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If you are having pain while having a BM this in itself can cause constipation. The addition of pain medication can exacerbate it.
To help ease the pain during BM make sure you are getting the required fiber amounts daily and drink plenty of water.
Be careful constipation can cause diverticulitis along with several other gastrointestinal disorders.
There are chiropractors who specialize in manual treatment of the coccyx. This site has a lot of info:
http://www.coccyx.org/treatmen/index.htm
http://www.coccyx.org/treatmen/manual.htm
Good luck