Spasm and Fibrosis of the Sphincter and Due to Reflex Action

Abstract

SPASM and fibrosis of the anal sphincter associated with a long history of marked constipation, tenesmus, mild intermittent abdominal cramps and an almost daily intake of cathartics is a rather frequently observed clinical entity about which little has been written, but which is important enough on occasions to suggest major but unnecessary surgery.1 2 3 Twenty-one cases are reviewed in the present study. These patients were first seen because of variable complaints. Some sought advice because of constipation alone. Others complained of tenesmus. The majority, however, complained of vague abdominal discomfort, intermittent mild abdominal cramps, a sense of pelvic fullness, anorexia, flatus . . .