I have a problem.
For the past 6 weeks I have been severely constipated. Prior to this I was regular but historically there have been periods where I've only pooed once a week. When I say severe constipation I mean pebbles once every 3 days and twice an impaction that I did clear but the size was just 
I also have internal piles. Every time I do go, it's painful pebbles and then painful piles.
I have tried:
- taking magnesium
- taking hemp seed oil
- eating chia seeds
- eating high fiber fruits such as pears and apples
-drinking coffee
Things work for 3-4 days then, even though I continue to eat/take supplements I get backed up again. I am drinking a minimum of 64oz of water and exercising 4 times a week with yoga an additional 2.
I'm too scared to go to the dr. Partly because I'm worried it's something serious and partly because it's too embarrassing. Should I be worried? What else can I change diet wise??