What Causes Stabbing Pain In Rectum Without Any Relation To Bowel Movements?

Posted on Mon, 19 May 2014

Question: I have a unforgettable stabbing pain that comes and goes with no knowledge of when that will b up my rectum that is very painful to the point that takes breath away and drops me to my knees until it's gone . Only sometimes to stand up and happen again then goes away and no time or schedule to know of . What is it and what to do

Answered by Dr. T Shobha Deepak (6 hours later)

Brief Answer:
Likely to be due to Proctalgia Fugax

Detailed Answer:
Hi
Welcome to healthcare-Magic
Greetings of the day

Dear Ms XXXXX,

Pain occurring spontaneously without any relation to bowel movements and no bleeding while passing stools suggest the possibility of Proctalgia Fugax. Its a painful rectal condition. It occurs due to spontaneous contraction of of pelvic muscle and muscles around the rectum. Stress may be one of the precipitating factor for such attacks.

I would suggest you the following which will definitely be helpful
1. Anal fissure has to be ruled out
2. Hot Seitz bath: To a tub of lukewarm water add a handful of common table salt. Sit in it for 15-20minutes each session thrice a day. It will be comforting and will relax the muscle.
3. Ensure good intake of water: 2-3 liter a day
4. High fiber diet

In case you need any further assistance , will be glad to assist you.

Take Care

Best Regards
Dr T Shobha Deepak
MBBS,MD

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar