pain *after* bowel movements

Hi all.  I am experiencing pain that occurs frequently about 2-4 minutes *after* I have a bowel movement.  My stool are normal, not loose, not constipated, no blood, no pain passing or excessive effort, and having a movement once or twice a day.  The pain is fairly sharp, and occurs in the centerline behind my belt buckle or just below.  Sometimes it will extend a bit to the left as well.

Family history:  My mom has UC and Crohns.

I have seen three GI docs and am scheduled to see a fourth.  Two of the three doctors I have seen are highly regarded in the community and seem very knowledgeable.

I have had a colonoscopy this year, all results were fine, no UC, no Crohns, everything looked completely normal according to the GI.

Had a lower CT with and without contrast.  Again didn't show anything except that I have a few spots of fat on my liver, but that has nothing to do with the bowels.

Had an upper GI exam (not sure what the technology was, I guess CT?).  Results from that were all normal.

Had a blood test + that test where you blow in the bag.  All readings were normal, slightly elevated cholesterol, again not related to the bowels.

Have been prescribed dicyclomine for the pain.  This worked ok at first, but I have had to take increasingly higher doses to get relief.  Second doctor added hyoscyamine which helps a lot more.  Still, I was taking two twice a day and I was still having issues.  Switched to spacing it out to one pill 4 times a day and that works a lot better.

So the hyoscyamine has helped and keeps me free from pain maybe 4-5 days a week.  There will usually be an incident of pain once or twice a week even with the medications.  The pain is sharp and rates anywhere from a 3/10 up to 8/10.  To give reference for my pain tolerance, a 10 is when I broke my femur which is extremely painful.  But an 8 is still really bad pain.  Things that help are standing or laying down, but sitting makes it worse.

One doctor gave me a diet sheet, but said basically that it was "too restrictive" and just to watch the amount of the certain foods on the sheet.  Most of them I don't consume anyway.  For example, I consume no milk and very little dairy.  There was nothing that stuck out.  Also my diet has not changed substantially in the past 2 years.

This has been going on for a little over a year now.  

Does anyone have even any thoughts as to what might be causing this, or things I could try, or just any advice at all?  I'm starting to get really desperate as the pain is so bad that I have to leave work when it starts.  It's adversely impacting my life.

 

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