Rectal tenesmus

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Rectal tenesmus
Synonyms Tenesmus
Pronounce N/A
Specialty N/A
Symptoms Feeling of incomplete defecation, abdominal pain, cramping
Complications Rectal bleeding, fecal incontinence
Onset Can be sudden or gradual
Duration Varies, can be chronic
Types N/A
Causes Inflammatory bowel disease, colorectal cancer, proctitis, irritable bowel syndrome
Risks Family history, diet, smoking, stress
Diagnosis Physical examination, colonoscopy, sigmoidoscopy, stool test
Differential diagnosis Hemorrhoids, anal fissure, rectal prolapse
Prevention N/A
Treatment Dietary changes, medication, surgery
Medication Anti-inflammatory drugs, antispasmodics, laxatives
Prognosis Depends on underlying cause
Frequency Common in inflammatory bowel disease
Deaths N/A


Rectal tenesmus is a medical term used to describe the feeling of incomplete defecation. It is associated with a variety of gastrointestinal disorders, including colorectal cancer, inflammatory bowel disease, and irritable bowel syndrome. The sensation can be very uncomfortable, leading to straining and prolonged time spent on the toilet.

Causes[edit]

Rectal tenesmus can be caused by a variety of conditions, including:

  • Inflammatory bowel disease: This includes conditions like Crohn's disease and ulcerative colitis, which cause inflammation in the digestive tract.
  • Irritable bowel syndrome: This is a common disorder that affects the large intestine and can cause a range of symptoms, including rectal tenesmus.
  • Colorectal cancer: This is a type of cancer that starts in the colon or rectum. Rectal tenesmus can be a symptom of this disease.
  • Hemorrhoids: These are swollen veins in the lowest part of the rectum and anus, and they can cause rectal tenesmus.
  • Rectal prolapse: This is a condition where the rectum, the last part of the large intestine, drops down or slides out of the anus.

Symptoms[edit]

The main symptom of rectal tenesmus is a feeling of incomplete defecation. Other symptoms can include:

  • Straining during bowel movements
  • Abdominal pain or cramping
  • A feeling of urgency to have a bowel movement
  • Changes in bowel habits, such as constipation or diarrhea

Treatment[edit]

Treatment for rectal tenesmus depends on the underlying cause. This can include:

  • Medication: For conditions like inflammatory bowel disease or irritable bowel syndrome, medication can help to manage symptoms.
  • Surgery: In some cases, such as colorectal cancer or rectal prolapse, surgery may be necessary.
  • Lifestyle changes: This can include dietary changes, increased fluid intake, and regular exercise.

See also[edit]

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