Pain in the bum.

Russ · May 10, 2010

Proctalgia Fugax, levator ani syndrome, anal spasm/cramp or just extreme pain in the bum. I believe it is more common in women, some of whom describe it as worse than giving birth. It is, however, one of those conditions nobody wants to talk about let alone share it in a forum.

The reason for raising it here is that I have learned (from another forum elsewhere) that it MAY be linked to weight gain and loss, being more prevalent in thin people than overweight. My attacks have certainly occurred during thinner times and, normally a slimmer person, the attacks correlate to my T2 weight loss and gain and I was wondering if this rings any bells with anyone else here.

I suspect that this will not mean anything to most readers but it just might make a connection with one or two.

Russ

hanadr · May 10, 2010

Sorry
No
It's a new one on me.
Hana

jollyun · May 22, 2010

Hi I see you wrote regarding..........."P I B" and just to let you know it can be a big embarrassment especially when lunching with friends, to have to finish the meal from a standing position.
Without entering into a prolonged discussion I suspect it to be blood vessels acting up (like piles) so as I am on the weight loss side instead of weight gain doesn't seem to be linked to the former necessarily

wiflib · May 22, 2010

I get it. Very randomly and only at night on going to sleep. Incredibly wierd feeling and only goes away if I sit up or stand. Not had a bout for many months now. No idea if it's linked to weight/piles/pelvic floor etc.

Wiflib

Russ · May 22, 2010

Sorry to hear you're a sufferer, Wiflib, but judging by the number of reads and responses to my post I don't think it's got much to do with weight loss. It was a bit of a long shot.

You might like to have a look at experience.patient.co.uk/discussion_list.php?d=2295 which is a forum, to find out more.

Good luck,

Russ

cavelioness · Jun 2, 2010

I was diagnosed with a swollen coccyx and know how painful that is even to just try and sit down my doctor is helping me treat it with medication and just says its difficult to treat and patience is required.

wiflib · Jun 4, 2010

Hi Russ.

Thanks for the link. I do know all about it, I was just contributing to the discussion. Since getting thinner, I have hardly noticed it. Incidentally, the pain of childbirth has a point and an end. Other pain does not! Many women I know would rather push their baby out again than go through the pain of having a few stitches for example. That holds true for me and many of the women I suture.

Best, from one PITA to another!

cugila · Jun 4, 2010

Here is some information culled from a website for Doctor's in the UK:

Anorectal pain is a relatively common symptom first described by the Romans.
Patients will often delay consulting a healthcare practitioner about this problem due to embarrassment and fear of a sinister diagnosis, tolerating disturbing symptoms for long periods.

There are two functional anorectal pain syndromes:
1. Proctalgia fugax (PF) (fugax = fugitive/fleeting in Greek) and
2. Levator ani syndrome (LAS)
They are both characteristic, benign anorectal-pain syndromes of uncertain aetiology.
Despite their benign nature, they can cause severe distress to the sufferer.

Aetiology
They are thought to occur due to spasm of the anal sphincter - proctalgia fugax (PF)3 or pelvic floor muscles - levator ani syndrome (LAS) but are something of an enigma.
They may be associated with irritable bowel syndrome (IBS). The two affected muscles are anatomically contiguous so the two conditions may coexist, or be different manifestations of the same underlying dysfunction.
The diagnosis of these conditions can usually be made on the basis of the symptoms.
However, more serious diagnoses can present similarly. Thus, it is essential to conduct a thorough clinical assessment to exclude other pathology before offering reassurance.
It may be associated with low-fibre diet and IBS. More than half of affected patients are aged 30-60 years and prevalence declines after age 45.
It has been associated with a variety of other pathologies which may have aetiological significance; for example, pudendal nerve neuralgia.

It is thought that only 20-30% of sufferers of these conditions consult a healthcare practitioner.

Here is a list of the other things that it may also be attributed to:
Differential diagnosis
•Irritable bowel syndrome
•Haemorrhoids ± thrombosis
•Anal fissure (usually causes intense localised pain associated with and following defaecation) - should be visible on proctoscopy
•Solitary chronic rectal ulcer
•Rectal carcinoma
•Perirectal abscess or fistula; hidradenitis suppurativa
•Proctitis (especially gonococcal/chlamydial infection)
•Crohn's disease/ulcerative colitis
•Rectal foreign body
•Pruritus ani
•Diverticular disease
•Rectal prolapse
•Coccygodynia (neuralgic pain around the region of the coccyx)
•Retrorectal cysts
•Condylomata acuminata (anogenital warts)
•Testicular carcinoma
•Prostatitis
•Cystitis
•Psychological cause (some hypothesise that these conditions are psychological rather than physical in origin)
•Alcock's canal syndrome (pudendal neuralgia due to entrapment, may present similarly to PF/be aetiologically relevant)
•Hereditary anal sphincter myopathy
•Bilateral internal iliac artery occlusion

This may help in some way to understand the condition and also to inform people who think they may have it, consult with a GP or Specialist and discuss.

Ken

Pain in the bum.

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Pain in the bum.

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