Hi! I am suffering from what appears to be a rectal muscle spasm. I have extreme pain following a BM sometimes lasting up to 8 hours. Lying down is the only thing to take the edge off the pain. In desperation I had Botox injected in November. I seemed worse following the Botox procedure but was told it would take 2 weeks to really kick in. Perhaps it was the trauma of having it injected, I don't do well with anasethic etc seemed to cause more pain than the original diagnosis! After 2 and a bit weeks I noticed some relief but not total pain coverage. I can't seem to locate any trigger points, internally or externally, nothing is extremely painful to touch which makes me wonder if I'm getting diagnosed properly. whilst I do notice some random tightness when stressed or anxious nothing compares with the pain following a BM! I have tried internal vaginal stretching under the guidance of my physio but no relief yet. I am seeing Natropath as well and chiropractor but nothing specific seems to be working. I thought it was worse at certain times during the month around my period and ovulation but then other months the pain seems unrelated to my cycle. I had a flexiscope to rule out bowel issues but it revealed no abnormalities. Also transvaginal scan but nothing out of the ordinary there either. Have tried tramadol and endone but no relief. Also tried a month on endep but this seems to be constipating so went off it. Have tried Valium suppositories inserted rectally but this seems to have no effect and possibly also causing pain just to have it up there! I filled a script for baclofen today so really hoping this works for me! Any suggestions for pain relief? Have you noticed any links with food? Or with period cycles? Anyone else out there suffering with rectal muscle spasm?!