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Dr. Muneeb Ali
Dr. Muneeb Ali, Intensivist
Category: Medical
Satisfied Customers: 3136
Experience:  MBBS, MD, MCCM.Currently working in Critical Care Medicine with 10 year experience in Medicine
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I experienced pain during sleep in the rectal area. I had a

Customer Question

I experienced pain during sleep in the rectal area. I had a bowl movement shortly after. There have been 2 other instances where i've had the pain but no bowel movement in the last 2-4 months. No blood in my stool. Abdomen tenderness twice in the last 2 months..
Submitted: 10 months ago.
Category: Medical
Expert:  Dr. Muneeb Ali replied 10 months ago.

Hi,

Im sorry to hear about your symptoms. from what you are describing its likely that you could be suffering from Proctalgia Fugax which isa fancy way of saying that your rectal or anal muscles must be contracting intermittently to cause you pain. It is defined as a transient rectal muscle spasm. This can be due to several underlying causes such as hemorrhoids, electrolyte imbalance, nerve issues or even irritable bowel syndrome. In most cases this can be treated with simple painkillers, or even specialized painkillers like lyrica in some cases. However botulinium toxin injections and nerve stimulation seem to be the order of the day in some cases. Here is some more information about this condition.

http://patient.info/doctor/proctalgia-fugax-and-anal-pain

Now apart from this, the abdominal tenderness could indicate other issues such as inflammatory bowel disease which can cause abdominal tenderness as well as rectal pain.

My suggestion would be to have this evaluated by your gastroenterologist.

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Expert:  Dr. Muneeb Ali replied 10 months ago.

If you are satisfied, Please leave a POSITIVE rating by clicking on the stars below, until you do i am not compensated for my time. You can continue to ask follow-up questions even after the POSITIVE rating.

Expert:  Dr. Muneeb Ali replied 10 months ago.

Do you have any more questions?

If you are satisfied, Please leave a POSITIVE rating by clicking on the stars below, until you do i am not compensated for my time. You can continue to ask follow-up questions even after the POSITIVE rating.

Expert:  Dr. Muneeb Ali replied 10 months ago.

Do you have any more questions?

If you are satisfied, Please leave a POSITIVE rating by clicking on the stars below, until you do i am not compensated for my time. You can continue to ask follow-up questions even after the POSITIVE rating.