4 doctors weighed in:
What could be the cause of severely painful rectal spasms?
4 doctors weighed in

Dr. Michio Abe
Internal Medicine
2 doctors agree
In brief: Proctalgia fugax
Sounds like proctalgia fugax, which is a benign condition.
But it could be very painful. It's thought to be due to spasms of pelvic muscles, surrounding your rectum. It's usually very short- lasting and self- resolving. Heating pad or massaging the area could be helpful. But then again it could be due to other conditions. If it is bothering you a lot, it would be a good idea to see a doctor.

In brief: Proctalgia fugax
Sounds like proctalgia fugax, which is a benign condition.
But it could be very painful. It's thought to be due to spasms of pelvic muscles, surrounding your rectum. It's usually very short- lasting and self- resolving. Heating pad or massaging the area could be helpful. But then again it could be due to other conditions. If it is bothering you a lot, it would be a good idea to see a doctor.
Dr. Michio Abe
Dr. Michio Abe
Thank
1 comment
Dr. Eric Kaplan
I agree for the most part. Taking a Fleet enema if the spasm is severe, often changes the pull on the muscles, allowing the spasm to diminish. Anal fissures can also cause severe rectal spasm. Both should be evaluated by an expert and the diagnosies confirmed before you assume nothing can be done.
Dr. Jan Rakinic
Surgery - Colorectal
In brief: Stress
These spasms are often related to stress.
Sometimes they wake people from sleep, but are gone so quickly that any treatment (like sitz bath, or pain medication) doesn't really help. Physical exam may identify spastic pelvic floor muscles, but is otherwise usually normal. Avoid fixating on bowel habits, stay on high fiber /fluid diet, try to manage stress better. See your doctor if it persists.

In brief: Stress
These spasms are often related to stress.
Sometimes they wake people from sleep, but are gone so quickly that any treatment (like sitz bath, or pain medication) doesn't really help. Physical exam may identify spastic pelvic floor muscles, but is otherwise usually normal. Avoid fixating on bowel habits, stay on high fiber /fluid diet, try to manage stress better. See your doctor if it persists.
Dr. Jan Rakinic
Dr. Jan Rakinic
Thank
Get help from a real doctor now
Dr. Bennett Machanic
Board Certified, Neurology
48 years in practice
55M people helped
Continue
108,000 doctors available
Read more answers from doctors