Rectal Pain (cont.)
What is the treatment for causes of rectal pain?
- Because proctalgia fugax attacks last for such a brief period of time, no treatment acts fast enough to stop an attack.
Albuterol (Salbutamol), an inhaler used in
asthma, may help in cases with more frequent or prolonged attacks. Other treatment options include
clonidine tablets (Catapres) 105mg twice a day and nitroglycerine ointment applied locally.
- To help control the pain of levator ani syndrome, your doctor may prescribe an anti-inflammatory medication or a muscle relaxer.
- The best time to treat a thrombosed hemorrhoid is in the first 48 hours. If the patient goes to their doctor during this time period, a simple office procedure can bring instant relief. After the hemorrhoid is injected with an anesthetic, a small incision is made and the blood clot is removed. If the patient is seen after the first 48 hours, treatment for the hemorrhoid is the same as the home treatment recommendations.
- To help heal an anal fissure, your doctor may give the patient prescription creams such as
diltiazem (Cardizem, Tiazac, Cartia XT, Dilacor XR, Diltia XT) or glycerine nitrate that will relax the anal muscle. Injection of botulinum toxin into the anal sphincter can also improve healing in patients with chronic anal fissure. If the fissure fails to heal, a procedure called sphincterotomy may be needed. A small nick is made in the anal sphincter to decrease the muscle tone. This procedure can be performed in the doctor's office or at an outpatient surgery center.
- For underlying problems that may also cause rectal problems (colorectal cancers, some prostate diseases), pain management often involves treatments of the underlying problems.
Can rectal pain be prevented?
The best way to prevent rectal pain is to eat a high-fiber diet and drink
plenty of water. This will produce soft stools that are easy to pass and result
in fewer traumas to the anal passage.
What is the outlook for a person
with rectal pain?
- Thrombosed hemorrhoids are treated with a simple procedure.
- Ninety percent of anal fissures heal in three weeks.
- Two-thirds of people suffering from levator ani syndrome will get some relief with treatment.
- Proctalgia fugax remains the most difficult condition to treat, but new therapies are being tested.
- Other rectal pain sources like colorectal cancers or prostatic disease have a prognosis of good to poor, depending on the effectiveness of treatments of these potential causes.
REFERENCE: Irizarry, L. Acute Proctitis Clinical Presentation. Medscape. Apr 24, 2014.
Medically Reviewed by a Doctor on 11/19/2015
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