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I have a twitch or spasm near my anus, feels like between my anus and scrotum. No pain, just a "gurgling" twitch. like when you get a muscle twitch from too much caffeine. I drink a cup of coffee every day. Everyone keeps mentioning worms on chat boards. I might call my doctor. I just don’t want it to turn into a bowel problem. It has a similar sensation as when you have to have a bowel movement, only its more the sphincter muscle I think. I had a pain when I worked out a few weeks ago - like maybe I strained the muscles down there. Or maybe I need more electrolytes and hydration. Any thoughts?
Hi and welcome to JustAnswer.By what you have described, this is apparently nothing serious .So there is no need to get over worried or over concerned.Especially when you have not experienced any additional symptoms like: nausea, vomiting ,diarrhea, abdominal pain or rectal bleeding .Although you should consult your doctor who will perform a stool culture to determine if you could have parasites, an abdominal X-rays and a physical examination to determine or investigate other possibilities, specially conditions that could affect the rectal area like the presence of mass, polyps, hemorrhoids .At the same time , your doctor will need to evaluate other factors like : medications you have been currently taking, metabolic disorders, measure your glucose blood levels to determine if they altered or not, STD's and previous trauma medical history.In most cases, this is nothing serious and it is product of an involuntary contraction of the pelvic floor, rectal and anal muscles.Like in your case, there is no pain, you will probably not need any treatment at all.When the spasm is accompanied by severe pain, there are some alternatives like inhaled salbutamol, diazepam or Botox injections .However, in most cases, simple things like taking a warm bath will alleviate these spasms.If you have any additional questions or doubts, just ask me so I can help you.