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Tuesday 29 July 2025 22:23:15 GMT

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Ever been jolted awake by a sharp, stabbing pain in your butt that vanishes as mysteriously as it came? @stinkyasher You might’ve had proctalgia fugax — a fancy name for what I call a Charlie horse of the rectal muscles. It’s a sudden cramp of the skeletal muscle inside your rectum — uncomfortable, unpredictable, and often short-lived. If it’s happening often, we have options: 💊 Medications like baclofen or Flexeril to relax the muscle 🧴 Ointments like nitroglycerin to ease the spasm 🧠 If needed, we can prevent them using neuromodulators like SNRIs or TCAs Also, a referral to our colleagues in pelvic floor physical therapy really helps as well…and may even obviate the need for medications! And don’t overlook the basics — good sleep, hydration, electrolytes, and mental health. They all play a role in keeping those muscles calm. #proctalgia #rectalpain #ibs #irritablebowelsyndrome #irritablebowel #guthealth #guthealthmatters #guthealing

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