• Reg Anesth Pain Med · Jan 2002

    Case Reports

    Low-dose intravenous lidocaine as treatment for proctalgia fugax.

    • Roni Peleg and Pesach Shvartzman.
    • Department of Family Medicine, Faculty of Health Sciences, Ben Gurion University of the Negev, Beer-Sheva, Israel. pelegr@bgumail.bgu.ac.il
    • Reg Anesth Pain Med. 2002 Jan 1; 27 (1): 97-9.

    BackgroundProctalgia fugax is characterized by a sudden internal anal sphincter and anorectic ring attack of pain of a short duration.ObjectiveDescription of the influence of intravenous lidocaine treatment for proctalgia fugax.Case ReportA 28-year-old patient suffering of proctalgia fugax for 8 months. Conventional treatment efforts did not improve his condition. A single dose of an intravenous lidocaine infusion completely stopped his pain attacks.ConclusionsBased on the experience reported in this case and the potential benefit of this treatment for proctalgia fugax, controlled studies comparing intravenous lidocaine with placebo should be conducted to confirm the observation and to provide a more concrete basis for the use of intravenous lidocaine for this indication.

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