anal spasm; proctodynia; proctalgia fugax; levator ani syndrome; anal cold

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Etiology

Epidemiology

  • mean age of onset = 45 years
  • more common in women

Pathology

Physical examination

Clinical manifestations

  • proctalgia fugax
    • most often occurs in the middle of the night
    • lasts from seconds to minutes
  • levator ani syndrome
    • constant or frequently occurring dull pain
    • felt higher up inside the rectal passage
    • pain exacerbated by sitting
    • pain improves with walking or standing
    • pain usually lasts approximately 20 minutes & tends to reoccur at regular intervals

Laboratory

Differential diagnosis

Management

More general terms

References

  1. Wikipedia: Proctalgia fugax http://en.wikipedia.org/wiki/Proctalgia_fugax
  2. de Parades V et al Proctalgia fugax: demographic and clinical characteristics. What every doctor should know from a prospective study of 54 patients. Dis Colon Rectum. 2007 Jun;50(6):893-8. PMID: https://www.ncbi.nlm.nih.gov/pubmed/17164968
  3. 3.0 3.1 Jeyarajah S et al Proctalgia fugax, an evidence-based management pathway. Int J Colorectal Dis. 2010 Sep;25(9):1037-46 PMID: https://www.ncbi.nlm.nih.gov/pubmed/20556402
  4. emedicine: Rectal Pain http://www.emedicinehealth.com/rectal_pain/article_em.htm