{"id":3315,"date":"2023-12-12T08:43:04","date_gmt":"2023-12-12T08:43:04","guid":{"rendered":"http:\/\/drhimanshuyadav.com\/symptoms-causes-and-treatment-of-tenesmus\/"},"modified":"2023-12-12T08:43:04","modified_gmt":"2023-12-12T08:43:04","slug":"symptoms-causes-and-treatment-of-tenesmus","status":"publish","type":"post","link":"https:\/\/drhimanshuyadav.com\/blog\/symptoms-causes-and-treatment-of-tenesmus\/","title":{"rendered":"Symptoms, causes, and treatment of tenesmus"},"content":{"rendered":"<div id=\"health-sc-page_1-0\" data-sc-sticky-offset=\"60\" data-sc-ad-label-height=\"24\" data-sc-ad-track-spacing=\"100\" data-sc-min-track-height=\"250\" data-sc-max-track-height=\"600\" data-sc-breakpoint=\"50em\" data-sc-load-immediate=\"4\" data-sc-content-positions=\"[400, 1400, 1400, 1700, 2000, 2200, 2400, 2600, 2800]\" data-bind-scroll-on-start=\"true\">\n<p id=\"mntl-sc-block_1-0\" class=\"comp mntl-sc-block mntl-sc-block-html\">\n<span data-tts=\"true\">Tenesmus<\/span> There is often a feeling of urgency to defecate, even though the bowels are empty. It is accompanied by discomfort, cramping, tension, and rectal pain.\n<\/p>\n<p id=\"mntl-sc-block_1-0-2\" class=\"comp mntl-sc-block mntl-sc-block-html\">\n<p>Tenesmus can be caused by a variety of gastrointestinal disorders, such as hemorrhoids, infections, and inflammatory bowel disease (IBD). This can also be a symptom of colon cancer, so it&#8217;s important to talk to your health care provider if you experience this symptom.\n<\/p>\n<p id=\"mntl-sc-block_1-0-4\" class=\"comp mntl-sc-block mntl-sc-block-html\">\n<p>This article describes possible causes of tenesmus. It also describes what health care providers do to diagnose and treat this common but often painful condition.\n<\/p>\n<figure id=\"health-sc-block-image--none_1-0\" class=\"comp mntl-sc-block-image mntl-sc-block theme-none health-sc-block-image--none health-sc-block-image-base mntl-sc-block-universal-image figure-landscape figure-high-res\"><figcaption id=\"mntl-figure-caption_1-0\" class=\"comp mntl-figure-caption figure-article-caption\">\n<span class=\"figure-article-caption-owner\">Lawrence Dutton\/Getty Images<\/span><br \/>\n<\/figcaption><\/figure>\n<p><span class=\"heading-toc\" id=\"toc-causes-of-tenesmus\"\/> <\/p>\n<h2 id=\"mntl-sc-block_1-0-7\" class=\"comp mntl-sc-block health-sc-block-heading mntl-sc-block-heading\"> <span class=\"mntl-sc-block-heading__text\">    Causes of tenesmus <\/span> <\/h2>\n<p id=\"mntl-sc-block_1-0-8\" class=\"comp mntl-sc-block mntl-sc-block-html\">\n<p>The term &#8220;tenesmus&#8221; refers to the feeling of having to defecate (to defecate) when there is no need to do so. Doctors don&#8217;t fully understand why tenesmus occurs, but other symptoms can cause changes in the body that can lead to this uncomfortable and painful problem.\n<\/p>\n<h3 id=\"mntl-sc-block_1-0-11\" class=\"comp mntl-sc-block mntl-sc-block-subheading\"> <span class=\"mntl-sc-block-subheading__text\">    conditions <\/span> <\/h3>\n<p id=\"mntl-sc-block_1-0-12\" class=\"comp mntl-sc-block mntl-sc-block-html\">\n<p>Tenesmus is essentially a sign that your digestive system is not functioning properly. Nerve problems, inflammation, intestinal scarring, and other problems that affect digestion and excretion are caused by a variety of conditions.