Tenesmus: Causes & Reasons

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Possible Causes for tenesmus

Endometriosis

Colorectal involvement results in alterations of bowel habits such as constipation, diarrhea, tenesmus, dyschezia, and, rarely, rectal bleeding. [ncbi.nlm.nih.gov]

They are manifested as cramps, flatulence, painful tenesmus, hyper-peristaltis, progressive constipation or diarrhea alternating with constipation. [panafrican-med-journal.com]

Carcinoma of the Prostate

A 74-year-old male came to our clinic for rectal tenesmus, lower urinary tract symptoms and a previous episode of acute retention of urine. [ncbi.nlm.nih.gov]

In the locally invasive stage, the illness causes incontinence, nocturia, hematuria, hematospermia, painful ejaculation, suprapubic and perineal pain, impotence, rectal tenesmus [symptoma.com]

Painful spasms (bladder tenesmus) or a burning sensation while urinating. Spasms or pain and discomfort centered in the pelvic area or groin. [roboticoncology.com]

Gonorrhea

[…] decreased and abnormal urine stream, as well as with the secondary complications of prostatitis and cystitis Rectal infection: May present with pain, pruritus, discharge, or tenesmus [emedicine.medscape.com]

Adenocarcinoma of the Prostate

Rectal symptoms - eg, tenesmus. Metastatic disease: Bone pain or sciatica. Paraplegia secondary to spinal cord compression. Lymph node enlargement. [patient.info]

Pseudomembranous Colitis

A 52-year-old male presented with rectal bleeding and tenesmus. He had been treated for amebiasis with metronidazole, and had improved. [ncbi.nlm.nih.gov]

The clinical picture is characterized by frequent, watery (occasionally bloody) diarrhea, abdominal pain, tenesmus, fever, weakness. [hungary.pure.elsevier.com]

History Profuse watery or mucoid diarrhea /- bloody, tenesmus, fever, abdominal cramps, tenderness, usually within 1 week of antibiotic therapy. [aci.health.nsw.gov.au]

Pediatric Crohn Disease

The main symptoms of Crohn's disease are: Crampy abdominal (belly area) pain Fever Fatigue Loss of appetite Pain with passing stool ( tenesmus ) Persistent, watery diarrhea [web.archive.org]

At clinic visits, height, bodyweight, general wellbeing, fever, stool frequency and consistency, and presence or absence of abdominal pain and tenderness, tenesmus, and rectal [doi.org]

Vomiting 82 24.8 Bloating/flatulence 75 22.7 Fever 68 20.6 Nausea 47 14.2 Altered bowel habits 27 8.2 Perianal disease 27 13 Joint pain 30 9.1 Constipation 21 6.4 Tenesmus [hindawi.com]

Perianal Abscess

Perianal disease can cause hemorrhoids or strictures, leading to urgency and tenesmus. [ibdnewstoday.com]

M.M. is a 55-year-old man who presented to our ED with complaints of a 1-week history of increasing rectal pain associated with tenesmus. [ajemjournal.com]

Ulcerative Colitis

The patient referred an acute bloody and mucous diarrhea, lasting for three weeks, with no fever or rectal tenesmus. Stool studies were negative. [ncbi.nlm.nih.gov]

He was hospitalized multiple times for complaints of watery diarrhea and tenesmus. [ncbi.nlm.nih.gov]

This is called tenesmus. [ibdclinic.ca]

Ectopic Pregnancy

[…] recovered from previous attack of acute pain, amenorrhea, dull aching lower abdominal pain, vaginal bleeding, dysuria, frequency of micturition or retention of urine and rectal tenesmus [intechopen.com]

Colitis Cystica Profunda

The disease usually presents as a polypoid mass in the rectum associated with bloody or mucoid diarrhea and rectal tenesmus. [elsevier.es]

Case 1 A 45-year-old man with family history of ulcerative colitis (one brother) was admitted in 1999 because of post-defecation rectal bleeding, rectal tenesmus and mucus [elsevier.es]

In addition, the patient was experiencing tenesmus and mild rectal pain, exacerbated by bowel movements. [kundoc.com]

Anal Fissure

– Associated pain and bleeding from trauma to sentinel piles – Persistent tenesmus or soilage due to the presence of fibrous polyp. – Side effects and non compliance. 15 [slideshare.net]

Pain during defecation might suggest a fissure or tenesmus from a rectal tumor. Painless inability to pass an otherwise soft stool suggests a rectal outlet obstruction. [web.archive.org]

