Hi, Welcome to the forum. I am really glad to help you out. If you have difficulty in the evacuation of the
bowels, then you need to consult a surgeon for getting yourself clinically examined with a per rectal and
proctoscopic examination to look for a local cause of any hindrance. Anal fissure is one of the commonest
causes of difficulty in evacuation of bowels, especially if you have pain during the evacuation. Considering
your age, you should also get the colonoscopy done to rule out any growth in the colon. I sincerely hope that
helps. Take care.