\n<\/p>\n<p id=\"mntl-sc-block_1-0-14\" class=\"comp mntl-sc-block mntl-sc-block-html\">\n<p>Below are some diseases that can cause tenesmus.<span class=\"ql-inline-citation\" data-cite=\"14\"\/>\n<\/p>\n<p id=\"mntl-sc-block_1-0-18\" class=\"comp mntl-sc-block mntl-sc-block-html\">\n<p>Radiation therapy for cervical, rectal, prostate, or colon cancer can also cause damage or inflammation to the rectum. This can cause tenesmus, as well as symptoms such as diarrhea and pain.<span class=\"ql-inline-citation\" data-cite=\"1\"\/><\/p>\n<h3 id=\"mntl-sc-block_1-0-21\" class=\"comp mntl-sc-block mntl-sc-block-subheading\"> <span class=\"mntl-sc-block-subheading__text\">    nerve problems <\/span> <\/h3>\n<p id=\"mntl-sc-block_1-0-22\" class=\"comp mntl-sc-block mntl-sc-block-html\">\n<p>It is thought that inflammation in the intestines can affect the nerves that control waste excretion.<span class=\"ql-inline-citation\" data-cite=\"6\"\/> When these nerves become overstimulated, they can send signals to the brain that there is still material in the intestines.\n<\/p>\n<p id=\"mntl-sc-block_1-0-24\" class=\"comp mntl-sc-block mntl-sc-block-html\">\n<p>This can irritate the intestinal muscles used to push stool out. Because these muscles contract, the body thinks it needs to have a bowel movement, but there is actually nothing in the colon.\n<\/p>\n<h3 id=\"mntl-sc-block_1-0-27\" class=\"comp mntl-sc-block mntl-sc-block-subheading\"> <span class=\"mntl-sc-block-subheading__text\">    intestinal damage <\/span> <\/h3>\n<p id=\"mntl-sc-block_1-0-28\" class=\"comp mntl-sc-block mntl-sc-block-html\">\n<p>Another possible cause of tenesmus is intestinal scarring caused by severe diarrhea or constipation. When this scar tissue builds up, it becomes difficult to defecate.<span class=\"ql-inline-citation\" data-cite=\"15\"\/>\n<\/p>\n<p id=\"mntl-sc-block_1-0-30\" class=\"comp mntl-sc-block mntl-sc-block-html\">\n<p>It may also feel like there is more in your intestines than there actually is. The same thing can happen with wounds or tumors around the rectum or in the colon.<\/p>\n<div id=\"health-sc-block-callout--takeaway_1-0\" class=\"comp theme-takeaway health-sc-block-callout--takeaway health-sc-block-callout-base mntl-sc-block-callout mntl-block\" data-tracking-id=\"mntl-sc-block-callout\" data-tracking-container=\"true\">\n<h3 id=\"mntl-sc-block-callout-heading_1-0\" class=\"comp mntl-sc-block-callout-heading mntl-text-block\">\n<p>When to call your health care provider<\/h3>\n<div id=\"mntl-sc-block-callout-body_1-0\" class=\"comp expert-content takeaway mntl-sc-block-callout-body mntl-text-block\">\n<p>Seek immediate medical attention if you experience high fever (100.4 degrees Fahrenheit or higher), chills, severe rectal bleeding, nausea, vomiting, or tenesmus with fainting.