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Proctalgia fugax is normally diagnosed after other possible causes of anal pain and spasms have been ruled out. As the name suggests, the exact cause of the condition is unclear, but the pain is due to muscles in the anal canal and pelvic floor. causes of anal pain include anal cancer anal fissure (a small tear in the lining of the anal canal) anal itching (pruritus ani) anal sex anorectal fistula (an abnormal channel between the anus or rectum usually to the skin near the anus) coccydynia or coccygodynia (tailbone pain) constipation crohns disease (a type of inflammatory bowel.). 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. the causes of rectal pain are many, with the most common ones being hemorrhoids or anal fissures (breaks or tears in the skin at the edge of the anus). Less common conditions are coccygodynia which is pain at the lower tip of the spine due to an abnormal position of the coccyx or proctalgia fugax which is periodic unexplained spasm of rectal muscle. Four common causes of the symptom of rectal pain, pressure, or discomfort are. During a colon spasm, the muscles lining the colon tighten or contract in an unorganized way. Anal spasm or twitch scarlett290 this is a little embarrasing, i am having a problem with the anal sphincter, i have a twitch or spasm in my anal sphicter, it is not painful but very annoying as i sit all day long at my job as a medical record coder. An anal fissure is a cut or a tear in the thin, delicate lining of your anus. The tear often exposes the muscle around the anus, called the anal sphincter.