/SiteAssets/Images/FMOLHSBlankBanner.png

Health Information

Tenesmus
Bookmarks

Tenesmus

Print-Friendly  

Pain - passing stool; Painful stools; Difficulty passing stool

Tenesmus is the feeling that you need to pass stools, even though your bowels are already empty. It may involve straining, pain, and cramping.

I Would Like to Learn About:

  • Considerations

    Tenesmus most often occurs with inflammatory diseases of the bowels. These diseases may be caused by an infection or other conditions.

    It can also occur with diseases that affect the normal movements of the intestines. These diseases are known as motility disorders.

    Persons with tenesmus may push very hard (strain) to try to empty their bowels. However, they will only pass a small amount of stool.

  • Causes

    The condition may be caused by:

    • Anorectal abscess
    • Colorectal cancer or tumors
    • Crohn's disease
    • Infection of the colon (infectious colitis)
    • Inflammation of the colon or rectum from radiation (radiation proctitis or colitis)
    • Inflammatory bowel disease (IBD)
    • Movement (motility) disorder of the intestines
    • Ulcerative colitis
  • Home Care

    Increasing the amount of fiber and fluid in your diet can help ease constipation.

  • When to Contact a Medical Professional

    Contact your health care provider if you continue to have symptoms of tenesmus that are constant or come and go.

    Also call if you have:

    • Abdominal pain
    • Blood in the stool
    • Chills
    • Fever
    • Nausea
    • Vomiting

    These symptoms could be a sign of a disease that might be causing the problem.

  • What to Expect at Your Office Visit

    The doctor will examine you and ask questions such as:

    • When did this problem occur? Have you had it before?
    • What symptoms are you having?
    • Have you eaten any raw, new, or unfamiliar foods? Have you eaten at a picnic or large gathering?
    • Do any others in your household have similar problems?
    • What other health problems do you have or have had in the past?

    The physical exam may include a detailed abdominal exam. A rectal exam is performed in most cases.

    Tests that may be done include:

    • Colonoscopy to look at the colon and rectum
    • Complete blood count (CBC)
    • CT scan of the abdomen (in rare cases)
    • Proctosigmoidoscopy (an examination of the lower bowel)
    • Stool cultures
    • X-rays of the abdomen

Related Information

     

References

Camilleri M. Disorders of gastrointestinal motility. In: Goldman L, Schafer AI, eds. Goldman's Cecil Medicine. 24th ed. Philadelphia, PA: Elsevier Saunders; 2011:chap 138.

Cook IJ, Brookes SJ, Dinning PG. Colonic motor and sensory function and dysfunction. In: Feldman M, Friedman LS, Sleisenger MH, eds. Sleisenger & Fordtran's Gastrointestinal and Liver Disease. 9th ed. Philadelphia, PA: Elsevier Saunders; 2010:chap 98.

Lichtenstein GP. Inflammatory bowel disease. In: Goldman L, Schafer AI, eds. Goldman's Cecil Medicine. 24th ed. Philadelphia, PA: Elsevier Saunders; 2011:chap 143.

BACK TO TOP 

Review Date: 8/19/2014  

Reviewed By: Jenifer K. Lehrer, MD, Department of Gastroenterology, Frankford-Torresdale Hospital, Aria Health System, Philadelphia, PA. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.

adam.com

 
A.D.A.M. content is best viewed in IE9 or above, Fire Fox and Google Chrome browser.