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  • Fullness of the rectum and urge to defaecate despite emptying the rectum.


    • 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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