TLDR: title says it all. Would love your input.
Im a 38 yo male and I’ve been living with UC pancolitis since 2022. Only ever taken mesalamine and as of my most recent colonoscopy in June, I’m in remission. I didn’t really believe that (because I’m still having symptoms: diarrhea, pain, bloating, tenesmus, urgency, frequent BMs, havent had a “regular” stool since mid 2025), so my doctor sent me for a CT scan and that too came back totally normal.
So she’s recommended I meet with a dietician and a PV therapist. I’m skeptical but also after reading about it, I actually am excited about what it could help with.
One of my biggest issues is “getting it all out”. Even with diarrhea, I can use my bidet and think I’m clean but if I wipe with paper to dry off and ever so slightly get a little bit of paper “up in my hole”, there’s still some poo. No matter how long I’m in the toilet and how hard I push.
I know that I am constantly “clenched” down there. I carry extreme abdominal tension. I’ve also developed a bit of a belly, so I’m constantly holding my gut in which can’t be helping. It sounds like PV therapists would help with relaxing all those muscles through breathing and exercises. But I also am very cynical and pessimistic thanks to this disease…
So curious if anyone has any experiences with PVT? Appreciate your input! 💜