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Proctalgia fugax is normally diagnosed after other possible causes of anal pain and spasms have been ruled out. At first mine were like a sharp knife jabbing me non stop, then they progressed to tight, pressure feeling like a golf ball was in there and sometimes if i sat down it would relieve the spasm too. It most often occurs in the middle of the night and lasts from seconds to minutes pain and aching lasting twenty minutes or longer would likely be diagnosed instead as levator ani syndrome. In a study published in 2007 involving 1809 patients, the attacks occurred in the daytime (33 percent) as well as at night (33 percent) and the average number of attacks was 13. Onset can be in childhood however, in multiple studies the average age of onset was 45. It is believed that spasms occur in the smooth muscles of the anal canal and the anal sphincter. Some people may experience sudden and severe muscle cramps in their anal canal. Just as spasms of neck muscles cause headaches, spasms of the pelvic muscles causes proctalgia. Proctalgia is pain due to a spasm of the pelvic floor muscles, the muscles of the anal sphincter, or the muscles of the rectum. This causes severe stabbing pain like a knife sticking into the rectum. How gaba eases agonizing rectal pain and spasms in under 2 minutes. Proctalgia fugax is described as a condition that leads to rectal spasms and sharp fleeting pain in the lower rectum or anus. Rectal spasm and levator ani syndrome admin t1850020000 what causes rectal spasms and levator ani syndrome? There are a number of terms for muscle-based pain in the rectal area, including levator ani syndrome, levator ani spasm syndrome, proctalgia fugax, chronic pelvic pain syndrome, proctodynia, coccygodynia, pelvic floor dysfunction and pelvic floor myalgia.