Anal pain when cough

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Rectal Prolapse

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UHS Health Topic - Hemorrhoids

When coughing, an involuntary contraction of the external anal sphincter occurs, in order to prevent unwanted leakages or sagging of the pelvis muscular wall. Literature originally described such cough-anal response as a reflex elicited by cough, therefore identifying a precise cause-effect relationship. However, recent studies report that the anal contraction actually precedes the rise in abdominal pressure during cough expiratory effort, so that the sphincter activity should be pre-programmed. In recent years, an important family of pre-programmed muscle activities has been well documented to precede voluntary movements: these anticipatory actions play a fundamental role in whole body and segmental postural control, hence they are referred to as anticipatory postural adjustments APAs. On these basis, we searched in literature for similarities between APAs and the cough-anal response, observing that both follow the same predictive homeostatic principle , namely that anticipatory collateral actions are needed to prevent the unwanted mechanical consequences induced by the primary movement.
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Cough-Anal Reflex May Be the Expression of a Pre-Programmed Postural Action

Your rectum is the lower part of your colon, where stool forms. If the rectum drops out of its normal place within the body and pushes out of the anal opening, the condition is called rectal prolapse. In the early stages, a prolapse may happen only after a bowel movement. The protruding rectum may then slip back through the anal canal on its own. Over time, however, the prolapse may become more severe and could require surgery.
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Back to Health A to Z. An anal fissure is a tear or open sore ulcer that develops in the lining of the large intestine, near the anus. Do not let embarrassment stop you seeking help.
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