"PROCTALGIA FUGAX"...Sudden,Sharp Rectal pains?

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unhappycramper
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Date Joined Nov 2005
Total Posts : 113
   Posted 3/8/2006 12:03 PM (GMT -7)   
  Anyone suffer from this condition ?
   I would like to know if I'm talking about the same thing here. I'm not sure this is what I have, but it's the similar symptoms that's close to it.
 
Proctalgia fugax is an infrequent sudden, severe pain in the anal area of short duration" ..... This may be the only name I have ever found associated with this pain.  But it does feel like all my lower extremeities are involved at the same time, but pretty much that's what I feel. I also get the normal everyday cramping and gurgling noises that I feel my intestines are ready to explode. eyes

dbab
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   Posted 3/8/2006 12:06 PM (GMT -7)   
I get that too and my doc prescribed me Symax (antispasmodic) and it has helped a lot. The med is sublingual so it works pretty fast. Have you talked to your doc? You shouldn't go through with this pain since you don't have to... I know how bad the pain can get with this.
Hugs, Des
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dbab
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   Posted 3/8/2006 12:13 PM (GMT -7)   

Here is a link to a thread that I had a few months ago... as you can see, you aren't alone

rectal spasms


Hugs, Des
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unhappycramper
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Date Joined Nov 2005
Total Posts : 113
   Posted 3/8/2006 12:20 PM (GMT -7)   
Dbab,
    Do you take this Symax (Antispasmodic) for your regular cramping too,or just when you get these rectal spasms?   I have far too many of the "other" cramps than I do with these rectal spasms.  Do you think we eat someting that triggers these spasms? For me, they come on about once a week.
 Thanks!

dbab
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Date Joined Jan 2004
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   Posted 3/8/2006 12:28 PM (GMT -7)   
The Symax does help with all the intestine spasms (cramping) for me. I did try another antispasmodic before this one (Nulev) which hardly did anything for me so don't get discouraged if one doesn't work for you. The rectal spasms I have read are unexplained that its actually the rectal muscle so I'm thinking that it probably gets sore like any other muscle in your body if you tend to wear it out. Of course the spasms are more occurent for us IBSers so I see it as just another intestinal spasm that we are so fortunate to go through UGH.
Hugs, Des
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CatFisherman70
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Date Joined Jul 2009
Total Posts : 2
   Posted 7/20/2009 6:56 PM (GMT -7)   
I suffered from proctalgia fugax for many years, but I recently found a website that finally offers an explanation of what causes it and suggests a self administered treatment that I tried and it works like a champ. Check it out at http://proctalgia-fugax-cause-and-relief.info/ This is really cool.

tiedinknots
Regular Member


Date Joined Jun 2009
Total Posts : 35
   Posted 7/21/2009 12:05 PM (GMT -7)   
I have this too in short duration, but also longer lasting pain if the muscle goes into spasm. I'm glad to see this, I've been dealing with it for a long time and didn't know there were antispasmodics for this. :( I hope the tablets help

Post Edited (tiedinknots) : 7/21/2009 12:12:43 PM (GMT-6)


CatFisherman70
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Date Joined Jul 2009
Total Posts : 2
   Posted 8/11/2009 10:49 AM (GMT -7)   

I’ve been having 4 or 5 episodes a year of Proctalgia Fugax for years.  My symptoms are exactly like listed.  I think anyone having these attacks should check with their doctor as I did, but the great news is, there is new information on the cause of Proctalgia Fugax and a recommended self-administered treatment that works wonderfully on me to immediately relieves the pain without the use of any drugs.  See http://proctalgia-fugax-cause-and-relief.info  for all the details.  It’s great!


birdinpain
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Date Joined Jan 2010
Total Posts : 7
   Posted 1/5/2010 9:56 AM (GMT -7)   
help!!
i am almost 100% sure i am experiencing a PROCTALGIA FUGAX attack and it has been going on for 25 minutes now i can barely breathe.
other than valium is there naything i can do to make this go away??
help!!
x

Sherrine
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Date Joined Apr 2005
Total Posts : 15619
   Posted 1/5/2010 1:08 PM (GMT -7)   
Birdinpain, I answered you on your other post.  Please call your doctor.  They are far better equipt to help you.  We are not doctors here and we would be guessing.  Hope you feel better soon.

