Anal muscle spasms
Proctalgia is pain due to a spasm of the pelvic floor muscles, the muscles of the anal sphincter, or the muscles of the rectum. This causes severe stabbing pain like a knife sticking into the rectum. This type of pain may originate without warning. It may vary in severity and duration. It may pass quickly or might last much longer. Often the pain will be severe enough to awaken a person at night out of a sound sleep.
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Levator Syndrome - Digestive Disorders - Merck Manuals Consumer Version
Proctalgia fugax and levator ani syndrome are conditions which cause anal pain. Proctalgia fugax is a fleeting pain in the anus, lasting less than 20 minutes, with no symptoms whatsoever inbetween episodes. Levator ani syndrome is a pain which lasts for longer, but for which no other cause is found. Your anus is the very end of your gut, and where it opens out on your bottom. The anal canal is the short tube just above and leads to the rectum just above it. There are many conditions which can cause a pain in the bottom area.
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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.
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. See also Overview of the Anus and Rectum.
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