Symptoms vary depending on the specific infection or pathologic process but typically include rectal discomfort, tenesmus, rectal discharge and constipation. [web.archive.org]

Inflammatory Bowel Disease Type 1

The main symptoms of Crohn's disease are: Crampy abdominal (belly area) pain Fever Fatigue Loss of appetite Pain with passing stool ( tenesmus ) Persistent, watery diarrhea [web.archive.org]

At clinic visits, height, bodyweight, general wellbeing, fever, stool frequency and consistency, and presence or absence of abdominal pain and tenderness, tenesmus, and rectal [doi.org]

Rectal examination is seldom contributory, and, in the absence of symptoms such as rectal bleeding and tenesmus, may be postponed until colonoscopy. [doi.org]

Ulcerative Proctitis

Symptoms of proctitis include rectal bleeding, urgency, tenesmus, diarrhea or constipation, and occasionally rectal pain. [ncbi.nlm.nih.gov]

The symptoms involved in this Diarrhea, Bleeding, Tenesmus, Mucus discharge, rectal pain, Accidental Bowel Leakage. [omicsonline.org]

Colitis

This is called tenesmus. [ibdclinic.ca]

Symptoms include bloody diarrhea, pain in the lower left side of the abdomen, and a constant feeling of the need to pass stools (tenesmus). [crohnsandcolitis.com]

Pain associated with an urgent need to defecate is called tenesmus. [virginiamason.org]

Colonic Crohn Disease

A feeling of wanting to go to the toilet but with nothing to pass (tenesmus) is also common. Pain occurs in about 7 in 10 cases. [patient.info]

Proctitis

A common symptom of proctitis is called tenesmus. Tenesmus is a frequent urge to have a bowel movement. [healthline.com]

Cardinal manifestations are often non-specific (diarrhea, hematochezia, tenesmus), and eight (72.7%) developed CMV proctitis following a preceding acute, life-threatening [ncbi.nlm.nih.gov]

It may result in rectal bleeding or discharge, urgency, painful defecation, tenesmus, and crampy lower abdominal pain. [us.bestpractice.bmj.com]

Shigella Infection

Symptoms include fever, nausea, vomiting, tenesmus, and diarrhea that is usually bloody. Diagnosis is clinical and confirmed by stool culture. [msdmanuals.com]

[…] severe, and it usually contains mucus. [16] When more severe, the diarrhea is bloody 25% to 50% of the time. [1, 16, 22] Rectal spasms, which are technically referred to as “tenesmus [about-shigella.com]

Amebiasis

[…] passage of 3 to 8 semiformed stools per day, or passage of soft stools with mucus and occasional blood Fatigue Excessive gas Rectal pain while having a bowel movement ( tenesmus [nlm.nih.gov]

[…] intestinal amebiasis (amebic colitis) generally have 1 to 3 weeks of increasingly severe diarrhea progressing to grossly bloody dysenteric stools with lower abdominal pain and tenesmus [kflaph.ca]

Rectal Trauma

A common symptom of proctitis is called tenesmus. Tenesmus is a frequent urge to have a bowel movement. [healthline.com]

While inquiring about the history of the disease, the physician must obtain information about any pain, tenesmus, incontinence and associated genitourinary and abdominal symptoms [symptoma.com]

Despite tenesmus and the urge to stimulate herself digitally, she was unable to produce stool. [mdmag.com]

Solitary Rectal Ulcer Syndrome

Solitary rectal ulcer syndrome (SRUS) is an unusual disorder of childhood, which usually presents with rectal bleeding, mucous discharge, prolonged straining, tenesmus, and [ncbi.nlm.nih.gov]

It usually presents with rectal bleeding, constipation, mucous discharge, prolonged straining, tenesmus, and lower abdominal pain. [ncbi.nlm.nih.gov]

Solitary rectal ulcer syndrome is an uncommon and often underdiagnosed condition that usually presents with hematochezia, mucous discharge, and tenesmus. [ncbi.nlm.nih.gov]

Radiation Proctitis

[…] navigation Jump to search Radiation proctitis is a rare rectal disease directly induced by pelvic radiotherapy and characterized by rectal bleeding, change in bowel habits, tenesmus [wikidata.org]

The main symptoms are diarrhea, urgency, tenesmus, and rectal bleeding. [ncbi.nlm.nih.gov]

Other symptoms include difficulty in defaecation or tenesmus because of loss of distensibility of the rectum or rectal structuring. [ncbi.nlm.nih.gov]

Rectal Ulcer

We describe the case of a teenager with symptoms of tenesmus and rectal bleeding initially classified as ulcerative proctitis but who was later, in view of refractoriness [elsevier.es]

