Proctalgia fugax medical therapy

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

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Overview

Medical Therapy

Traditional remedies have ranged from warm baths (if the pain lasts long enough to draw a bath), warm to hot enemas,[1] relaxation techniques,gentle massage of the anus, and various medications. None of these is effective, however.

The use of botulinum toxin has been proposed[2], as has diazepam.[3]

An episode may sometimes be avoided by making sure not to engage in sexual activity within a close time proximity to defecation. Those afflicted can usually tell after either sex or after defecation whether they would be in danger of an episode if they were to engage in the other activity, the potential onset of an episode being usually preceded by a very slight version of the pain that will eventually become much more intense.

Several people have expirienced relief by cold water enema. Also, moist heat, for example a warm wet towel has been reported to have more or less effect.

References

  1. Olsen B (2007). "Proctalgia fugax - a nightmare drowned in enema". doi:10.1111/j.1463-1318.2007.01399.x. PMID 17949444.
  2. Wollina U, Konrad H, Petersen S (2005). "Botulinum toxin in dermatology - beyond wrinkles and sweat". Journal of cosmetic dermatology. 4 (4): 223–7. doi:10.1111/j.1473-2165.2005.00195.x. PMID 17168867.
  3. "Common Anorectal Conditions: Part I. Symptoms and Complaints - June 15, 2001 - American Family Physician". Retrieved 2007-11-17.

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