<\/p>\n<\/div>\n<\/div>\n<p><span class=\"heading-toc\" id=\"toc-related-symptoms\"\/> <\/p>\n<h2 id=\"mntl-sc-block_1-0-35\" class=\"comp mntl-sc-block health-sc-block-heading mntl-sc-block-heading\"> <span class=\"mntl-sc-block-heading__text\">    Associated symptoms <\/span> <\/h2>\n<p id=\"mntl-sc-block_1-0-36\" class=\"comp mntl-sc-block mntl-sc-block-html\">\n<p>You may also notice other symptoms associated with tenesmus, including:<span class=\"ql-inline-citation\" data-cite=\"14\"\/>\n<\/p>\n<ul id=\"mntl-sc-block_1-0-38\" class=\"comp mntl-sc-block mntl-sc-block-html\">\n<li>convulsions<\/li>\n<li>strain to push out stool<\/li>\n<li>rectal pain<\/li>\n<\/ul>\n<p id=\"mntl-sc-block_1-0-40\" class=\"comp mntl-sc-block mntl-sc-block-html\">\n<p>Symptoms of tenesmus may be always present or may come and go.\n<\/p>\n<p id=\"mntl-sc-block_1-0-42\" class=\"comp mntl-sc-block mntl-sc-block-html\">\n<p>Other problems that can occur with tenesmus, such as abdominal pain or rectal bleeding, are usually related to an underlying condition that makes you need to go to the bathroom.<span class=\"ql-inline-citation\" data-cite=\"7\"\/><\/p>\n<p><span class=\"heading-toc\" id=\"toc-diagnosis\"\/> <\/p>\n<h2 id=\"mntl-sc-block_1-0-44\" class=\"comp mntl-sc-block health-sc-block-heading mntl-sc-block-heading\"> <span class=\"mntl-sc-block-heading__text\">    diagnosis <\/span> <\/h2>\n<p id=\"mntl-sc-block_1-0-45\" class=\"comp mntl-sc-block mntl-sc-block-html\">\n<p>Your health care provider may recommend seeing a specialist who can diagnose the cause of tenesmus. The first step is to review your medical history, family history, and current symptoms. You should be prepared to answer questions about your bowel habits, diet, and lifestyle.\n<\/p>\n<p id=\"mntl-sc-block_1-0-47\" class=\"comp mntl-sc-block mntl-sc-block-html\">\n<p>Your health care provider then performs further tests to find the underlying reason for your symptoms.\n<\/p>\n<h3 id=\"mntl-sc-block_1-0-50\" class=\"comp mntl-sc-block mntl-sc-block-subheading\"> <span class=\"mntl-sc-block-subheading__text\">    Physical examination <\/span> <\/h3>\n<p id=\"mntl-sc-block_1-0-51\" class=\"comp mntl-sc-block mntl-sc-block-html\">\n<p>A physical examination is essential for diagnosing tenesmus. This helps your doctor check for inflammation or abnormalities around your rectum, abdominal tenderness or pain, or signs of sexually transmitted infections (STIs).\n<\/p>\n<p id=\"mntl-sc-block_1-0-53\" class=\"comp mntl-sc-block mntl-sc-block-html\">\n<p>Testing may include a digital rectal examination (DRE). This involves inserting a gloved finger into the anus to check for hemorrhoids, blood, mucus secretion, infection, or abnormal growths.<span class=\"ql-inline-citation\" data-cite=\"16\"\/>\n<\/p>\n<h3 id=\"mntl-sc-block_1-0-58\" class=\"comp mntl-sc-block mntl-sc-block-subheading\"> <span class=\"mntl-sc-block-subheading__text\">    clinical examination <\/span> <\/h3>\n<p id=\"mntl-sc-block_1-0-59\" class=\"comp mntl-sc-block mntl-sc-block-html\">\n<p>After a physical exam, your doctor will usually order a number of blood and stool tests to narrow down the cause.\n<\/p>\n<p id=\"mntl-sc-block_1-0-61\" class=\"comp mntl-sc-block mntl-sc-block-html\">\n<p>These may include:\n<\/p>\n<h3 id=\"mntl-sc-block_1-0-66\" class=\"comp mntl-sc-block mntl-sc-block-subheading\"> <span class=\"mntl-sc-block-subheading__text\">    image research <\/span> <\/h3>\n<p id=\"mntl-sc-block_1-0-67\" class=\"comp mntl-sc-block mntl-sc-block-html\">\n<p>Before proceeding with more invasive procedures, your doctor may order imaging tests to visualize your gastrointestinal tract.