Has anyone dealt with loved one continuously feeling the need for BM, but only small amount on tissue?

Thanks everyone. I am giving her lots of fiber, and she eats well. Her only complaint is pain in her rectum(huge hemorrhoids). I thought about a fecal impaction, but she doesn't have abdominal pain or other symptoms. I don't have home health. The original one that came when she got out of rehab ended up not showing up half the time, changing nurses etc. I just dropped them. The doctor told me to give her the metamucil to try to regulate her. I do hire a sitter every Sat. for 10hrs. to carry things to the other house, and getting things there ready for the move. I guess I should contact her doctor and ask if I should try the fleet enema. I ask if she has had a regular bm recently, but she can't remember. I haven't seen one, and I try to check. Everyday is a new day to her. She doesn't remember anything the day or sometimes even hours before.

Psyllium husk. Probiotics. Water. Some exercise. More fiber.

If you need to go take care of things and she can't come with you, hire someone to sit with her. That's a good idea anyways. You need a break sometimes.

Warm prune juice. Also there are medical transport companies who handle moving patients like that.

Metamucil can be a double edged sword and cause severe constipation if she isn't drinking enough, has she had a real BM recently? If not she could backed up with a lump of hard feces which may require a fleet enema to clear. Do you have access to a visiting nurse?