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A study was undertaken to assess the evaluation and treatment of chronic intractable rectal pain. Sixty consecutive patients, 23 males and 37 females with a mean age of 69 range, years and a mean length of symptoms of 4. In all cases, organic abdominopelvic and anorectal etiologies for the pain were excluded by extensive radiologic and endoscopic evaluation. All patients had failed conservative and medical therapy. Ninety-five percent of patients had one or more associated factors: constipation or dyschezia 57 percent , prior pelvic surgery 43 percent , prior anal surgery 32 percent , prior spinal surgery 8 percent , irritable bowel syndrome 10 percent , or psychiatric disorders depression or anxiety; 25 percent. Possible etiologies for the pain included levator spasm or anismus in 62 percent, coccygodynia in 8 percent, and pudendal neuropathy in 24 percent of patients.
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Proctalgia Fugax and Anal Pain

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Levator Syndrome Treatments - Medical Clinical Policy Bulletins | Aetna

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Evaluation and treatment of chronic intractable rectal pain--a frustrating endeavor

Rectal pain can refer to any pain or discomfort in the anus, rectum, or lower portion of the gastrointestinal GI tract. This pain is common , and the causes are rarely serious. Oftentimes, it results from a bout of muscle spasms or constipation. Read on to learn more about what can cause these symptoms and when to see your doctor.
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Levator ani syndrome is a long-term condition characterized by sporadic episodes of pain in the rectum and anus. Also called levator syndrome or levator ani spasm syndrome, it is estimated to affect 7. Over half of all those with symptoms of levator ani syndrome are years of age. This article will provide an overview of levator ani syndrome, its symptoms, causes, and available treatment options.
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