A 54 year old gentleman presented to my clinic with a chief concern of altered bowel habits since 12 years. A principled and inquisitive man, he reports first having altered bowel habits nearly 14 years ago, manifested by an increase in time spent in the loo for complete evacuation. On pressing further, he says that his visit to the wash is often preceded by a vague pain in his abdomen, which apparently may or may not relieve with defecation. He describes the pain as a poorly localising, diffuse, spasmodic pain that can last from anywhere between 5 to 15 minutes.