Trombosed hemorrhoids themselves may cause constipation, if you are avoiding bowel movements from fear of pain. Anyway, you should solve this.
I thank you for your reply.
When I see a pcp in a month, I will show this reply to him. He will also have copies of my other manometry and emptying tests from years ago.
When I do barium tests, they always tell me that my body takes much longer than normal to rid itself of all the barium.
If dismotility is in the esophagus, it may also be in other parts of bowe, especially in stomach, and yes, it may result in constipation. Strain, when you're constipated results in hemorrhoids and these are now trobosed, you say.
You need esophageal manometry tests, maybe gastric emptying test, and hemorrhoids should be operated - it's a quite simple outpatient procedure.