Proctalgia fugax.
Proctalgia fugax is a benign, self-limiting pain experienced in the perineum. It is common, but most sufferers do not seek medical advice. The aetiology is unclear, but a variation of irritable bowel syndrome, pelvic floor myalgia, and internal anal sphincter spasm have all been suggested. A careful history can elicit the characteristic history, and simple reassurance is often all that is necessary. For persistent symptoms, therapies that induce internal anal sphincter relaxation are of value.
Potter
M A
MA
Department of Surgery, Royal Infirmary of Edinburgh, Lauriston Place, Edinburgh EH3 9YW, UK. mapotter@supanet.com
Bartolo
D C
DC
D006801:Humans; D010146:Pain / Q000209:etiology*; D012002:Rectal Diseases / Q000209:etiology*