Stress constipation: Stress can definitely cause constipation. An anal fissure can make the constipation even worse by causing the internal sphincter to tense, which makes it hard to defacate. Pain and blood-streaked french fry- like stool results. It is painful and a vicious circle. Surgical treatment of the fissure may help as may steroid suppositories. I don't know of any psychotherapy studies on these dynamics.
Answered 10/23/2018
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