Thanks for posting your query.
The pain during bowel movements could be due to fissure in ano
. It occurs when you are constipated. Take high fiber diet, drink lot of fluids and do sitz bath. You may have to apply diltiazem in the anal region for relief.Fatty liver
and abdominal bloating
may all have a common precipitating factor in the form of diabetes.
Get your blood glucose level checked.
I hope that answers your question.