Oh man. Constipation is so awful I get it occasionally and it is very uncomfortable and I have a son that has been working with a doctor for years for it as it is a chronic issue that has landed him in the emergency room when his own feces acted in a way that blocked his bowels and caused an emergency. I would try not to insert your finger to do that but know when you gotto go, you get desperate. This helped us . . . we got this stool thing. It was inexpensive and simply called a 'portable, foldable potty stool". It positions your feet to allow physics to help you go. any brand off of amazon or where ever and it is worth it. Other things that help. A stool softener. This is NOT a laxative. It simply softens the stool. My son has been told by three doctors that it is safe for him to take this regularly. He takes one twice a day. He also takes a good probiotic. This helps with gut health. Drinking extra water helps. My son's doctor describes our bowel as a water slide. We need liquid for things to flow down it just like a water slide. drink up! My son had he advice from the ER to drink a cup of dark grape juice every day. Eating fruit helps. For some, extra fiber helps. It does the opposite for my son so play around with that one. Physical activity also does help. And we have serotonin receptors in our gastric track. It honestly can also affect your mood. I note you are on escitalopram. Is it helping? Have you just recently started it? And if all else fails, an occasional overnight laxative can help. I wouldn't do that but once a month but if you get things moving, it would be worthy it. You shouldn't have to go fish it out. You want your muscles to work normally to expel it. Make sure to talk to your doctor about all of this as well. You also may have a form of IBS that involves constipation and they have medication for that. Here is an article on constipation that is general. https://www.webmd.com/digestive-disorders/digestive-diseases-constipation and an article about IBS that involves constipation https://www.webmd.com/ibs/guide/treating-constipation