levator ani syndrome
Introduction
Introduction to levator ani muscle syndrome Painful rectal pain caused by levator ani muscles, transient pain of the anus (transient pain of the rectum) and tail pain (pain of the tail area) are variants of the levator ani muscle syndrome, which can occur in both men and women. Pain It is not related to defecation. An episode lasts for 20 minutes. It can be related to sitting position, or it can happen on its own, and may cause the patient to wake up from sleep. Pain is often described as equivalent to unexplained pain in the rectum, and anal pain cannot be relieved after anal exhaust or defecation, and relieves itself within a few minutes. In severe cases, the pain can last for hours and is accompanied by recurrence. Therefore, the patient may have multiple rectal surgery and is ineffective. basic knowledge Sickness ratio: 1-2% Susceptible people: young white-collar workers are more common Mode of infection: non-infectious Complications: chronic colitis proctitis
Cause
Etiology of levator ani muscle syndrome
Cause of disease:
The cause of this disease is not particularly clear, and may be related to the stimulation of levator ani muscle by proctitis, colitis, hemorrhoids, anal fissure and other diseases. It may also be related to the abnormality of levator ani muscle smooth muscle fibers. For example, the levator musculoskeletal sarcoplasmic reticulum is underdeveloped, resulting in a decrease in memory calcium ions. When the body is deficient in calcium, it can cause persistent and spasmodic contraction of the levator ani muscle.
Prevention
Anal levator syndrome prevention
Pay attention to sitting posture and actively treat and prevent prostate diseases.
Complication
Anterior levator syndrome complications Complications chronic colitis proctitis
1. Chronic proctitis: an inflammation that occurs in the rectum. Chronic proctitis can cause pain, bleeding, and cause rectal pus and mucus. Chronic proctitis can last for a long or short period of time. Chronic proctitis has "four major symptoms", constipation and diarrhea alternate, the stool contains mucus and blood, the anus mouth burning when the stool, due to secretion stimulation, the epidermis around the anus peeling off, sometimes itching into the mouth, the lower abdomen full Discomfort, loss of appetite, weight loss, general malaise.
2. Chronic colitis: often presents intermittent abdominal pain, abdominal distension, abdominal pain is the main manifestation of enteritis. In case of cold, greasy things or emotional fluctuations, or especially after exertion. The number of stools increased, several times a day or dozens of times, the anus fell, the stool was unhappy.
Symptom
Symptoms of levator ani muscle syndrome Common symptoms Anal pain Anal short-term paroxysmal dull pain Anal area redness and painful lumps
Causes paroxysmal rectal pain, physical examination is often normal, although there may be tenderness or stiffness of the levator ani muscle, often on the left side, a small number of patients may be caused by posterior or lower prostate or prostate disease.
Examine
Examination of levator ani muscle syndrome
Physical examination can rule out other diseases that cause rectal pain (such as sputum, anal fissure, abscess). Physical examination is often normal, although there may be tenderness or stiffness of the levator ani muscle, often on the left side, and a small number of patients may be caused by posterior or lower prostate or prostate disease.
Diagnosis
Diagnosis and differentiation of levator ani muscle syndrome
diagnosis
Diagnosis can be based on medical history, clinical symptoms, and laboratory tests.
Differential diagnosis
It should be differentiated from cancer of the rectum.
