Anorectal Pain

Aka: Anorectal Pain, Rectal Pain, Anal Pain, Proctalgia, Rectalgia, Dyschezia

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II. Definitions

  1. Dyschezia
    1. Painful Defecation

III. Causes: Local pain

  1. Anal Fissure
  2. Anal Cancer
  3. Anorectal Abscess or foreign body
  4. Colonic Endometriosis
  5. External Hemorrhoids (thrombosed or infected)
  6. Internal Hemorrhoids (ache after Bowel Movement)
  7. Fecal Impaction or Constipation
  8. Myopathy (hereditary)
  9. Prostatitis
  10. Functional Rectal Pain
    1. Proctalgia Fugax
    2. Levator Ani Syndrome

IV. Causes: Referred pain

  1. Coccygodynia
  2. Pelvic Inflammatory Disease
  3. Sacral Nerve Compression
    1. Tumor mass
    2. Infection
    3. Inflammation
  4. Uterine Myoma

V. Reference

  1. Nidore (1995) Am Fam Physician 52(8):2238-40 [PubMed]

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