- The man was treated at the hospital in what medics say was a mild case of covid
- He suffered from ‘deep anal discomfort’ several weeks after being discharged
- Doctors say that the effect of Kovid on the body’s nervous system is not yet fully understood.
An elderly Japanese man developed ‘discomfort anal syndrome’ after catching COVID, which doctors claim is the first in the world.
The unidentified 77-year-old was admitted to Tokyo Medical University Hospital after testing positive for Kovid.
Despite his age, he did not require any oxygen during his stay and managed to breathe normally again 21 days after being admitted.
However, several weeks after being discharged, another kind of problem surfaced.
The man suffered from ‘deep anal discomfort’ about 10 cm above his perineum, the area between the genitals and anus. According to the doctors who treated it, it gave him the ‘necessary urge to walk’.
Defecation did nothing to relieve man’s distress, wrote Dr Itaru Nakamura who detailed the matter bmc infectious diseases.
According to doctors at Tokyo Medical University Hospital, a 77-year-old Japanese man developed restless anal syndrome as a result of catching COVID
But the man noticed that exercise such as walking, running, or playing a motion-based video game reduced his symptoms, while resting and being immobile made them worse.
He also noticed that the symptoms got worse in the evening.
What is restless anal syndrome?
It is not clear how common restless anal syndrome is because the condition is rarely mentioned in the medical literature.
Physicians reporting the case in Japan described it as deep anal discomfort, associated with an ‘essential’ urge.
Symptoms were made worse by resting and being sedentary and especially worse in the evening.
However, he was relieved by exercise.
Japanese doctors described restless anal syndrome as a variant of restless legs syndrome.
Restless legs syndrome, also known as Willis-Ekbom disease, is a common condition affecting the nervous system. It is thought to affect one in 10 people.
This causes an excessive urge to move your legs along with an unpleasant crawling or crawling sensation.
Despite the name, the sensation can also affect the arms, chest and face.
The cause of restless leg syndrome is unknown in many cases.
It can run in families, although this is not believed to be the case with a Japanese person.
In some cases it may be due to another medical condition.
Nakamura said a colonoscopy, where a thin flexible camera is inserted into the anus, showed the man had internal hemorrhoids, but no other rectal damage.
Examination of the nervous system of the man also revealed no abnormalities.
Dr. Nakamura said symptoms of ‘sore’ in the anal area; The urge to move, worsened with rest, improved with exercise but worsened in the evening, prompting doctors to diagnose her with restless anal syndrome.
He classified it as a variant of the relatively common condition restless leg syndrome, and directly attributed it to his covid infection.
Nakamura said that how Covid affected the nervous system of patients was not fully understood given that several neurological conditions were reported after infection.
These include delirium, confusion, psychosis, brain swelling, disruption of the brain’s blood supply, and a condition characterized by weakness and numbness in parts of the body called Guillain-Barré syndrome.
Nakamura said the loss of taste and/or smell that is now famously linked to COVID is also believed to be a neurological effect of the virus.
Restless leg syndrome is a common neurological condition that causes an extreme irresistible urge to move the legs as well as unpleasant sensations in the limbs.
Despite the name, the condition can also occur in other parts of the body such as the arms, chest and face.
It has been described as a sleep disorder because of the disruption it causes in people’s lives.
In many cases the cause of restless legs syndrome is unknown, but it may run in families, although the Japanese man had no family history of the condition.
While restless leg syndrome has been linked to a COVID infection on two occasions, both in Pakistan and Egypt in women under the age of 50, Dr Nakamura said this was the first published case of a virus causing restless anal syndrome.
The man was given a daily dose of 1.5mg clonazepam, a drug used to treat seizures and seizures, which reduced his symptoms.
Doctor Nakamura said that even after taking the drug for 10 months, the man was improving.
According to Nakamura, restless leg syndrome affects between 1 and 4 percent of the Japanese population.
Restless leg syndrome in the UK is thought to affect one in ten people according to charity RLS-UK.
It also thought that 7 to 8 percent of the US population also had the disease, according to the Restless Legs Syndrome Foundation.
It is not clear how common the variant restless anal syndrome is.