Should I go to a GI doctor or go straight to Pelvic Floor PT?
For context, I'm a male in my early 30s. I have a history of hemorrhoids. Most of the time doesn't affect me at all, but every blue moon (maybe like every other year) it'll flare up. I had a flare up about 6-7 months ago, where it was painful and eventually a hemorrhoids popped and I bleed a bit and eventually the blood stopped (the blood dots that show up on TP after wiping) after a few days.
Around this same time, I had constipation for some time. It was a weird constipation where I either didn't have to strain too hard or strained a little bit and hard stool would come out, followed by soft regular stool. So that made me not think too much of it.
Since a month ago I got what I thought was diarrhea followed by thin stools. At first I thought it may be overflow diarrhea, but after trying almost everything (Miralax, Bisacodyl, Mineral Enema) based on my symptoms, I'm 99% convinced what I have is anismus. Matches up with the symptoms that those who have it are experiences. Thin poops, several of them. Usually don't feel fully emptied. Also would explain my urinary symptoms as well (not fully emptying due to pelvic floor) which leads to pelvic pain.
I did have a GI dr appt booked up and its coming in the next few days, but I was thinking of cancelling it and going straight to PT...is this the move or should I go to the GI anyways?