Dr. Bruce

No, it's got to, it's no one understands the cause of it, and it's most common in 30-plus-year-old males.

Literal pain in the ass?

It's actually a severe, it's almost like severe muscle.

If you've had a Charlie horse, if you've ever had muscle spasm anywhere else, it's that occurring in your anal sphincter.

Charlie ass.

I think I've had that before.

It feels pretty bad.

Probably 10% of the population has had this happen, but it brings individuals into the ER.

How do you explain that to the triage nurse?

Basically, by the time you get there, it's gone, and so you're having to explain, well, I had this...

horrible i've i've had individuals come in on a gurney that developed a syndrome what is it called again proctalgia foo jacks so sudden jacks sudden suddenness foo yeah jacks yeah and then proctalgia so anal pain sudden so sudden onset of rectal pain so a percentage of your faithful listener in the audience has experienced this but a chick lauren hill in the food jacks

I actually had a guy come in with this in the last week.

And it's somebody...

By the time they get there, they've usually had more than one episode, and they're extremely concerned.

And, of course, there are things you have to do.

You have to do a rectal exam, make sure it's not cancer, make sure it's not.

Yeah, that's a good analogy, actually.

And then they are having to explain something that came on suddenly that's no longer there.

That would be good, right?

That would be great.