Proctalgia fugax: Difference between revisions
Neil.m.young (talk | contribs) (Text replacement - "==Diagnosis==" to "==Evaluation==") |
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==Background== | ==Background== | ||
*Cramp of pubococcygeus or levator ani muscles | *Cramp of pubococcygeus or levator ani muscles | ||
*Should be considered a diagnosis of exclusion | |||
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==Differential Diagnosis== | ==Differential Diagnosis== | ||
*Levator ani | |||
*[[External hemorrhoid]] | |||
*[[Anal fissure]] | |||
*[[Rectal prolapse]] | |||
*[[Constipation]] | |||
*Fecal impaction | |||
*[[Prostatitis]] | |||
*[[Proctitis]] | |||
*Prolapsed [[internal hemorrhoid]] | |||
*[[Anorectal abscess]] | |||
*Coccydynia | |||
==Evaluation== | ==Evaluation== | ||
Revision as of 21:24, 20 March 2018
Background
- Cramp of pubococcygeus or levator ani muscles
- Should be considered a diagnosis of exclusion
Clinical Features
- Spasm-like, sometimes excruciating, pain in the anus, often misinterpreted as a need to defecate
- Episodic pain (women, patients < 45yo)
- Incontinence
- Urgency
Differential Diagnosis
- Levator ani
- External hemorrhoid
- Anal fissure
- Rectal prolapse
- Constipation
- Fecal impaction
- Prostatitis
- Proctitis
- Prolapsed internal hemorrhoid
- Anorectal abscess
- Coccydynia