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Passing fewer than three stools a week.

Having lumpy or hard stools.

Straining to have bowel movements.

Feeling as though there’s a blockage in your rectum that prevents bowel movements.

Feeling as though you can’t completely empty the stool from your rectum.

Needing help to empty your rectum, such as using your hands to press on your abdomen and using a finger to remove stool from your rectum.