Tenesmus
1386072
219229001
2008-06-14T05:26:15Z
ImperfectlyInformed
5106682
/* Considerations */ adding celiac disease
{{SignSymptom infobox |
Name = Rectal tenesmus |
ICD10 = R19.8 |
ICD9 = {{ICD9|787.99}} |
}}
'''Tenesmus''' is a feeling of incomplete [[defecation]]. It is experienced as an inability or difficulty to empty the bowel at [[defecation]]. It is frequently painful and may be accompanied by involuntary straining and other gastrointestinal [[symptoms]].
[[Vesical tenesmus]] is a similar condition, referring to difficult or failed attempts to [[urinate]] despite the bladder feeling full.
Rectal tenesmus is sometimes used as a [[retronym]] to further distinguish defecation-related tenesmus from vesical tenesmus.<ref>{{cite web | title = ''Wrong Diagnosis'' | url = http://www.wrongdiagnosis.com/sym/rectal_tenesmus.htm
| accessdate = 2007-07-09}}</ref>
==Considerations==
Tenesmus is characterized by a sensation of needing to pass stool, accompanied by pain, cramping, and straining. Despite straining, little stool is passed. Tenesmus is generally associated with inflammatory diseases of the bowel, which may be caused by either infectious or noninfectious conditions. Conditions associated with tenesmus include:
* [[Irritable bowel syndrome]]
* [[Inflammatory bowel disease]]
* [[Coeliac disease]]
* Prolapsed hemorrhoid
* [[Radiation proctitis]]
* Rectal [[Gonorrhoea]]
* Rectal [[Lymphogranuloma venereum]]
* [[Shigellosis]]
* [[Ulcerative colitis]]
* [[Colorectal cancer]]
* Rectal Lower GI parasitic infection, particularly ''Trichuris Trichiura'' aka [[whipworm]]
==See also==
* [[Encopresis]]
* [[Constipation]]
* [[Fecal incontinence]]
==External links==
<references/>
* {{GPnotebook|-181075954}}
* {{MedlinePlusEncylopedia|003131}}
[[Category:Diseases]]
{{disease-stub}}