Sherrine



Forum Moderator/ Fibromyalgia
***********************
Fibromyalgia, Crohn's Disease, Ostomy, Diabetes, Autoimmune Inner Ear Disease, Osteoporosis
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
God does not give us a spirit of fear, but of power and of love and of a sound mind.    2 Timothy 1:7

Post Edited (Sherrine) : 1/5/2010 12:12:55 PM (GMT-7)


etaner
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Date Joined Jun 2010
Total Posts : 1
   Posted 6/18/2010 5:10 PM (GMT -7)   
I have been diagnosed with Proctalgia Fugax today, after 10 yaers of suffering. I tryed to get on the website that catfisherman70 posted, but I cannot get there, is there any other website or some way around that?

shawn12
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Date Joined Jul 2004
Total Posts : 1293
   Posted 6/18/2010 6:22 PM (GMT -7)   
Just fyi
 
 
I am not a doctor. All information I present is for educational purposes only and should not be subsituted for the advise of a qualified health care provider.

Please make sure you have your symptoms diagnosed by a medical practitioner or a doctor.


shawn12
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Date Joined Jul 2004
Total Posts : 1293
   Posted 6/20/2010 6:36 PM (GMT -7)   
 
 
Biofeedback Is Superior to Electrogalvanic Stimulation and Massage for Treatment of Levator Ani Syndrome
 

Background & Aims

Levator ani syndrome (LAS) might be treated using biofeedback to teach pelvic floor relaxation, electrogalvanic stimulation (EGS), or massage of levator muscles. We performed a prospective, randomized controlled trial to compare the effectiveness of these techniques and assess physiologic mechanisms for treatment.

Methods

Inclusion criteria were Rome II symptoms plus weekly pain. Patients were categorized as “highly likely” to have LAS if they reported tenderness with traction on the levator muscles or as “possible” LAS if they did not. All 157 patients received 9 sessions including psychologic counseling plus biofeedback, EGS, or massage. Outcomes were reassessed at 1, 3, 6, and 12 months.

Results

Among patients with “highly likely” LAS, adequate relief was reported by 87% for biofeedback, 45% for EGS, and 22% for massage. Pain days per month decreased from 14.7 at baseline to 3.3 after biofeedback, 8.9 after EGS, and 13.3 after massage. Pain intensity decreased from 6.8 (0–10 scale) at baseline to 1.8 after biofeedback, 4.7 after EGS, and 6.0 after massage. Improvements were maintained for 12 months. Patients with only a “possible” diagnosis of LAS did not benefit from any treatment. Biofeedback and EGS improved LAS by increasing the ability to relax pelvic floor muscles and evacuate a water-filled balloon and by reducing the urge and pain thresholds.

Conclusions

Biofeedback is the most effective of these treatments, and EGS is somewhat effective. Only patients with tenderness on rectal examination benefit. The pathophysiology of LAS is similar to that of dyssynergic defecation.

http://www.gastrojournal.org/article/S0016-5085(09)02237-9/abstract

 


Forum Moderator
 
I am not a doctor. All information I present is for educational purposes only and should not be subsituted for the advise of a qualified health care provider.

Please make sure you have your symptoms diagnosed by a medical practitioner or a doctor.


shawn12
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Date Joined Jul 2004
Total Posts : 1293
   Posted 6/20/2010 6:38 PM (GMT -7)   
This has even more info, if you scroll towardss the middle

http://www.med.unc.edu/medicine/fgidc/collateral/digest/Spring_2010_Digest.pdf
Forum Moderator
 
I am not a doctor. All information I present is for educational purposes only and should not be subsituted for the advise of a qualified health care provider.

