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"
Update dec 2010
Ik heb voor mij de oplossing
gevonden. Ik heb van het merk NOW magnesium citraatpoeder gekocht. Zodra ik een aanval
krijg neem ik een theelepel in een glas water opgelost en dit verhelpt mij binnen een paar
minuten van de kramp, er komt dus geen climax meer
Anuskramp
Wel eens anuskramp gehad?. Dat weet je hoe
pijnlijk dit kan zijn. Hieronder nog wat ervaringen met anuskramp, nog altijd een taboe
onderwerp. Voor mensen die hier geen ervaring mee hebben, het valt alsof er iemand een mes
in je anus ronddraait. De remedie kan zijn: op een tennisbal gaan zitten, dus tegendruk op
de sluitspier uitoefenen.
Lees verder
Ron
--
Het enige echte middel dat echt schijnt te
helpen is Nitrobaat (nitroglycerine 0,4 mg. )Via je huisarts op recept verkrijgbaar. Mijn
huisarts erkende de pijn en de oorzaak! De kwaal is een vernauwing van de bloedvaten in de
anus (of slokdarm). Een weinig op een vinger sprayen en insmeren! Plaatselijke warmte kan
dus ook licht helpen. Nitroglycerine steekt een beetje maar helpt geweldig om de ergste
pijn te voorkomen doordat het middel de bloedvaten verwijden.
Ik vond nog deze studie:
Treatment of proctalgia fugax with
topical nitroglycerin
Nitroglycerin ointment is a newly described
treatment for several painful anal conditions. We describe a single case of levator spasm
or proctalgia fugax responding to topical application of nitroglycerin. This is only a
single case report, and conclusive evidence awaits completion of a controlled clinical
trial.
Link
En je bent niet alleen......
Proctalgia fugax: demographic and
clinical characteristics. What every doctor should know from a prospective study of 54
patients
de Parades V, Etienney I, Bauer P, Taouk M,
Atienza P. Proctologie Médico-Interventionnelle, Groupe Hospitalier Diaconesses - Croix
Saint Simon, Paris, France.
PURPOSE: This prospective study was
designed to describe a typical attack of proctalgia fugax. METHODS: Patients were
recruited from May 2003 to June 2004. Whatever the reason for consultation, they were
systematically asked: "Do you ever suffer intermittent and recurring anorectal pain
lasting for at least three seconds?" If the answer was yes, they were interviewed
with a questionnaire and had a proctologic examination. The criterion for proctalgia fugax
was a positive answer with a negative examination. RESULTS: The study included 1,809
patients. Fifty-four of these patients (3 percent) had proctalgia fugax and 83 percent of
them had never sought medical advice for this problem. The mean age was 51 (range, 18-87)
years. Thirty-seven patients were females (69 percent). The onset of pain was sudden and
without a trigger factor in 85 percent of cases. Attacks occurred in the daytime (33
percent) as well as at night (35 percent). The pain was described as cramping, spasm-like,
or stabbing in 76 percent of cases. It did not radiate in 93 percent of cases. There were
no concomitant symptoms in 81 percent of cases. Attacks stopped spontaneously in 67
percent of cases. The average duration was 15 minutes (range, 5 seconds to 90 minutes).
The average annual number of attacks was 13 (range, 1-180). CONCLUSIONS: Proctalgia fugax
affects twice as many females as males at approximately aged 50 years. Commonly the
roughly once-monthly attack occurs as a sudden pain with no trigger factor, diurnally as
often as nocturnally. The nonradiating cramp, spasm, or stabbing pain, without concomitant
symptoms, is most severe on average after 15 minutes and declines spontaneously.
PMID: 17164968 [PubMed - indexed for
MEDLINE]
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
Links
