Rome IV Diagnostic Criteria for Proctalgia Fugax
Use in patients with sudden, infrequent anorectal pain lasting <30 minutes (often seconds to minutes) and often described as cramping, gnawing, aching, or stabbing with severity ranging from uncomfortable to intolerable.
Can interrupt normal activities and even awaken patients from sleep.
Can be triggered by stress or anxiety.
Do NOT use these criteria in patients with:
Tenderness on posterior traction of rectum when not having symptoms.
Anorectal or pelvic floor structural pathology explaining symptoms.
Frequent pain related to defecation
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