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Proctalgia Fugax Specialist - Dr. Rishi Chadha

Proctalgia fugax is a disease that results in unexpected rectal muscle contractions which can interfere with sleeping and routine. Dr. Rishi Chadha in GastroDoxs of Houston offers quick solutions by conducting diagnosis tests and treatment plans tailored to each patient, as well as, treatment that will restore confidence and comfort, without surgery.

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Rishi Chadha

About the Expert

Dr. Rishi Chadha, MD is a board‑certified gastroenterologist who specializes in preventive gastroenterology, colorectal cancer screening, and minimally invasive endoscopic procedures. He completed his fellowship at Sunrise Health GME in Las Vegas and previously trained in internal medicine at St. Vincent’s Medical Center in Connecticut.

What Is Proctalgia Fugax?

Proctalgia fugax is acute rectal or anal muscular spasm which is instantaneous and ranging between a fraction of a minute or several minutes. It is not dangerous, though painful and it does not show infection or cancer just a temporary spasm of the pelvic muscles.

Common Causes and Risk Factors

  • Tension or stress of the muscles of the pelvis.
  • Abnormal bowel movement (constipation or diarrhea)
  • Sensation of nestling in and around the rectum.
  • History of anorectal trauma/surgery.
  • Prolonged sitting or incorrect sitting positions.
  • The rapid nature of Houston, high level of stress.

Signs and Symptoms

  • Pain in the anus or rectum which is sudden and stabbing.
  • Pain often begins at night
  • Episodes may take between seconds and several minutes.
  • No swelling, lumps or bleeding.

How Dr. Rishi Chadha Diagnoses Proctalgia Fugax

Step 1: Detailed Medical History

Reviews Dr. Chadha examines the pattern of your pains, sounds, level of stress, sleeping position and any past anorectal problems to identify triggers.

Step 2: Physical Examination

A mild rectal and pelvic exam evaluates the muscle tone, nerve irritability and eliminates lumps, swelling or other symptoms of other anorectal diseases.

Step 3: Targeted Testing (If Needed)

  • Endoscopy/ sigmoidoscopy- to rule out inflammation, fissures or hemorrhoids.
  • To examine the pelvic floor muscles and nerve pathways, pelvic ultrasound or MRI-to should be performed.
  • Anorectal manometry-to assess muscle contraction and fecal sphincter activity.

The majority of diagnoses are performed within the office in haste. Immediate relief is usually experienced on knowing that there is no serious disease.

Dr. Rishi Chadha
Treatment

Our Houston team offers comprehensive treatment options for Proctalgia Fugax.

1. Lifestyle and Diet Tips

  • Warm baths are done to loosen rectal muscles.
  • Do pelvic-floor strains and light exercises.
  • To have soft bowel movements, increase the fiber intake.
  • At least, consume 8 glasses of water per day.
  • Meditative: Use deep breathing or yoga to relax.

2. Medications

  • Topical Cream to facilitate relaxation of anal and rectal muscles.
  • Spasms of the oral muscles which happen frequently and severely.
  • Breakthrough discomfort Pain relievers which are used on an as-needed basis.

3. Advanced Options (for Chronic Cases)

  • The injection of Botox to decrease excess sporadic pelvic muscle contractions.
  • Biofeedback relaxation training of pelvic-floor relaxation skills.
Rishi Chadha

About the Author

Dr. Rishi Chadha, MD is a board‑certified gastroenterologist who specializes in preventive gastroenterology, colorectal cancer screening, and minimally invasive endoscopic procedures. He completed his fellowship at Sunrise Health GME in Las Vegas and previously trained in internal medicine at St. Vincent’s Medical Center in Connecticut.

Frequently Asked Questions

What is proctalgia fugax?

It is a short contracted movement in the rectum or anus that manifests itself suddenly and is normally self-solved.

What causes it?

Pelvic-related muscle stress or tension, bowel irregularities (constipation or diarrhea), nerve irritation, previous anorectal damage or operation and sitting all day or in bad posture.

Is it linked to cancer?

No. Proctalgia fugax does not result in either bleeding or tumors. In case you see some rectal bleeding, then consult your physician immediately.

How long do episodes last?

The duration of the episodes can vary between several seconds to several minutes.

How can I feel better quickly?

Fast relief could be provided using warm baths, pelvic-floor stretches and muscle relaxants (topical or oral).

How is it diagnosed?

Dr. Chadha examines your medical history, does a mild rectal examination, and orders imaging or an endoscopy only in case it is necessary to exclude some other problem.

What lifestyle changes help?

Warm baths, light pelvic-floor workouts, eating more fiber, consuming enough fluids, and engaging in stress-reducing activities such as deep breaths or yoga will work.

What medications are used?

Topical local muscle-relaxing gels and creams, snake bites Exceptional attacks low-frequency oral muscle relaxants, and OTC pain medication.

Are there advanced or surgical options?

Surgical options are rare. The long term cases can be treated with Botox injections or biofeedback therapy to relieve the pelvic muscle tension.

When should I see a doctor?

In case of your pain and when they frequently happen, disrupt your sleep patterns or your normal routine, or when you see any rectal blood, make an appointment with Dr. Rishi Chadha.

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