Please make sure you have your symptoms diagnosed by a medical practitioner or a doctor.


PFSufferer
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Date Joined Aug 2010
Total Posts : 1
   Posted 8/18/2010 6:38 PM (GMT -7)   
I've lived with this condition for many, many years. It almost always occurs within my first REM cycle (roughly 1-2 hours after falling asleep), and the pain brings me right out of my sleep. The sensation is beyond excruciating. I literally lay on the floor and shake all over, and used to think it was some form of epilepsy.

Hot baths sometimes weaken the cramping, but I've often feared that I would pass out from the pain, so I eventually stopped that particular remedy (and in my case, the bath rarely helped anyway).

Recently, I was prescribed Atavan for anxiety, which contains a muscle relaxant. I found that when the proctaglia fugax wakes me in the middle of the night, if I'm able to take an Atavan fast enough, then the duration and intensity of the spasm is cut almost in half.

So, you may want to get your hands on some Atavan, or a generic equivalent. It's the only thing that's even remotely helped.

shawn12
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Date Joined Jul 2004
Total Posts : 1293
   Posted 8/19/2010 10:51 AM (GMT -7)   
PF sufferer, glad you found somethings that help.
Forum Moderator


I am not a doctor. All information I present is for educational purposes only and should not be subsituted for the advise of a qualified health care provider.

Please make sure you have your symptoms diagnosed by a medical practitioner or a doctor.

Munro
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Date Joined Sep 2010
Total Posts : 2
   Posted 9/1/2010 11:19 AM (GMT -7)   
I had my first episode of Proctalgia Fugax 3 weeks ago - it occured during the day and lasted for 8 hours!  Because of the severity of the attack, I immediately made an appointment for a Sigmoidoscopy (an internal examination of the rectum with a camera) and the consultant gave me the diagnosis.  Since then it has been rumbling away quietly - just a very slight discomfort on and off.  From everyone else's accounts that I have read on this site, no-one else seems to suffer after the event - is there anyone out there who's rectum, like mine, is spasming on a daily basis, albeit almost undetectably?
 

shawn12
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Date Joined Jul 2004
Total Posts : 1293
   Posted 9/1/2010 11:28 AM (GMT -7)   
Munro

Do you also have IBS?

A high percentage of IBSers also have rectal hypersensivity.
IBS Forum Moderator


I am not a doctor. All information I present is for educational purposes only and should not be subsituted for the advise of a qualified health care provider.

Please make sure you have your symptoms diagnosed by a medical practitioner or a doctor.

Munro
New Member


Date Joined Sep 2010
Total Posts : 2
   Posted 9/1/2010 12:45 PM (GMT -7)   
 
No, Shaun 12, I definitely do not have IBS.
 

shawn12
Veteran Member


Date Joined Jul 2004
Total Posts : 1293
   Posted 9/1/2010 1:12 PM (GMT -7)   
Not exactly sure what the real difference is between Levator Syndrome and proctalgia fugax.
 

"A variant of the levator syndrome is proctalgia fugax, a feeling of severe pain in the rectum which generally occurs at night and which will awaken the patient from a sound sleep."

 

http://www.healthscout.com/ency/68/373/main.html


IBS Forum Moderator


I am not a doctor. All information I present is for educational purposes only and should not be subsituted for the advise of a qualified health care provider.

Please make sure you have your symptoms diagnosed by a medical practitioner or a doctor.

