialist and do pelvic physiotherapy.  I have had trigger point injections, am on valium suppositories, do internal and external phsyiotherapy with professionals and myself and NOTHING helps.  One physiotherapist suggested an occult inguinal hernia might be partly responsible .  Two colorectal surgeons I saw never suggested it.  They just said it was just a tight pelvic floor though my gynocologist yesterday says my muscles seemed fine.  I’m even seeing a  new pay out of pocket expensive pevic rehabilitation doctor who put me on 10 mg of valium suppositories rectally per day.  I’m at my wits end — 9 moonths and still feel lousy every day.  Nights in bed it quiets though