by Your_Illusion » Mon Mar 23, 2009 7:44 pm
It could be
proctalgia fugax
Proctalgia fugax is a severe, cramp-like pain, deep in the anal canal. It usually lasts for less than a minute, but can sometimes last for up to half an hour. Most sufferers have only 5 or 6 attacks a year. You may feel a need to defecate urgently, but nothing happens. It may even make you feel dizzy, or give you a headache. It occurs in both men and women. It is a mysterious condition; no one knows what causes it, but it is probably a spasm of the rectal or pelvic floor muscles and does not mean that you have anything seriously wrong. There are various methods of relieving the pain.
Try putting pressure on the perineum (the area between the back passage and the vagina or base of the penis) by sitting on the edge of your bath or on a tennis ball.
Sit in hot water or, alternatively, apply some ice.
Two paracetamol tablets and a hot drink may give some relief.
The problem with medications for proctalgia fugax is that the episode is likely to be over before the drugs become active. They might be worth trying if your attacks last a long time. Possible treatments are glyceryl trinitrate spray or under-the-tongue tablets (as used for angina), glyceryl trinitrate cream applied to the anal area, or the asthma drug salbutamol (inhaled from a puffer at the start of the attack). These treatments are only available on prescription, for which you would need to see your doctor.