2005, Number 3
Enfermedades del Ano, Recto y Colon 2005; 11 (3)
Márquez GJJ, Márquez SI
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ABSTRACTA bibliographical review of proctalgia fugax, an illness that in spite of having been described clinically by Hall in 1841 (164 years ago) has been carried out. Its research hasn’t shown its origin and its pathophysiology. So it hasn’t prescribed a standard cure in patients who show this pathology. According to the criteria of Rome II, proctalgia fugax is included in the so called functional anorectal pains. It occurs in about 14% of apparently healthy adults, often waking up the patient from a deep dream at night; it is a so intensive pain that can cause neurovegetative disorders which cause lipothymia. Proctalgia fugax is associated to some patients that have irritable bowel syndrome presenting symptoms such as diarrhea, constipation, or tenesmus as well as emotional disorders. A differential diagnosis with 2 functional anorectal pains, named coccygodynia and anal levatore Syndrome, is completed. Treatment is difficult to be carried out because its pathophysiology is unknown. Studios must be performed to show the patient that his pathology is benign; and if it is necessary, to recommended him psychological therapy. Proposed treatments, according to the literature, are enlisted: Sitz baths, endoanal manipulations, anal sphincter injection of clostridium A botulinum, topical nitroglycerin, oral clonidine, and salbutamol inhalation, among others.