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ETpro's avatar

[NSFW] How do you relieve cramps "back there"? (See de-tails).

Asked by ETpro (34208 points ) October 25th, 2012

This is a bit embarrassing. Every now and again, with no apparent triggering mechanism, I get a sudden and very painful cramp in my anal sphincter muscle. It aches enough to make life miserable and takes an hour or two to finally go away. It’s not like a cramp in a calf muscle, where you can flex your muscles to work out the cramp.

Is there some kind of muscle relaxant or pain filler you can squirt up there to ease the pain. At it’s worst, it is so distracting I can’t get much done aside from walking around groaning. The pain is enough that if I thought massage would work, I’d let some big Bubba put his cream in the chocolate vat just to get it to go away.

Anyone else have problems with this? If so, how do you make it go away? PS: I’ve had this off on on for 40 years, so it’s clearly not some sudden new disease needing an assadectomy.

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13 Answers

gailcalled's avatar

Since we have eliminated embarrassment, are you using that area for any activities other than elimination?

Sunny2's avatar

Ouch. I hope I don’t have that experience.

deni's avatar

Where specifically is it? Cause I get a pain back there sometimes but it never lasts that long….half hour at most and it’s usually pretty mild. But it’s there enough to be very annoying and inconvenient. It seems to be at the very bottom of my spine, or the top of the “crack” but it feels like a bone/muscle pain, after I “defecate”, even if all goes swimmingly in the bathroom! Is this the same as yours?

ucme's avatar

I had arse cramps once when I was a kid, turns out i’d been sitting on my Evel Knievel action figure & his helmet had come off, wedging itself up my crack.
That’s one stunt the daredevil bugger couldn’t pull off :¬(

SpatzieLover's avatar

Do you have a fissure? Are you commonly constipated? Is this something you’ve discussed with your doc?

As an immediate relief, I’d recommend a Sitz bath with epsom salts. As an overall help, you may need to add fiber to your diet.

If this has seriously been going on for 40yrs, I’m wondering why you haven’t consulted with a surgeon to discuss options.

Lightlyseared's avatar

It’s could be proctologia fugax (don’t you just love the medical profession’s ability to name stuff). It’s not linked with any other disease and is thought it might be pretty common (but figures are hard to come by as people tend not to report it like most bowel things).

If it comes on often it may be worth talking to your doc about as there are several drugs can be used to treat it. Other wise warm baths seem to be the traditional remedy

gailcalled's avatar

FWIW, I developed an anal fistula and discovered it because I ran a low-grade fever for several weeks. My PCP dropped the bad news on me.

I needed surgery to scoop out the infected fistula, but never never had cramps in the sphincter muscles.

I used Sitz baths several times a day (just warm water) in order to buy myself several weeks before the surgery so that my kids could finish the school year.

wundayatta's avatar

Is Protalgia fugax what you are talking about?

Treatment and prevention

Traditional remedies have ranged from warm baths (if the pain lasts long enough to draw a bath), warm to hot enemas,[6] relaxation techniques, and various medications.

In patients who suffer frequent, severe, prolonged attacks, inhaled salbutamol has been shown in some studies to reduce their duration.[7]

The use of botulinum toxin has been proposed as analgesic,[8] and low dose diazepam at bedtime has been suggested as preventative.[9]

Some patients find that sitting on a ball, such as a baseball, covered with a heating pad makes the pain more bearable and helps pain subside quicker. The drug Anaspaz, an anti-spasmotic, is also prescibed for the pain.

Glycerol trinitrate, as spray or ointment is very effective for some.

The most common approach is simply reassurance and topical treatment.[10]

ETpro's avatar

@gailcalled I have been on the receiving end, but that was 40 years ago. No dildo play or anything else in recent history.

@Sunny2 I hope the same for you.

@deni It’s up inside where the muscles are that keep the anal canal closed till it’s time to open up and let out a BM.

@ucme I definitely haven’t been sitting on any superheroes heads. :-)

@SpatzieLover Nope. No fissure.

@Lightlyseared & @wundayatta SOunds like that’s exactly what it is. I’ll ask my doc the next time I see her. Thanks.

@gailcalled Glad they were able to get you on the mend.

ucme's avatar

@ETpro Not even Stretch Armstrong? I hear he goes “all the way.”

gailcalled's avatar

Proctalgia fugax.

blueiiznh's avatar

Anytime I experience a pain in the ass, I just turn and walk away.

ETpro's avatar

@ucme Indeed. Maybe I should look him up.

@gailcalled Seems like that’s it.

@blueiiznh Unfortunately, my ass seems to tag along wherever I go.

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