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Proctalgia Fugax

Proctalgia fugax causes sudden rectal muscle spasms that can disrupt sleep and daily life. At GastroDoxs in Houston, Dr. Rishi Chadha provides rapid relief through expert diagnosis, personalized treatment plans, and therapies to restore comfort and confidence without invasive procedures.

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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 a sharp muscle cramp in the rectum or anus that comes on suddenly and may last a few seconds to a few minutes. Though painful, it is not dangerous, and it does not indicate infection or cancer-just a brief spasm of the pelvic muscles.

Common Causes and Risk Factors

  • Stress or tension in pelvic muscles
  • Irregular bowel habits (constipation or diarrhea)
  • Nerve irritation near the rectum
  • Prior anorectal injury or surgery
  • Long periods of sitting or poor posture
  • Houston's fast pace and heightened stress levels

Signs and Symptoms

  • Sudden, stabbing pain in the anus or rectum
  • Pain often begins at night
  • Episodes last seconds to a few minutes
  • No bleeding, lumps, or swelling

How Dr. Rishi Chadha Diagnoses Proctalgia Fugax

Step 1: Detailed Medical History

Dr. Chadha reviews your pain patterns, bowel habits, stress levels, sleeping position and any prior anorectal issues to pinpoint triggers.

Step 2: Physical Examination

A gentle rectal and pelvic exam assesses muscle tone, detects nerve irritation and rules out lumps, swelling or signs of other anorectal conditions.

Step 3: Targeted Testing (If Needed)

  • Endoscopy or sigmoidoscopy-to exclude inflammation, fissures or hemorrhoids
  • Pelvic ultrasound or MRI-to visualize pelvic floor muscles and nerve pathways
  • Anorectal manometry-to measure muscle contractions and sphincter function

Most diagnoses are made quickly in-office. Knowing there's no serious disease often brings immediate relief.

Dr. Rishi Chadha
Treatment

Our Houston team offers comprehensive treatment options for Proctalgia Fugax.

1. Lifestyle and Diet Tips

  • Take warm baths to relax rectal muscles
  • Perform pelvic-floor stretches and light exercises
  • Increase fiber intake for softer bowel movements
  • Drink at least 8 glasses of water daily
  • Practice stress-relief techniques such as deep breathing or yoga

2. Medications

  • Topical creams to help relax anal and rectal muscles
  • Oral muscle relaxants for frequent or severe spasms
  • Pain relievers, used as needed for breakthrough discomfort

3. Advanced Options (for Chronic Cases)

  • Botox injections to reduce overactive pelvic muscle spasms
  • Biofeedback therapy to teach pelvic-floor relaxation techniques
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's a brief muscle spasm in the rectum or anus that comes on suddenly and usually resolves on its own.

What causes it?

Stress or tension in pelvic muscles, irregular bowel habits (constipation or diarrhea), nerve irritation, prior anorectal injury or surgery, and long periods of sitting or poor posture.

Is it linked to cancer?

No. Proctalgia fugax does not cause bleeding or tumors. If you notice any rectal bleeding, consult your doctor right away.

How long do episodes last?

Episodes typically last anywhere from a few seconds to a few minutes.

How can I feel better quickly?

Warm baths, pelvic-floor stretches, and muscle relaxants (topical or oral) can offer fast relief.

How is it diagnosed?

Dr. Chadha reviews your medical history, performs a gentle rectal exam, and orders imaging or endoscopy only if needed to rule out other issues.

What lifestyle changes help?

Take warm baths, do light pelvic-floor exercises, eat more fiber, stay hydrated, and practice stress-relief techniques like deep breathing or yoga.

What medications are used?

Topical muscle-relaxing creams, oral muscle relaxants for frequent attacks, and over-the-counter pain relievers as needed.

Are there advanced or surgical options?

Surgical options are rare. Chronic cases may benefit from Botox injections or biofeedback therapy to ease pelvic muscle strain.

When should I see a doctor?

If your pain occurs frequently, interferes with sleep or daily life, or if you experience any rectal bleeding'schedule an evaluation with Dr. Rishi Chadha.

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