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rectal pain (anorectal pain, proctalgia)
Etiology:
1) anal fissure
2) hemorrhoids, thrombosis of hemorrhoid
3) anorectal abscess
5) proctitis
6) foreign body
7) fecal impactation
8) endometriosis
9) neoplasm (rectal cancer, metastasis)
10) pelvic inflammatory disease
11) sacral nerve
a) inflammation
b) compression
12) prostatitis
13) proctalgia fugax
14) levator ani syndrome (levator ani muscle spasms)
15) uterine disorder
16) coccygodynia
17) myopathy
18) inflammatory bowel disease
a) ulcerative colitis
b) Crohn's disease
19) foreign bodies in the rectum
20) rectal prolapse
Management:
- depends upon etiology
- general: Sitz baths, psyllium [3]
General
pain [odyn-]
anorectal disease
References
- Ferri's Clinical Advisor, Instant Diagnosis and Treatment,
Ferri FF (ed), Mosby, Philadelphia, 2003, pg 1216
- emedicine: Rectal Pain
http://www.emedicinehealth.com/rectal_pain/article_em.htm
- Medical Knowledge Self Assessment Program (MKSAP) 18,
American College of Physicians, Philadelphia 2018