Tenesmus
Overview
Fullness of the rectum and urge to defaecate despite emptying the rectum.
Aetiology
Causes of Tenesmus
Space-Occupying Lesion
- Polyp
- Carcinoma
- Thrombosed internal haemorrhoid
- Anorectal abscess
Inflammation
- Inflammatory bowel disease - ulcerative colitis, Crohn's
- Radiation proctitis
- Endometriosis
History of Presenting Complaint
Onset
- Whether the tenesmus began suddenly or gradually, and in what situation.
Timing
- How long the tenesmus has been going on for.
Associated Symptoms
- Whether the tenesmus is associated with any other symptoms, such as pain.
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