Restless anus syndrome: worrying effect of Covid-19

The discomfort began to be felt by a 77-year-old man a few days after overcoming the infectious disease. Experts don’t know what causes it or how to treat it properly.

An elderly Japanese man developed “restless anal syndrome” after contracting Covid-19, which doctors say is a world first. This is the first case discovered associated with this syndrome and experts still do not know why it occurs.

The 77-year-old was admitted to Tokyo University Medical Hospital after testing positive. Despite his age, he did not need oxygen during his stay and was able to breathe normally 21 days after admission.

However, several weeks after its release, a problem of a different kind arose. The old man began to experience “deep anal discomfort” 10 cm from the perineum, the area between the genitals and the anus. This gave him an “essential need to move”.

Bowel movements did nothing to ease the man’s discomfort, said Dr Itaru Nakamura for BMC Infectious Diseases. But the man found that exercise, such as walking, running, or motion-based video games, relieved his symptoms.

On the contrary, other types of activities such as resting and standing still made them worse. He also noticed that the symptoms were much more acute and throbbing at night. So far, there is little certainty about the syndrome.

To the surprise of the experts, Nakamura performed a colonoscopy on the old man, inserting a thin and flexible camera into his anus. The study found that the man had internal hemorrhoids but no other rectal damage.

Tests of the human nervous system also revealed no abnormalities. Therefore, he deduced that there was no indication that made it detectable other than the patient’s complaints. He admitted that he did not understand how Covid-19 affected patients’ nervous systems.

The condition is hardly mentioned in the medical literature. Doctors who reported the case in Japan described it as a variant of restless leg syndrome. also known as Willis-Ekbom disease.

It is a common disease that affects the nervous system. It is thought to affect up to one in 10 people. It causes an overwhelming urge to move your legs with an unpleasant sensation of crawling or crawling.

Despite the name, the sensation can also affect the arms, chest, and face. In most cases, the cause of this second is unknown. It can be inherited, although it is not believed to be the case for the Japanese.

In some situations, it can even be caused by another medical condition. Treatment can range from lifestyle changes, such as increased exercise or medication, depending on the cause of the problem.

The man ended up receiving a daily dose of 1.5 mg of clonazepam, a medicine used to treat fits and convulsions, which relieved his symptoms. Since Wednesday, September 29, he continues to improve after 10 months of treatment.

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Restless anus syndrome

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