Mucous discharge, incontinence, tenesmus, and pain were less frequent. [gastroenterologybook.com]

Six months later, rectal bleeding was seen in most stools and tenesmus recurred, despite the passage of soft stools. [karger.com]

Shigella Enteritis

Symptoms of shigellosis typically start 1–2 days after exposure and include: Diarrhea (sometimes bloody) Fever Abdominal pain Tenesmus (a painful sensation of needing to pass [cdc.gov]

[…] can range from mild abdominal discomfort to full-blown dysentery characterized by cramps, diarrhea, with slimy-consistent stools, fever, blood, pus, or mucus in stools or tenesmus [disabled-world.com]

Shigella infection can cause mild watery or loose stools with no other symptoms, or it can be more serious, with fever, abdominal cramps or tenderness, crampy rectal pain (tenesmus [healthychildren.org]

Lymphogranuloma Venereum

In multivariate analysis, tenesmus and constipation alone were suggestive of LGV (OR 2.98, 95% CI 0.99 to 8.98 and 2.87, 95% CI 1.01 to 8.15, respectively) and that tenesmus [ncbi.nlm.nih.gov]

Rectal infection can result in proctocolitis that can present with mucoid and/or hemorrhagic rectal discharge, anal pain, constipation, fever, and tenesmus, and signs of granulomas [ncbi.nlm.nih.gov]

All five patients infected with serovar L-1 were homosexual men who had symptomatic proctitis characterized by rectal pain, discharge, tenesmus, abnormalities seen on anoscopy [ncbi.nlm.nih.gov]

Malignant Anorectal Melanoma

Case Report We report the case of an 85 year-old woman with no significant past medical history who presented two-month period of rectal bleeding, abdominal pain, tenesmus [scielo.isciii.es]

Clinical presentation includes rectal bleeding, tenesmus, pain, and change in bowel habit. [ebi.ac.uk]

Clinicians should suspect (ARM) in cases presenting with the above symptoms combined with tenesmus and rectal bleeding. [hippokratia.gr]

Gonococcal Proctitis

Symptomatic infection may present as gastrointestinal complaints that include tenesmus, diarrhea, lower abdominal pain in the left quadrant, and stool withholding behavior [symptoma.com]

Radiation proctitis causing only mild symptoms such as occasional bleeding or tenesmus may heal without treatment. [thegiconnection.com]

Diarrhea may be followed by constipation with spasm and severe straining of the rectal muscles (tenesmus). [rarediseases.org]

Infectious Colitis

(pancolitis) The illness usually starts abruptly, with diarrhea, lower abdominal cramps, and tenesmus. The diarrheal stool often is mixed with blood and mucus. [gastrointestinalatlas.com]

Infectious colitis symptoms will vary, yet you’ll likely experience some combination of: fever chills bloating diarrhea tenesmus lower abdominal pain Your pain and diarrhea [healthblurbs.com]

The infectious microbe also produces a large amount of gas, causing intestinal distension, cramps, bloating and the feeling of having to stool frequently, called tenesmus. [livestrong.com]

Sigmoiditis

Patients complain of frequent painful urge to defecate - tenesmus. Often, tenesmus is accompanied by the release of a small amount of mucus, pus and / or blood. [thectrforpsychotherapy.com]

Typical symptoms include: Rectal bleeding Urgency to go to empty your bowels Tenesmus - feeling the need to pass stools despite bowel being empty Moderate pain on lower left [ibdrelief.com]

In severe cases, tenesmus bothers the patient several times an hour. [thectrforpsychotherapy.com]

Radiation Enteritis

tenesmus) and 9 months for rectal bleeding (p 0.001). [ncbi.nlm.nih.gov]

Glutamine also failed to significantly improve the symptoms of radiation enteritis in terms of tenesmus, abdominal cramping and blood in bowel movement(P 0.05). [ncbi.nlm.nih.gov]

The individual may also experience abdominal cramping, tenesmus, and proctalgia. 53 These effects may be severe and impact on well-being, both physically and emotionally, [edcan.org.au]

Sexual Abuse Victim

Cien Saude Colet. 2017 Sep;22(9):2919-2928. doi: 10.1590/1413-81232017229.11042017. [Article in English, Portuguese] Author information 1 Programa de Pós- Graduação em Economia do Desenvolvimento, Pontifícia Universidade Católica do Rio Grande do Sul. Av. Ipiranga 6681, Partenon. 90619-900 Porto Alegre RS Brasil.[…] [ncbi.nlm.nih.gov]