Proctalgia - Causes and Signs of Proctalgia

They are distinguished by form:

• primary;
• secondary.

They are distinguished by types:

• night proctalgia; the patient experiences pain during a night's rest, the nature of the pain has different duration and intensity;
• flying proctalgia (anusalgia); the nature of the pain is no different from that at night, but has other causes: coccyx injury, bowel movement disorder, degenerative changes in the spinal structures, urological infections;
• spastic proctalgia: characterized by rectal pain, affects people with bowel movement disorders, frequent diarrhea or constipation.

Causes

There are no clear ideas about the origin of this disease. If no inflammatory process in the rectum is detected, and the presence of pain is confirmed, then its occurrence may be due to a psycho-emotional disorder. The doctor diagnoses proctocolgia syndrome of unclear clinical cause. Painful sensations suddenly appear and also suddenly disappear. The pain may radiate to the coccyx, hip joints, perineum, and anus.

The patient does not experience pain during defecation, but this greatly affects the patient's quality of life. This disease lasts for a long time, sometimes the patient confuses this disease with diseases of the genitourinary system.

Symptoms

There is no clear idea about the origin of this disease. If no inflammatory process is detected in the rectum, and the presence of pain is noted, then its occurrence may manifest itself on the basis of a psycho-emotional disorder. The doctor establishes a diagnosis of proctologic syndrome of unclear clinical cause. Painful sensations suddenly appear and also suddenly disappear. The pain may radiate to the coccyx, hip joints, perineum, and anus.

The patient does not experience pain during defecation, but this greatly affects the patient's quality of life. This disease lasts for a long time, sometimes the patient confuses this disease with diseases of the genitourinary system.

Diagnostics

Patients who seek advice from a proctologist because of proctalgia have often been seen by a gynecologist or urologist because of a disease of the genitourinary system.

A proctologist must establish diseases that accompany diseases of the rectum. Therefore, a full clinical examination is prescribed to identify diseases.

• It is necessary to undergo a digital rectal examination;
• rectomanoscopic examination;
• colonoscopic examination;
• irrigoscopic examination;
• clinical blood test;
• gynecological examination;
• urologist examination;
• ultrasound examination (ultrasound) of the genitourinary system, pelvic organs;

Treatment

To alleviate this disease, the following measures are used in medical practice:

• physiotherapy procedures;
• UHF;
• thermal baths;
• exposure to current of different frequencies;
• taking mud baths;
• block with the use of novocaine;
• sedatives;
• consultation with a psychotherapist;
• diet compliance.
• therapeutic physical exercises;
• compliance with the work and rest regime.

Prevention

This disease appears suddenly, and disappears just as suddenly. The patient may develop any emotional disorder, so it is necessary to observe the work and rest regime, spend more time in the fresh air, lead a healthy lifestyle, follow a diet, follow the rules of personal hygiene, and regularly undergo preventive medical examinations.