Proctalgia fugax Flashcards

1
Q

What is it?

A

a severe anorectal pain of unknown origin

can last from a few seconds to several minutes

occurs unpredictably and at irregular intervals.

It is thought to affect 8% to 14% of the general population.

It may be caused by spasm of the muscles of pelvis supporting the lower colon.

It does not lead to any other problems with the bowel such as diverticulitis, ulcerative colitis, haemorrhoids or bowel cancer.

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2
Q

Main features:

A

fleeting rectal pain

varies from mild discomfort to severe spasm

lasts 3–30 mins

often wakes patient at night

a functional bowel disorder

affects adults, usu. professional males

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3
Q

Management

A

Explanation and reassurance

Salbutamol inhaler (2 puffs statim) or

glyceryl trinitrate SL spray statim or

quinine sulphate before retiring worth a trial

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