What Is Tenesmus?
Tenesmus is the term used to describe the painful and ineffective straining during urination or bowel movement. It is a constant feeling of the need to empty bowel, accompanied by pain, cramping, and involuntary straining efforts. Despite straining, little stool is passed.
Tenesmus is generally associated with inflammatory diseases of the bowels that may be due to infection. It comes in two forms: rectal and vesical tenesmus. Rectal tenesmus is a feeling of incomplete defecation. It is experienced as an inability or difficulty to empty the bowel at defecation. Vesical tenesmus is a similar condition, experienced as a feeling of incomplete voiding despite the bladder being empty.
Causes of Tenesmus
There are many possible tenesmus causes. Here are some of them:
- Infection of the colon
- Constipation is an abnormal condition in which there is an infrequent and difficult passage of hard and dry feces or stools
- Anorectal abscess
- Crohn’s disease
- Inflammatory bowel disease (IBD)
- Colorectal cancer or tumors
- Inflammation of the colon or rectum from radiation (radiation proctitis or colitis)
- Ulcerative colitis
Treatment For Tenesmus
There are many tenesmus treatment methods. However, there are no standard ways as to how to treat the condition. You may however use the following tips to improve your bowel movement:
- Stool test to check possible bacteria and parasites.
- Constipated? Increase fluid and fiber intake.
- Blood sampling to determine severity of inflammation and correctly address the problem
- Endoscopy and biopsy
- Proctocolectomy or surgical operation to remove rectum and all parts of the colon
- Take herbal medicines.
- Eat bananas, coconut water, and buttermilk
- Wheat grass juice can be used as an enema for cleansing the rectum and colon
- Seek medical attention if you have abdominal pain, blood in the stool, chills, fever, nausea, vomiting. These may indicate a disease causing the problem.
- Deal with mental stress associated with the condition.