For the last two months I have been suffering from rectal pain and occasionally I get mild irritation and pain after urinating I have normal bowl movement, once a day. There is absolutely no pain when I get up in the morning, it started only after the passing stools and never goes off till I go to sleep. Its a mild aching pain, som days there is a constant urge to have bowl movement. Also, I noticed that when I pass stool in the morning, the rectal shuts close before the whole thing comes out. and the next day I can found that a small amount of old, hardened, dark stool which comes out first followed by a fresh stool (incomplete bowl movement ?). My PCP did a digital rectal exam and ruled our hemorrhoids, fissures etc. She suspected it to be my prostrate since urine analysis showed a trace amount of blood and referred me to an urologist. Urologist did a rectal exam and urine analysis and a cystocopy which showed a perfect bladder etc. Urologist made an observation, that she felt my rectum to be tight and it went into spasm when she tried to do the rectal exam. So, she said anal spasms is what causing all the problems and she referred me to a Physio. I asked her whether I should consult a gastro or proctologist, but she refused to make a referral and she is so sure that physio should help. What should I do, should I go to the physio and see what happens, hope they won't mess with my rectum.