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I had a scope a few days ago. Everything clear. I had eaten lightly days in advance and emptied my pouch before the procedure. No enema. After the procedure we went for lunch and Christmas shopping, and was out for a total of six hours after the procedure. There was some urgency toward the end of the outing, but I was able to hold it. By the time I got home I felt very full inside, with a lot of pressure. The next day I started to have intense pain in one small area: on the right side of my anal area, toward the back, about an inch or so inside. It feels like a hot nail being driven in, and there is pressure in that spot. The pain is so intense and sudden it makes me yell, or stop in my tracks until it passes, usually in 10 seconds. When this happens (six or seven times an hour) gas pops out immediately afterward. Sometimes I need to pass stool, but there is no urgency, no leaking. It does not feel like a spasm because the pain is constant for 10 seconds, not throbbing or twisting, which I associate as a spasm (am I wrong?). There is no fever, no vomiting, no cramps, no bleeding, no loss of appetite. I haven't changed my diet. I have an appointment to see my surgeon in a few days, the earliest I managed to get. Does anyone know what this pain is? 

On the day of the scope, I had just finished a course of Cipro (seven days, 2x250) because of pouchitis and was doing beautifully. After the scope and with this intense pain, I am back to loose, foamy stool, six or seven times a day, although no urgency, no leaking.

 

 

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Thank you both. The pain has lessened a bit. It doesn't happen for a couple of hours, where in the beginning it was several times per hour. I felt it more when my pouch wanted to be emptied. I thought it might be gas related too because after the pain a bit of gas popped out, but it felt too intense and too localized to be due to gas. I remember my gas pains in hospital waiting for bowels to work and it felt like a brick being dragged through every inch of what was left of my intestines! I do feel reassured that my scope showed everything was fine, and wonder if that painful spot was bruised or there was an existing fissure that got bruised by the scope moving around. My momentary fear was cancer because that is where my cancer was, but it was removed along with everything else. 

I think I figured out what my intense pain is. It is a condition called proctalgia fugax. it is not dangerous, just excruciatingly painful. I hope this information might help someone else who experiences this or searches for it. It is a scary pain until you learn what it is and put a name to it. This symptom was also discussed briefly on this site in 2013, which I found after a search, and researching the Internet. The stabbing, strangling pain lasts 10-20 seconds to a few minutes, then disappears with no other symptoms and no other pain whatsoever until it comes on again suddenly, out of the blue, minutes or hours later. No one knows for certain the cause. It is diagnosed by describing the symptoms to a physician. No tests or medical exam by physician except a history to rule out anything else. The symptoms are almost identical in anyone who has had this. It can occur a few times a year, and for me this was my first experience and I hope the last. It has calmed down a lot, only two or three milder episodes a day (instead of several screaming ones every hour) so I think it is going away. 

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