Anal pressure and ache caused by psychological issues

I have a mind body issue that causes my anal muscles or pelvic muscles to hurt. The pain is like a pressure or ache inside my back passage. It is there constantly but it goes when I'm asleep, or after a few beers or even when I'm completely distracted. It is an obsession and because I suffer from anxiety it makes it hard to focus on anything else. I saw a pelvic floor physical therapist who found the location of the pain. A chronically tight muscle inside the anal canal. It is a subconscious clenching. I'm keen to hear others with this issue.

7 Replies

  • Hello,

    I am a therapist and have never heard of Pelvic physiotherapy, sounds very interesting. How is that working on your case?

    If in need of further help for this case I would try a Bowen therapist. Bowen is great for mind body issues as it tackles your nervous system and asks your body to heal and correct itself.

    Another option would be Hypnotherapy, I have also heard great things about it for mind body issues.

    hope you find relief soon.

  • They do internal and external massage and manipulation. They located the muscle which was causing me my discomfort. Its quite a specialised area. But I have been told to do this and sort out the stress side of it too. Have you heard of a similar problem to mine???? like I say it's a subconscious tensing of my anal sphincter. I'm fine if I'm asleep or had a few drinks. Went to the docs again for about the millionth time to get checked and all is well. Just muscle tension.

  • Yes the stress may be the root cause of these psychosomatic symptoms. From an holistic point of view, when the body is under stress and can't deal with it, it is common to see its manifestations on the body, in form of pain, tension, or poor imune system, bowel problems etc... Some people can't sleep, others have pain, others are susceptible of developing other conditions such a asthma, etc... However it is not so simple to just stop stress as many times it requires profound changes in our lives plus the body needs time to adjust and respond to these changes.

    I have never found a case of a patient with your symptoms but most of them do indeed come from symptoms due to stress. Such as for example chronic/psychosomatic cough, in the same way as it happens only when a person is awake and when is asleep is fine. This is an Autonomic Nervous system response.

    The autonomic nervous system controls over 80% of bodily functions (cardiac, respiratory, peripheral circulation, reproductive, endocrine, gastrointestinal... ) and is very susceptible to stress and emotional states . Most people living in our modern "civilized" society are in a constant state of high stress and sympathetic over stimulation.

    This could explain why so many people can't heal, or experience incomplete recovery from sickness or injuries. For healing to happen the organism need to shift from sympathetic to parasympathetic dominance and for this to happen it needs time and space to literally unwind and digest physical and emotional stress. This is what the Bowen Technique does. So I would advise you to find a local therapist.

    Alternatively you can also try mindful techniques such as body scan meditation. It will help raise awareness about the connection of your symptoms and maybe remind the body to turn that action off, and at the same time it will help you relax. I had a very good experience with it when I realised I was self inflicting neck pain just by thinking about my stressful day. A body scan meditation is basically a lie down or sit and visualise your body part in sequences, feeling it heavy on the bed and trying to let go of that part and help the body relax. You start lets say on left foot, then right foot, then leg, then thigh and so on until head. This should be done at least once per day or when you feel pain or have stronger symptoms. It will help educate you body and Nervous system that it needs to be relaxed by default and not the opposite!

    Also I suspect that your body may be low on magnesium. Nowadays almost everyone is suffering from magnesium depletion. Either with heart complains, muscles spasms, stiffness (thats where it helps you as Mg is fundamental for muscles to relax and many other cell reactions), headaches, forgetfulness, anxiety, etc... You can increase magnesium better by transdermal application, have a bath with Epsom salts, or make your own magnesium oil (magnesium chloride salts dissolved in distilled water) and spray it on your body daily. A warning, it may sting on the beginning, perfectly normal, keep it away from eyes. More info and recipe of magnesium oil spray on:

    Or just buy a bottle at a health shop supplements and see how it goes, together with body scan meditation (you can choose one from youtube). Consistently for at least 2 weeks. This could be a good try, but a Bowen treatment is worth considering.

    Let me know if you decide to try and how it goes.

    All the best.

  • You need to see a doctor. Too much emphasis is sometimes put on I have caused it by some sort of mental issue ie stress. Rather than what caused the problem a faulty signal input to a muscle which has resulted in the muscle over contracting.

    Over contracted muscle in the anus needs to be stretched out. This has been done by an operation in hospital under anaesthetic .

    In case you are wondering I have had this. Of course stress makes the problem worse. However, blaming the issue on stress does not remove the problem. Stress exacerbates the lack of ability to handle a problem that is already in existence.

    Hope this helps.

  • I have seen hundreds of doctors and had scans and they cannot find anything. It was my pelvic floor therapist who found the tight muscle. I do not need an operation because I can make the muscle relax completely when I am not stressed or focusing on the problem. I obviously didn't make that clear in my original post. I have got rid of this problem before. I had 18 months free from any pain or discomfort and a few months ago I had a bowel movement and felt a slight twinge. However instead of just moving on from that twinge I was INSTANTLY full of fear and was thinking oh my God don't come back. I was thinking stop thinking about it and of course as I focused more on it boom. I can be on holiday and be completely fine. I can have time with no pain and I will think to myself I havent had that pain in a while. As soon as I think that I can feel it again haha. It's so bizarre but I assure you I have had hundreds of scopes and scans and probably 100 fingers in my ass. I saw a urologist and a colorectal surgeon. Basically it is an obsession

  • The colorectal surgeon said it was a former of proctalgia or levator ani syndrome. Which is basically the pelvic floor muscles contracting and spasming. My problem is that I suffer from health anxiety and am constantly looking on forums and the Internet and analysing everything. I went out for a family meal on Friday. I hardly felt a thing. I had a beer and felt absolutely nothing at all.

  • Which came first the problem or health anxiety?

    The problem causes stress which pushes you towards your stress breakdown point. It is to easy to be caught in the mental health psychosomatic trap when the solution is physical training of one sort or another.

    Anxiety can be changed by changing breathing habits.

    The spasms can be caused by a combination of spinal reflexes. You are looking for a mental cause when in reality there is a physical cause.

    It may be worth seeing an Alexander teacher to help reduce stress by changing posture and muscle behaviour problems. Any body stress reduction will hopefully change your situation.

    Learning some yoga will give you a better grasp of how your muscles behave under various conditions.

    My suggestions may be right or they may be wrong. However this can only be determined by investigation.

    Hope I was helpful.

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