Do they understand it? They might say, it went smoothly†I put my finger inside and. Further, reduced sphincter force can be due to an array of problems, including: technical stress, increasing age, haemorrhoids, chronic irregularity, cranky bowel syndrome, neurologic circumstances such pudendal neuropathy from continual straining, cauda equine syndrome, diabetic neuropathy, numerous sclerosis, Amyotrophic …