Hard balls; Large, hard, coated with blood; Hard, thick and knotty; Hard, followed by soft stool; Retarded and insufficient.
Frequent urging, without colic; Pressing and ineffectual desire, with erections (Ignatia?)
Only a small quantity of hard stool being passed each time, with pain in the anus as if it would fly to pieces. Great trouble in passing the stool as if the rectum had been constricted (hard stool followed by a soft one); Violent pains in the rectum compel a cessation of the effort at stool, especially when haemorrhoids are present.
Repeated urging, without accomplishing anything.
Fever. Smarting of the anus, between the intervals of the stools. [Offensive perspiration at the anus and in the perineum. Haemorrhoids and fissures of the anus. General aggravation of the pains in the anus on motion.
Obstinate constipation, from inactivity or intussusception. Constipation which seems to be the result of organic reaction.]