Anuskramp - een
verborgen klacht
Een wereld die voor anderen
gesloten blijft!
Anuskramp, en ik maar denken
dat ik de enigste ben met die ellende. Begint vaak 's nachts als ik slaap. Ik wordt dan
echt wakker van de pijn in mijn anus en vlucht naar de wc. Door de pijn wordt ik zo
beroerd dat ik half moet spugen en steeds duizeliger wordt. Ik laat mijn hoofd dan maar op
de wasbak hangen zo beroerd voel ik me dan. Intussen zit ik heel diep te zuchten en op het
moment dat ik denk dit gaat echt niet meer begint mijn darm te schokken en komt er een
beetje ontlasting. Pijn gaat dan langzaam weg. Lijkwit en gesloopt ga ik dan weer terug
mijn bed in. Soms maanden niks en dan in 1 keer 2 keer achter elkaar. Een serieus probleem
waar de dokter geen antwoord op heeft.......
Maar er is een oplossing, ga
met je anus zitten op een tennisbal en de kramp neemt af. Meer verhalen vindt je op een speciaal
forum van anaal k(r)ampeerders.
De latijnse naam is :
Proctalgia fugax
Zoek maar eens met Google op "Proctalgia
fugax"
Proctalgia fugax
Proctalgia fugax is a benign,
self-limiting pain experienced in the perineum. It is common, but most sufferers do not
seek medical advice. The aetiology is unclear, but a variation of irritable bowel
syndrome, pelvic floor myalgia, and internal anal sphincter spasm have all been suggested.
A careful history can elicit the characteristic history, and simple reassurance is often
all that is necessary. For persistent symptoms, therapies that induce internal anal
sphincter relaxation are of value.
More
info
Levator Syndrome
Levator Syndrome is an episodic rectal
pain caused by spasm of the levator ani muscle. The ischiococcygeal syndrome, proctalgia
fugax, and coccydynia, are variants of the levator syndrome. At first, the sensation is
that of a cramp or spasm situated in the rectum approximately 10 to 15 cm above the anus,
gradually becoming more intense to a point of intolerance. After reaching a peak, it
gradually subsides, and usually lasts for about 20 minutes at a time. The pain may be
related to sitting, can occur spontaneously, and can awaken the patient from sleep. The
pain is often described as a vague ache high in the rectum, or as a sharp pain
overwhelming in character, like a knife twisting inside the rectum.
Source: http://www.hemorrhoid.net
Oral clonidine for proctalgia
fugax
R Swain, Jawaharlal Institute of
Postgraduate Medical Education and Research, Pondicherry, India.
A report is made of the successful use of
oral clonidine for proctalgia fugax by the author on himself. The author, a 30 year old
otherwise healthy man, has been having attacks of proctalgia fugax for several years. He
had hitherto left the condition untreated. Last year, in a severe attack, he tried oral
clonidine 150 micrograms twice a day and found it to be dramatically effective. He was
completely relieved in three days and tapered off the drug thereafter. A further attack of
proctalgia fugax after a month was again treated successfully with oral clonidine. The
presumed aetiology of proctalgia fugax is discussed and the possible mechanism of action
of clonidine in this condition is outlined. Further trials of clonidine appear to be
worthwhile for this condition which has been described as incurable.
Meer info over deze stof hier
Treatment of proctalgia fugax
with botulinum A toxin.
Katsinelos P, Kalomenopoulou M,
Christodoulou K, Katsiba D, Tsolkas P, Pilpilidis I, Papagiannis A, Kapitsinis I,
Vasiliadis I, Souparis T. Department of Endoscopy and Motility Unit, Central Hospital,
Thessaloniki, Greece.
Two recent studies described a temporal
association between a high-amplitude and high-frequency myoelectrical activity of the anal
sphincter and the occurrence of proctalgia, which suggest that paroxysmal hyperkinesis of
the anus may cause proctalgia fugax. We describe a single case of proctalgia fugax
responding to anal sphincter injection of Clostridium botulinum type A toxin. The presumed
aetiology of proctalgia fugax is discussed and the possible mechanism of action of
botulinum toxin (BTX) in this condition is outlined. Botulinum A toxin seems to be a
promising treatment for patients with proctalgia fugax, and further trials appear to be
worthwhile for this condition, which has been described as incurable.
Meer onderzoeken hier
Low-dose intravenous lidocaine as
treatment for proctalgia fugax.
Peleg R, Shvartzman P.
Department of Family Medicine, Faculty of
Health Sciences, Ben Gurion University of the Negev, Beer-Sheva, Israel.
pelegr@bgumail.bgu.ac.il
Proctalgia fugax is characterized by a
sudden internal anal sphincter and anorectic ring attack of pain of a short duration.
OBJECTIVE: Description of the influence
of intravenous lidocaine treatment for proctalgia fugax.
CASE REPORT: A 28-year-old patient
suffering of proctalgia fugax for 8 months. Conventional treatment efforts did not improve
his condition. A single dose of an intravenous lidocaine infusion completely stopped his
pain attacks.
CONCLUSIONS: Based on the experience
reported in this case and the potential benefit of this treatment for proctalgia fugax,
controlled studies comparing intravenous lidocaine with placebo should be conducted to
confirm the observation and to provide a more concrete basis for the use of intravenous
lidocaine for this indication.
Bron: http://www.ncbi.nlm.nih.gov
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