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If someone told you that they have contracted ‘restless anal syndrome’ after infection with the Covid-19 coronavirus, you would probably have a number of questions. Such questions might include: “Do I know you and why do you mention this at the checkout of a supermarket” or “Can Covid-19 really cause such a syndrome? After all, public health officials may routinely report the number of new infections, hospitalizations and deaths from the Covid-19 coronavirus, but not so much the latest official tally of ‘restless anal’. That number has been around zero, to plus or minus zero, for much of the pandemic. However, this tally may have reached at least one, based on a new case report in the diary. BMC infectious diseases.
Now you might be wondering what restless anal syndrome can be like. Since the word “anal” can mean very different things depending on the context, it is very important to understand what you mean when you say “agitated anal”. It can range from a state of mind to a state of anus. In the case report, restless anal syndrome referred to an actual medical diagnosis. You know the saying “the natives are restless?” Well, replace “the natives” with “your anus” and you will have an idea of what this medical syndrome can be.
In the case report, Itaru Nakamura, Takao Itoi and Takeshi Inoue of Tokyo University Medical Hospital in Tokyo, Japan, described the troubling story of what happened to a 77-year-old man. The man was admitted to their hospital after being diagnosed with Covid-19. The diagnosis came from a PCR test performed on a sample from a cotton swab. This was after the swab had been inserted into the man’s nose and nowhere lower on his body. The man developed what was described as mild pneumonia and received ciclesonide, favipiravir, and dexamethasone. While in hospital, he also suffered from insomnia and anxiety, which were treated with zolpidem, brotizolam and quetiapine.
After he was released from the hospital, his insomnia and anxiety continued. Then, several weeks later, her anus began to feel restless or the need to move constantly. It can be quite uncomfortable because you can’t say to your anus, “Okay, why don’t you go into town tonight and let off steam and make sure you’re back by midnight.” It can be confusing when your anus seems to want to jump on a trampoline and you just want to lie on the couch watching Netflix.
While pooping, in general, could solve a lot of problems, it wasn’t able to alleviate how her anus was feeling. The symptoms eased somewhat while he exercised, such as walking or running. However, they worsened again each time he was left at rest. Things got worse at night too.
The man underwent different types of tests, including a colonoscopy. This allowed doctors to rule out other possible causes such as diabetes mellitus, iron deficiency anemia and spinal cord dysfunction and pinpoint the diagnosis of restless anal syndrome.
Restless anal syndrome is a variant of restless leg syndrome. This syndrome generally has four distinguishing features:
- You feel the urge to move your legs
- Symptoms worsen with rest
- Symptoms improve with exercise
- Symptoms worsen during the evening.
It is not known exactly what causes restless leg syndrome. An imbalance of dopamine in the brain may be the cause, as dopamine may play a role in controlling your muscle movements. Restless leg syndrome can develop at any age. While the syndrome on its own doesn’t lead to more serious medical problems, it can really affect your life, depending on the severity of the symptoms. Restless legs syndrome can accompany other more serious medical conditions such as peripheral neuropathy, iron deficiency, and spinal cord problems.
Here’s a video from the Cleveland Clinic on Restless Leg Syndrome:
So what does Covid-19 have to do with all of this? Well, the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) has been shown to spread to your central nervous system. Perhaps this is why a range of neurological and psychiatric problems such as loss of smell or taste, anxiety, delirium, psychosis, and encephalitis can result from SARS-CoV infection. 2. In fact, there have been case reports of a 36-year-old woman and a 48-year-old woman suffering from restless leg syndrome while having Covid-19.
Restless Leg Syndrome is a little different from Restless Anal Syndrome because your legs are not your anus. If you can’t tell them apart, you either need to do a little more research or see a doctor. There are other variations of restless legs syndrome that affect other parts of the body such as the arms, abdomen, face, head, oral cavity, bladder, and genitals. Keep in mind that these variants of restless leg syndrome are also true medical diagnoses. Your condition must meet the above four criteria to be eligible. Don’t just tell others that you have Restless Genital Syndrome without seeing a doctor first. This can result in a “kick in the genital syndrome”.
This case report is yet another example of how Covid-19 can be associated with a very wide range of issues. There are no ifs, and or butts that Covid-19 can be quite unpredictable. Will this case report be the kick in the ass that will get more people vaccinated against Covid-19?
Of course, a single case report is not enough to establish a clear cause and effect relationship between Covid-19 and restless anal syndrome. Further studies are therefore needed to determine how closely the two conditions may be related. In other words, if you want to be anal about it, you’ll need a lot more evidence to be sure the infection caused the syndrome.
For now, all we have to do is this case report. Once the doctors figured out what was going on, they prescribed clonazepam for the man to take every day. This medication is the standard treatment for restless leg syndrome. Doctors then monitored the man’s condition. After 10 months of treatment, her symptoms continued to improve. So it looks like this story could turn out well.
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