Rectal tenesmus
| Rectal tenesmus | |
|---|---|
| Specialty | General surgery |
Rectal tenesmus is a feeling of incomplete
Often, rectal tenesmus is simply called tenesmus. The term rectal tenesmus is a retronym to distinguish defecation-related tenesmus from vesical tenesmus.[2] Vesical tenesmus is a similar condition, experienced as a feeling of incomplete voiding despite the bladder being empty.
Tenesmus is a closely related topic to
Considerations
Tenesmus is characterized by a sensation of needing to pass stool, accompanied by pain, cramping, and straining. Despite straining, little stool is passed.[3] 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:
- Amebiasis
- Chronic arsenic poisoning
- Coeliac disease
- Colorectal cancer
- Anal melanoma[4]
- Cystocele
- Cytomegalovirus (in immunocompromised patients)
- Diverticular disease
- Dysentery
- Hemorrhoid, which are prolapsed
- Imperforate hymen[5]
- Inflammatory bowel disease
- Irritable bowel syndrome
- Ischemic colitis
- Kidney stones, when a stone is lodged in the lower ureter[6]
- Pelvic organ prolapse
- Radiation proctitis
- Rectal gonorrhea
- Rectal lymphogranuloma venereum
- Rectal parasitic infection, particularly Trichuris trichiura (whipworm)
- Rectocele
- Shigellosis
- Ulcerative colitis
Tenesmus (rectal) is also associated with the installation of either a reversible or non reversible stoma where rectal disease may or may not be present. Patients who experience tenesmus as a result of stoma installation can experience the symptoms of tenesmus for the duration of the stoma presence. Long term pain management may need to be considered as a result.
Treatment
Pain relief is administered concomitantly to the treatment of the primary disease causing tenesmus.
See also
References
- ISBN 978-0-7020-7870-5.
- ^ "Wrong Diagnosis". Retrieved 2007-07-09.
- ISSN 0304-5412.
- ^ Bejarano-García, A.; C. Núñez-Sousa; V. Aviñó-Tarazona; R. González-Gutiérrez (24 February 2011). "NEOPLASIA ANAL EN PACIENTE CON TENESMO". Revista de la Sociedad Andaluza de Patología Digestiva. 34 (1).
- PMID 24009804.
- ^ Nephrolithiasis: Acute Renal Colic, Stephen W Leslie. eMedicine.