More likely to be constipation, I'd have thought, though possibly still because there's less space than there used to be? But n.b. this is purely amateur comment; plus, far more importantly, the poor man is in discomfort and it should be reasonably straightforward to relieve that discomfort whatever its cause. So get him to a doctor for professional advice a.s.a.p.
It's prostate, by the way. And rectum. Just so you know, and so junior doctors don't titter behind your back.
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It's prostate, by the way. And rectum. Just so you know, and so junior doctors don't titter behind your back.