Ever Get a Sudden Spasm in Your Ass?

by: Harry de Haas

It has a Name: Proctalgia Fugax

I know this one personally.

Every once in a while, seemingly out of nowhere, I get an intense, painful spasm deep in my ass. It can come on suddenly, hurt like hell, and then disappear almost as mysteriously as it arrived.

For years, I didn't know it actually had a name.

So, What Is It?

Proctalgia fugax is a recognized condition involving sudden episodes of pain in the anus or lower rectum. It can feel like a cramp, spasm, stabbing pain or intense pressure.

Episodes usually last from seconds to minutes, although they can sometimes last longer. Between attacks, everything may feel completely normal.

The exact cause isn't fully understood, but spasms of the anal sphincter or pelvic-floor muscles are thought to be involved.

And here's the surprising part: estimates suggest up to 18% of people may experience it, yet only about 20% of those affected seek medical care.

Apparently, a lot of asses are spasming in silence.

What Triggers It?

Sometimes, nothing at all.

Reported triggers include bowel movements, constipation, sexual activity, menstruation and stress. It can even strike while you're sleeping.

What Can You Do About It?

I can only speak personally here, but I've found that Advil (ibuprofen) helps when I get an episode. That's my experience, not a claim that it will work for everyone.

Other commonly suggested measures include relaxing, taking a warm bath or sitz bath, or applying cold pack. Because many attacks are brief, sometimes the spasm simply passes before you've had much opportunity to do anything about it.

Is It Dangerous?

Proctalgia fugax itself is generally considered harmless, but don't assume every pain in your ass is proctalgia fugax.

Hemorrhoids, anal fissures, infections and other conditions can also cause rectal pain. Persistent or worsening pain, bleeding, fever, swelling, changes in bowel habits or other unusual symptoms should be assessed by a healthcare professional.

The Crotch Doctor Verdict

If you've ever been minding your own business and suddenly felt like someone fired a lightning bolt up your ass, you're definitely not alone.

And perhaps the most interesting thing about it isn't how strange it feels, it's how many people experience it and how few of us ever talk about it.

Around here, that's precisely why we should.

This article is for general educational purposes and is not a substitute for individualized medical advice, diagnosis or treatment.