1. Levator ani syndrome. Treatment with hot baths, nonsteroidal antiinflammatory drugs, muscle relaxants, or levator muscle massage is recommended. Levator muscle massage consisting of, deep, digital pressure over the puborectalis portion of the levator floor is effective in 50-60%. EMG-based biofeedback may provide improvement in pain.

2. Proctalgia fugax. For patients with frequent attacks, physical modalities such as hot packs or direct anal pressure with a finger or closed fist may alleviate the pain. Diltiazem or oral clonidine may provided relief.

Breaking Bulimia

Breaking Bulimia

We have all been there: turning to the refrigerator if feeling lonely or bored or indulging in seconds or thirds if strained. But if you suffer from bulimia, the from time to time urge to overeat is more like an obsession.

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