Tenesmus

Considerations:
Tenesmus is generally associated with inflammatory diseases of the bowel of both infectious and chronic origin. It is characterized by a sensation of needing to pass stool, accompanied by pain, cramping, and straining.

Common Causes:

Note: There may be other causes of tenesmus. This list is not all inclusive, and the causes are not presented in order of likelihood. The causes of this symptom can include unlikely diseases and medications. Furthermore, the causes may vary based on age and gender of the affected person, as well as on the specific characteristics of the symptom such as time course, aggravating factors, relieving factors, and associated complaints. Use the Symptom Analysis option to explore the possible explanations for tenesmus, occurring alone or in combination with other problems.

Home Care:
Consult your health care provider.

Call Your Healthcare Provider If:

  • signs of tenesmus occur or if symptoms worsen during treatment.



What to Expect:
The medical history will be obtained and a physical examination performed.

Medical history questions documenting tenesmus in detail may include:

  • time pattern
    • Did this develop recently?
    • Is it the first time you have experienced this?
    • Does the feeling come and go or is it constant?

  • symptom history

  • general medical history
    • How has the health been in the past?

  • dietary history
    • Have you eaten anything unusual?
    • Have you been at a picnic, gathereing, or similar event recently?

  • other
    • Have any other people in your family or social group experienced similar problem(s)?

The physical examination may include a detailed abdominal examination. A rectal examination (and prostate check for men) may be performed in some cases.

Diagnostic tests that may be performed are:

After seeing your health care provider:
You may want to add a diagnosis related to tenesmus to your personal medical record.