View Case Reports
Rectal spasms (Levator ani syndrome, proctalgia fugax)
Medical ConditionGastrointestinal disorders
Proctalgia fugax is a recurrent episodic form of a more prolonged and severe condition called levator ani syndrome. It is associated with often excruciating rectal pain and great difficulty defecating. It involves the internal anal sphincter and may represent neuralgia of the pudendal nerves. It has no known cure.
Recurrent anal sphincter pain, constipation, anxiety
Pain Scale: Before Cannabis Use
Pain Scale: After Cannabis Use
Brief history and target symptomatology
The patient is a 26-year-old experienced computer specialist, fully and stressfully employed as a customer assistant in a retail electronics store. His rectal pain may occur at night or during the day, when it causes significant social anxiety.
Previous and current conventional therapies
Warm baths (if the pain lasts long enough to draw a bath), warm enemas, relaxation techniques. (Botulinum toxin, inhaled Albuterol and low dose diazepam at bedtime have been mentioned in the literature as occasionally helpful but the patient has not tried these.)
Clinical response to Cannabis
Inhaled marijuana brings immediate relief of the acute symptoms. Regular marijuana use somewhat decreases the frequency of pain attacks.
Good review article, with references, in Wikipedia.
Usual method of Cannabis administration
Frequency of Usage: Time Per Day
Frequency of Usage: Days per Week
The patient has been a medical marijuana user for about one year with continued relief but little change in symptoms.
Stefan Arnon, M.D.