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Spasm of anus

Proctalgia fugax , a variant of levator ani syndrome , is a severe, episodic pain in the regions of the rectum and anus. It most often occurs in the middle of the night [3] and lasts from seconds to minutes; [4] pain and aching lasting twenty minutes or longer would likely be diagnosed instead as levator ani syndrome. In a study published in involving patients, the attacks occurred in the daytime 33 per cent as well as at night 33 per cent and the average number of attacks was Onset can be in childhood; however, in multiple studies the average age of onset was Many studies showed that women are affected more commonly than men, [5] but this can be at least partly explained by men's reluctance to seek medical advice concerning rectal pain. To be diagnosed as proctalgia fugax, the pain must arise de novo meaning the absence of clear cause.
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Medical University of South Carolina Digestive Disease Center

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Anal pain Causes - Mayo Clinic

This pain is usually caused by intense muscle spasms in or around the canal of the anus. The pain is slightly different in levator ani syndrome, and may last days instead of minutes. Anyone can experience proctalgia fugax. The symptoms of proctalgia fugax are muscles spasms in or around the lower rectum area or in or around the canal of the anus. The pain or spasm happens suddenly, and usually without warning. The pain can be severe and will last for only a few seconds, although it can last up to 30 minutes in some cases. These episodes may be severe enough to keep you home from work.
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What's to know about proctalgia fugax?

Anal fissure is one of the most common lesions to consider in the differential diagnosis of anal pain. This is an ulcer in the squamous epithelium of the anus located just distal to the mucocutaneous junction and usually in the posterior midline. It typically causes episodic pain that occurs during defecation and for one to two hours afterwards.
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Levator syndrome is sporadic pain in the rectum caused by spasm of a muscle near the anus the levator ani muscle. The rectum is the section of the digestive tract above the anus where stool is held before it passes out of the body through the anus. The anus is the opening at the end of the digestive tract where stool leaves the body.
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