Proctalgia Fugax: Difference between revisions
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== Epidemiology /Etiology == | == Epidemiology /Etiology == | ||
It is a transitory disorder that usually does not need further investigations and can be treated by a primary health care physician. It is difficult to detect its prevalence as the patient does not seek a doctor's help unless the symptoms become severe it represents about 8- 18''%''<ref>Drossman DA, Li Z, Andruzzi E, Temple RD, Talley NJ, Thompson WG, et al. U.S. householder survey of functional gastrointestinal disorders. Prevalence, sociodemography, and health impact. Dig Dis Sci. 1993;38(9):1569–80</ref>and is more common among women than men with 30 and 60 years most affected age<ref name=":0" />.< | It is a transitory disorder that usually does not need further investigations and can be treated by a primary health care physician. It is difficult to detect its prevalence as the patient does not seek a doctor's help unless the symptoms become severe it represents about 8- 18''%''<ref>Drossman DA, Li Z, Andruzzi E, Temple RD, Talley NJ, Thompson WG, et al. U.S. householder survey of functional gastrointestinal disorders. Prevalence, sociodemography, and health impact. Dig Dis Sci. 1993;38(9):1569–80</ref>and is more common among women than men with 30 and 60 years most affected age<ref name=":0" />. | ||
Abnormal smooth muscle contraction and the increase in anal pressure were suggested to be the cause of pain sensation, because the intermittent, infrequent, and the short duration of the pain associated with proctalgia fugax make identifying its mechanism difficult. | |||
The definite causes of proctalgia are still unclear but first, exclusion of any pelvic or anorectal pathophysiology is important. Proctalgia fugax is common after vaginal [[hysterectomy]], sclerotherapy for hemorrhoids, and intramuscular abscess<ref name=":1">Bharucha AE, Wald A, Enck P, Rao S. [https://www.gastrojournal.org/article/S0016-5085(06)00516-6/fulltext?referrer=https%3A%2F%2Fpubmed.ncbi.nlm.nih.gov%2F#secd23675761e389 Functional anorectal disorders.] Gastroenterology. 2006 Apr 1;130(5):1510-8.</ref>. Anxiety, stressful conditions, and irritable bowel syndrome in addition to an abscess, anal fissure, or hypertrophy of internal anal sphincter<ref>Celik AF, Katsinelos P, Read NW, Khan MI, Donnelly TC. Hereditary proctalgia fugax and constipation: report of a second family. Gut. 1995 Apr 1;36(4):581-4.</ref>. | |||
== Characteristics/Clinical Presentation == | == Characteristics/Clinical Presentation == | ||
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== Differential Diagnosis == | == Differential Diagnosis == | ||
Levator ani syndrome. | * Levator ani syndrome. | ||
* Chronic proctalgia<ref name=":0" />. | |||
Chronic proctalgia<ref name=":0" />. | * Chronic benign [[Prostate Cancer|prostatitis]]. | ||
* Urogenital abnormalities<ref name=":1" />. | |||
== Diagnostic Procedures == | == Diagnostic Procedures == | ||
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[[Category:Vrije_Universiteit_Brussel_Project]] | [[Category:Vrije_Universiteit_Brussel_Project]] | ||
[[Category:Conditions]] | |||
[[Category:Womens Health]] | |||
[[Category:Mens Health]] | |||
[[Category:Pelvic Health]] | |||
[[Category:Pelvis - Conditions]] | |||
Revision as of 00:28, 21 May 2022
Original Editors
Top Contributors - Khloud Shreif, Jacintha McGahan, Kim Jackson, Admin, Lucinda hampton, Temitope Olowoyeye, Carina Therese Magtibay, Maxime Tuerlinckx, WikiSysop and Vidya Acharya
Definition/Description[edit | edit source]
Proctalgia fugax or functional recurrent anorectal pain, a spasm of pelvic floor muscles, anal sphincter muscles, or rectal muscles causing episodes of severe stabbing anal pain in the absence of an organic disorder to explain pain, lasting for a few seconds or minutes, and repeats for weeks with no pain between episodes. The severity can be severe enough to wake the patient from sleep. The pain is localized to the lower rectum and anus[1]. While chronic proctalgia is a dull ache or pressure-like sensation in the rectum that worse with sitting than standing[2].
Clinically Relevant Anatomy[edit | edit source]
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Epidemiology /Etiology[edit | edit source]
It is a transitory disorder that usually does not need further investigations and can be treated by a primary health care physician. It is difficult to detect its prevalence as the patient does not seek a doctor's help unless the symptoms become severe it represents about 8- 18%[3]and is more common among women than men with 30 and 60 years most affected age[2].
Abnormal smooth muscle contraction and the increase in anal pressure were suggested to be the cause of pain sensation, because the intermittent, infrequent, and the short duration of the pain associated with proctalgia fugax make identifying its mechanism difficult.
The definite causes of proctalgia are still unclear but first, exclusion of any pelvic or anorectal pathophysiology is important. Proctalgia fugax is common after vaginal hysterectomy, sclerotherapy for hemorrhoids, and intramuscular abscess[4]. Anxiety, stressful conditions, and irritable bowel syndrome in addition to an abscess, anal fissure, or hypertrophy of internal anal sphincter[5].
Characteristics/Clinical Presentation[edit | edit source]
add text here
Differential Diagnosis[edit | edit source]
- Levator ani syndrome.
- Chronic proctalgia[2].
- Chronic benign prostatitis.
- Urogenital abnormalities[4].
Diagnostic Procedures[edit | edit source]
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Outcome Measures[edit | edit source]
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Examination[edit | edit source]
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Medical Management
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Physical Therapy Management
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Key Research[edit | edit source]
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Resources
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Clinical Bottom Line[edit | edit source]
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References[edit | edit source]
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- ↑ Jeyarajah S, Purkayastha S. Proctalgia fugax. CMAJ. 2013 Mar 19;185(5):417-.
- ↑ 2.0 2.1 2.2 Bharucha AE, Trabuco E. Functional and chronic anorectal and pelvic pain disorders. Gastroenterol Clin North
- ↑ Drossman DA, Li Z, Andruzzi E, Temple RD, Talley NJ, Thompson WG, et al. U.S. householder survey of functional gastrointestinal disorders. Prevalence, sociodemography, and health impact. Dig Dis Sci. 1993;38(9):1569–80
- ↑ 4.0 4.1 Bharucha AE, Wald A, Enck P, Rao S. Functional anorectal disorders. Gastroenterology. 2006 Apr 1;130(5):1510-8.
- ↑ Celik AF, Katsinelos P, Read NW, Khan MI, Donnelly TC. Hereditary proctalgia fugax and constipation: report of a second family. Gut. 1995 Apr 1;36(4):581-4.
