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Severe, episodic pain in the rectum may prompt extensive— and expensive— diagnostic testing. If the cause is proctalgia fugax, such testing is unnecessary and wasteful. The author, a gastroenterologist, offers a guide to prompt recognition of the disorder based on patient history and suggests several therapeutic stategies that may help to relieve the pain.
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Richard R. Babb
Richard R. Babb, MD Dr Babb practices gastroenterology in the section of medicine, Palo Alto Medical Clinic, Palo Alto, California. He is clinical professor of medicine, Stanford University School of Medicine, Stanford, California.