Spasm-like, sometimes excruciating, pain in the anus, often misinterpreted as a need to defecate
Episodic pain (women, patients < 45yo)
Brief, usually only seconds to minutes in duration
Incontinence
Urgency
Proctalgia fugax
Levator ani
Amaurosis fugax
External hemorrhoid
Facial paralysis
Anal fissure
Catatonia
Rectal prolapse