I dunno if this is my Citalopram causing this or a change in my IBS (used to be IBS-D) as when I need a proper #2 I get the horrendous lower cramps and terrible stabbing type pains in what feels like my rectum like a knife cutting me in half and still only have hard lumps (ok tmi!), then eventually an hour or so later I have a relatively normal one, this has been happening for the past 2 or 3 weeks but the constipation has been going on around the time I started the Citalporam last November but never was this painful. I just know I can't continue like this I can go 3 or 4 days without going for a #2.