Ive been bloated since my last menstrual, ive also been having issues with my bowel movements. ive used warm water enema since young, no longer helps ?

Constipation: You may have a slow colon. This can result from chronic usage of senna or cascara compounds or other causes like thyroid disorders or diabetes. To find this out you can do an X-ray test called colonic sitzmarker testing or a Smartpill. If the colon is slow, you will likely need prescription medications like miralax, lactulose plus amitiza (lubiprostone) or linzess. I'd recommend the testing first.