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Suggest treatment for painful cramps in the rectum

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Posted on Mon, 6 Mar 2017
Question: Hello,
Over the last decade I have had on occasion a strange cramp like pain. Its location is hard to describe, as it is located somewhere near the rectum, but it is inside the body. It is hard to distinguish exactly where because it is an internal cramping, almost similar to menstrual cramps that comes on and always lasts about 20-30minutes. When I concentrate on the pain, I feel it coming on from one side of the body, and then it progressively increases in pain as it reaches its middle point and then moves to the other side as it diminishes. It doesn't seem to be influenced by absolutely any specific activity. I have suffered this painful cramping while walking, sitting down, and also have been on occasion woken up during the night, as the cramp wakes me up. It is very strange, as it has absolutely nothing to do with going to the bathroom (i.e. excrement) or doesn't coincide with any menstrual periods or whatever. Sometimes the pain at its apex can be so intense that I break out in a cold sweat. Then after twenty minutes or so it just goes away... The first time it happened I was 36yrs old (10 years ago) and I was swimming in a pool. It really scared me the first time, but then it went away by itself, and the subsequent times it has occurred I have just tried to relax and breathe through the uncomfortable experience until it subsides. On the average it probably occurs 5-7 times a year, so I tend to forget about it, but would like to know what it could be? I have also spoken to a close friend of mine, and she also has been suffering from this mysterious "ass" cramping.... What is the cause? And should we be concerned?
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Answered by Dr. Geeta Sundar (2 hours later)
Brief Answer:
I have read your history and find it interesting

Detailed Answer:
Hi XXXXXXX welcome to HealthcareMagic,

I have read your history and find it interesting because of the infrequency of attacks of cramps.

With such severe attacks, I would expect it to be more frequent and progress in severity.

Now coming to causes--

It could be from rectum, lower colon, uterus, ovaries, pelvis, ureters (stone) or the lower spine.

You should get an abdomino-pelvic sonography, a Gynaec check up, a routine urine analysis, a proctoscopy (examining rectum with instrument) and an X-ray of lower back done--if not done already.

Once these reports are in, we will hopefully know the probable cause.

Please revert back if they're done already, or if you've any further queries.

Regards


Above answer was peer-reviewed by : Dr. Arnab Banerjee
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Answered by
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Dr. Geeta Sundar

Internal Medicine Specialist

Practicing since :1975

Answered : 1329 Questions

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Suggest treatment for painful cramps in the rectum

Brief Answer: I have read your history and find it interesting Detailed Answer: Hi XXXXXXX welcome to HealthcareMagic, I have read your history and find it interesting because of the infrequency of attacks of cramps. With such severe attacks, I would expect it to be more frequent and progress in severity. Now coming to causes-- It could be from rectum, lower colon, uterus, ovaries, pelvis, ureters (stone) or the lower spine. You should get an abdomino-pelvic sonography, a Gynaec check up, a routine urine analysis, a proctoscopy (examining rectum with instrument) and an X-ray of lower back done--if not done already. Once these reports are in, we will hopefully know the probable cause. Please revert back if they're done already, or if you've any further queries. Regards