#Flash: ‘Restless anal syndrome’, COVID-19’s latest bizarre
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A man in Japan developed "deep anal discomfort" several weeks after he recovered from COVID-19, according to a recent case report. A 77-year-old male with COVID-19 improved to normal respiratory function 21 days after admission and treatment of favipiravir for 14 days and dexamethasone 6.6 mg per day for 5 days, the insomnia and anxiety symptoms remained. Several weeks after discharge, he gradually began to experience restless, deep anal discomfort, approximately 10 cm from the perineal region.

The following features were observed in the anal region; urge to move is essential, with worsening with rest, improvement with exercise, and worsening at evening. Colonoscopy revealed internal haemorrhoids without other rectal lesions. Neurological findings including deep tendon reflex, perineum loss of sensory and spinal cord injury, revealed no abnormalities. Clonazepam at 1.5 mg per day resulted in the alleviation restless anal discomfort.

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For more details please read here: https://pubmed.ncbi.nlm.nih.gov/34556029/
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