JSHAATAL
New Member


Date Joined Dec 2010
Total Posts : 1
   Posted 12/27/2010 12:09 PM (GMT -7)   
I too have had this condition for far too many years. I have found that lying on a hard, cold surface (i.e bathroom floor) will relive the spasm in 5 minutes...be careful not to get up too quickly because it may re-occur.

threads
New Member


Date Joined Dec 2010
Total Posts : 1
   Posted 12/28/2010 12:11 PM (GMT -7)   
I've been suffering from proctalgia fugax since my son was born 9 years ago. i have these episodes at least 8 times a year. I experienced an episode last night and the only thing that seems to work for me without medication is doing kegels squeezing the rectum area as hard as you can and hold it for as long as you can until the pain subsides. i also use a heating pad in that area and rock back and forth to put myself in a meditative state.

i wish there were something to prevent this from happening.

jlm2011
New Member


Date Joined Jan 2011
Total Posts : 1
   Posted 1/6/2011 3:41 PM (GMT -7)   
Hey all, ive been dealing with this since my late 20's now in my early 40's. I've dealt with hemmoroids around the same age, I always suffered through the pain and just figured it was an internal thrombosed hemmoroid. The thing that always bothered me was that it only happened while I was asleep, very rarely during my waking hours. Like others here have posted, I would wake with severe pain in the rectum..the pain is so bad that all I can do is lay and wait for it to subside..sometimes its brief, other times has lasted on an off for hours..I would have the urge to have a bowel movement or pass gas..but almost never able to. I've had a colonoscopy and met with a couple proctologist and GI specialist...finally was told I may have this syndrome..I've tried muscle relaxers and hot baths, Ibuprohen..you name it;ive tried it.
A year or so I stared making notes after an episode. I wrote what I ate, drank, my stress level..what ever I could think of tp draw some common thread. the only thing I came up with was my irregularity..seems that if i had very loose stool, or was very gassy or if i was mildly constipated..I might have an episode that evening..it didnt matter what I was eating...I try to eat more fiber and live a very healthy lifestyle, Im in good physical condition work out and run at least 4 times a week..sadly though, it hasnt changed the frequency or severity of my episodes..however, recently, I did find something that helped me decrease the pain...one time, when i was having an episode, i was also dealing with some hemmoriods..so I used some preperation H when I pushed the applicator inside of me..i could actually "touch" the pain..if i kept it there for moment or two..the pain wouldl subside shortly after...Sucks having this but at least we all know what it is ..and sharing these things might help!

Pablosoreass
New Member


Date Joined Jan 2011
Total Posts : 1
   Posted 1/20/2011 10:41 AM (GMT -7)   
I am a 47-year-old male in good shape. For the last four months I have suffered from proctalgia fugax after most bowel movements. The condition, which occurs 1-4 hours after a BM and lasts about an hour, only occurs when my anal fissure is inflamed and causing me pain. Two weeks ago I had surgery (lateral internal sphincterotomy) to take pressure off the fissure and it has helped immensely with BM pain, but the fissure has not healed yet and the PF has not gone away. Some days 400mg of IBU knocks most of the spasm out; other days 800mg can't kill it.  In that sense, the pain is manageable, but I do not like having to take IBU so regularly. My surgeon recommended a muscle relaxer, but they, like many medications, harden the stool, so that is counterproductive for me (prune juice is the only laxative that doesn't irritate my wound). My GP prescribed Anuspaz (sp?), another type of relaxer, which worked, but not as well as IBU. Hot baths really help. Today I tried a natural relaxant that a friend gave me called Valerin (Wonder Lab's; White House, TN). The first 90 min. have been fine, but I still have three more hours of testing to go. I read that stretching -- knees to chest, and pulling (up?) on the buttocks -- helps some sufferers, as do many other remedies. There is a LOT out there on this topic. Google proctalgia fugax -- and be your own doctor.

Tinlou
Regular Member


Date Joined Jun 2010
Total Posts : 390
   Posted 1/25/2011 1:53 PM (GMT -7)   
This is so scary the first time it happens. I had a colonoscopy to rule out anything serious but it didn't stop the fact that when this little creeper wakes you up in the middle of the night it just is nerve rattling anyhow!! I almost always feel as if I have to get up and have a bm or to relieve the pressure somehow but I never do have the BM but it feels better to push(gross I know) and to relieve some of that pressure. There is no rhyme or reason to it either, It can happen if i am very active all day or if I have been sitting all day, and it doesn't matter what I have eaten either. I would like to know what cause this little monster!
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