I have been having these god awful, cramp/spam like pains in my rectal and vaginal wall area. I don’t know what triggers it but today it keeps worsening with movement, usually increased pressure like sitting down. Also causes spasms if I strain, like trying to pass gas or something. The pain is so severe I have to very slowly sir and let it peak and pass. The pain is mostly around my rectal area but it definitely travels to what feels like the walls of my vagina. I think it is proctalgia fugax but I’ve had this pain when I sit down for the past six hours…… I’ve had it before and its ranged from one spasm to long episodes like these. I’m currently on my period but idk if that has anything to do with it!

My fam has a history of colon cancer, and my mom is all scared that I have it. I’m 20 and currently adjusting to a vegan diet, so I have a lot of abdominal troubles. I don’t have any other symptoms of colorectal cancer so I’m not super worried. Do you think this is proctalgia fugax? Or is it something else causing these issues?

I do have benign ovarian cysts and I get odd cramps (nothing like these sharp shooting pains) after sex/orgasm. Someone mentioned the cysts causing this kind of pain, but I don’t know that truth behind that. The only thing that doesn’t really fit with what people have said about proctalgia fugax is pursue and massage deceases pain, but it increases it for me! Its excruciating at the peak of the spasms please help. I’m going to try to squeeze in a visit to the doc next week but at the same time I’m sort of afraid to go.

Sorry the post is a little incoherent. Typing on my phone. Hurts too much to get up >.<
Hmm youre right, it may be the stress, tho not from this issue. With combo of things today was so stressful for me I felt nauseated most of the time. I don’t usually get so stressed so today wa something new and this is the longest these pains have lasted. Thanks I’ll hopefully see this gone by tomorrow, at least for another few months.

But, the cramping from the cysts is very, very different from this pain >.< I found a forum where a lot of people experience exactly what I’m describing but no one had any answers.

For the past 4 months of my cycles, I have had extremely heavy periods with excruciating rectal pain. I wear a menstrual cup to catch up all the blood, because tampons and heavy pads don’t work enough anymore. It feels like someone is shoving a knife up my rectum. I can hardly walk and I get shooting pains that make me have to stop quickly and hold onto something. Bowel movements are painful, too. My rectum feels tight and full, almost like I have to have a bowel movement, but I don’t. This pain is ruining my life. I’ve never had it before.

I had a laparoscopy in Feb due to a different problem and it came up clear. I also have a colonoscopy after this first started in Oct. and it also came up clear. I have seen a colorectal surgeon and my gyno many times about this problem, and neither one knows what the heck is wrong with me.

Today, when the pain was really bad, I don’t know what made me think of it, but I felt up inside my rectum just to see if I could feel what was causing the pain. I curled my fingers forward toward my vagina, and the wall of my vagina was hard, swollen, and painful to the touch. I pushed on it, and sure enough, there was the pain and spasms I’d been feeling, the same pain I feel in my rectum. I put my menstrual cup in just to make sure, and yep, it was my vaginal wall. I could feel it through my rectum.

I am now convinced it has something to do with my reproductive organs. Can anyone tell me what might be causing this pain and pressure in my rectum? It seems to definitely be a gynecological problem, but my gyno says it isn’t. Please help. Could it be fibroids or something?

31 y/o female presents with chief complaint of right groin pain which extends to midline pelvis down to inner thigh. Symptoms are generally mild until patient drives, sits, or stands 30 minutes or longer. Patient states onset has been about 3 months ago and is now progressively getting worse. No trauma or injury noted by patient. Pain is better when patient lays down on other hip, but does not completely diminish.

Patient past surgical history: Complete hysterectomy, appendectomy, cholecystectomy

Patient medical history: mild Fibromyalgia, chronic sinusitis, appendicitis, Gall bladder EF=14%, "malfunctioning uterus", superficial blood clot (pregnancy)

Patient family medical history: Cancer (bone, blood, lung, kidney, breast), Heart attack, DVT’s, anemia, HTN, hernia

1st office visit: Dr. ordered venous duplex and x-ray of right hip after ruling out hernia.

After both tests came back normal, Dr. ordered CT scan with contrast of abdomen/pelvis…results were pseudo finding of transverse ascending colon inflammation consistent with colitis.

After reviewing results of CT, physician had patient trial an oral steroid (Medrol Dose Pack) Patient’s symptoms became intensley worse on this medication. Initially, the upper groin/pelvic pain got better, but entire right hip "was on fire" where the patient stated that she couldn’t even stand having anything touch it including her underwear. As the medication gradually decreased the original symptoms returned at a gradual pace and the "fire" in her hip lessened as the medication dosage lessened.

2nd office visit: Due to the worsening effect from the Medrol, physician did pelvic exam and noted severe bone pain located at the top right of patients vaginal wall. Patient stated that there has been a dull ache there at all times since Feb 2009 and was made worse with sexual intercourse but hadn’t thought of that earlier. (no history of STD’s)

Pysician ordered full pelvic x-ray, basic lab workup, and MRI’s of hip and pelvis…all were negative.

Patient was sent to have a nerve conduction test and EMG…both negative.

Patient’s pain is presently worsening and she is now unable to drive longer than 10 minutes if pain was previously aggrivated and 20 minutes if not. Dull pain is continuously present but is made excrutiating when putting pressure on the pelvic bone itself. Pain seems to be worst in groin, vaginal, and bottom of the buttocks areas.

Things ruled out already: DVT, Hernia, bone infection, visible tumor, nerve entrapment, spinal and/or disc problems, arthritis, and referred pain

Does anyone have any suggestions as to what this odd presentation of symptoms could be? How about a next step suggestion? We are running out of options and we are 100% positive this is not "in the patient’s head". Any further insight and ideas are greatly appreciated! Thanks.
Pt is 5’3" and 134 lbs and has also had complaints of fatigue for about 1 year.
Thanks Douglas, for your input. Unfortunately, this does not seem to be the issue. Was a great idea though!
Thank you Kathy. However, the oral steroid (Medrol) that was tried should have helped the pain if this was the issue. This medication is an oral substitue to a corticosteroid that is injected to relieve this type of nerve pain that isn’t fixed with manipulation. Therefore, the pt’s poor response to the Medrol trial would rule this out. Thanks again…was an interesting and great find!