Proctalgia Fugax
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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].
Characteristics/Clinical Presentation[edit | edit source]
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Differential Diagnosis[edit | edit source]
Levator ani syndrome.
Chronic proctalgia[2].
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
