If You Have a Stabbing Pain In Your Rear, Here’s What It Could Mean

 

Experiencing a sudden, stabbing pain in the rectal area can be alarming and embarrassing. However, discussing and understanding these symptoms is crucial for identifying potential health issues. Recently, doctors on TikTok have been shedding light on a condition called ‘proctalgia fugax,’ which could be the culprit behind this mysterious pain.¹

What is Proctalgia Fugax?

Proctalgia fugax is a condition characterized by spasms of the pelvic floor muscles, the anal sphincter, or the rectal muscles, resulting in severe stabbing pain. This pain can appear suddenly and without warning, varying in severity and duration.² According to Dr. Karan Raj and Dr. Karen Tang, these episodes can significantly impact the quality of life, especially since they often occur without a clear cause.

 

Common Symptoms

The primary symptom of proctalgia fugax is a sudden, intense pain that feels like a knife stabbing into the rectum. This pain can wake a person from a deep sleep and may be relieved by walking around, having a bowel movement, or passing gas. The duration of pain can range from a few seconds to several minutes or longer.

Potential Causes

While the exact cause of proctalgia fugax is not well understood, several conditions can trigger or exacerbate the pain. These include:

• Stress
• Hemorrhoids
• Rectal ulcers
• Abscesses
• Fissures in the rectal lining
• Inflammatory bowel disease

Connection to Other Health Issues

Dr. Karen Tang noted that proctalgia fugax can sometimes be a sign of more serious conditions, like endometriosis or pelvic floor spasms. Women, in particular, might normalize their pain and avoid discussing it with doctors, which can delay diagnosis and treatment.

Impact of Stress

Stress is a significant factor in proctalgia fugax. The mind-body connection means that emotional stress can manifest as physical symptoms like pain, particularly in the digestive system. Managing stress through relaxation techniques and lifestyle changes can help alleviate symptoms.

 

Treatment Options

Several treatment options are available for proctalgia fugax:

• Natural Vegetable Powder: Taking three heaping tablespoons daily can help by ensuring large, soft bowel movements that stretch the muscles, preventing spasms.
• Muscle Relaxants: These can be prescribed if natural remedies are insufficient.
• Electrical Stimulation: A probe inserted into the rectum delivers a low-voltage current to relax spastic muscles.
• Nerve Blocks: An anesthesiologist injects a numbing solution into the pelvic area to alleviate pain.
• Pelvic Muscle Retraining: This involves exercises to teach individuals how to relax and contract their pelvic floor muscles effectively.

Conclusion

Although proctalgia fugax can be embarrassing to discuss, it’s essential to seek medical advice if you experience pain. Understanding the condition and exploring treatment options can significantly improve the quality of life for those affected. Don’t let embarrassment prevent you from addressing your health concerns—consult a doctor to explore the best course of action.

 

Sources

1. “Brits warned about what ‘stabbing pain’ that sometimes occurs in their bums could actually mean.” Lad bible. Joe Harker. July 3, 20224.
2. “Proctalgia.” Musc Health