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Tenesmus



Lower digestive anatomy
Lower digestive anatomy


Tenesmus

Alternative Names:

Pain - passing stool; Painful stools; Difficulty passing stool
Home Care:

If you feel that you are constipated, try to increase your fluid and fiber intake.


Call your health care provider if:

Tenesmus continues, whether it is constant or intermittent. Contact your doctor if there is abdominal pain, fever, chills, blood in the stool, nausea, or vomiting. It may be a sign of an underlying disorder.


What to expect at your health care provider's office:


The doctor will examine you and ask questions such as:

  • Time pattern
    • Did this develop recently?
    • Is it the first time you have experienced tenesmus?
    • Does the feeling come and go or is it constant?
  • Symptom history
    • Is there a constant need to empty the bowels?
    • Is there abdominal pain?
    • Is there cramping?
    • Is there a persistent feeling of straining?
    • Is there diarrhea or vomiting?
    • What other symptoms are also present (such as blood in stool, fever)?
  • Dietary history
    • Have you eaten anything unusual or uncooked?
    • Have you been at a picnic, gathering, or similar event recently?
  • Other
    • Any medical problems in the past?
    • Have any other people in your family or social group experienced similar problems?

The physical examination may include a detailed abdominal examination. A rectal examination -- and prostate check for men -- is performed in most cases.

Diagnostic tests that may be performed include:

  • Laboratory tests: CBC (blood count), electrolytes, and stool cultures
  • X-rays of the abdomen
  • A CT scan of the abdomen may be done in rare instances
  • Colonoscopy to look at the colon and rectum

After seeing your health care provider:

You may want to add a diagnosis related to tenesmus to your personal medical record.





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