\n<\/p>\n<p id=\"mntl-sc-block_1-0-69\" class=\"comp mntl-sc-block mntl-sc-block-html\">\n<p>These may include:<span class=\"ql-inline-citation\" data-cite=\"17\"\/>\n<\/p>\n<ul id=\"mntl-sc-block_1-0-71\" class=\"comp mntl-sc-block mntl-sc-block-html\">\n<li><strong>barium x-ray<\/strong>: A type of X-ray that uses a barium enema to highlight growths, obstructions, lesions, or perforations (holes) in the intestines<\/li>\n<li><strong>Computed tomography (CT) colonography<\/strong>: An imaging technique that uses multiple X-rays to visualize the intestines in detail, including the presence of polyps and tumors.<\/li>\n<li><strong>Magnetic Resonance Imaging (MRI)<\/strong>: a type of scan that uses powerful magnetism and radio waves to create highly detailed images of the soft tissues in the gastrointestinal tract<\/li>\n<\/ul>\n<h3 id=\"mntl-sc-block_1-0-74\" class=\"comp mntl-sc-block mntl-sc-block-subheading\"> <span class=\"mntl-sc-block-subheading__text\">    procedure <\/span> <\/h3>\n<p id=\"mntl-sc-block_1-0-75\" class=\"comp mntl-sc-block mntl-sc-block-html\">\n<p>If your doctor suspects colorectal cancer or finds abnormalities on imaging tests, your doctor may refer you to another health care provider. <span data-tts=\"true\">gastroenterologist<\/span>a doctor specializing in gastrointestinal diseases.\n<\/p>\n<p id=\"mntl-sc-block_1-0-77\" class=\"comp mntl-sc-block mntl-sc-block-html\">\n<p>Additional tests may be needed to confirm the diagnosis.\n<\/p>\n<ul id=\"mntl-sc-block_1-0-79\" class=\"comp mntl-sc-block mntl-sc-block-html\">\n<li><strong>colonoscopy<\/strong>: A procedure in which the entire colon is examined using a flexible scope called a colonoscope.<\/li>\n<li><strong><span data-tts=\"true\">Sigmoidoscopy<\/span><\/strong>: A version of colonoscopy limited to the lower part of the colon called the sigmoid colon.<\/li>\n<li><strong>colon biopsy<\/strong>: Performed during a colonoscopy or sigmoidoscopy to obtain tissue samples for evaluation.<span class=\"ql-inline-citation\" data-cite=\"11\"\/><\/li>\n<\/ul>\n<p id=\"mntl-sc-block_1-0-81\" class=\"comp mntl-sc-block mntl-sc-block-html\">\n<p>If colorectal cancer is the cause of tenesmus, the only test that can definitively confirm the diagnosis is a biopsy. Blood tests and imaging tests can support the diagnosis, but they cannot diagnose the disease.\n<\/p>\n<p><span class=\"heading-toc\" id=\"toc-tenesmus-treatment\"\/> <\/p>\n<h2 id=\"mntl-sc-block_1-0-83\" class=\"comp mntl-sc-block health-sc-block-heading mntl-sc-block-heading\"> <span class=\"mntl-sc-block-heading__text\">    tenesmus treatment  <\/span> <\/h2>\n<p id=\"mntl-sc-block_1-0-84\" class=\"comp mntl-sc-block mntl-sc-block-html\">\n<p>Tenesmus tends to improve once the underlying cause is identified and treated. Because the causes of tenesmus are very diverse, so are the treatments. Below are treatments used for conditions that cause tenesmus.\n<\/p>\n<figure id=\"mntl-sc-block_1-0-87\" class=\"comp mntl-sc-block mntl-sc-block-table\">\n<div class=\"mntl-sc-block-table__table-wrapper\">\n<table class=\"mntl-sc-block-table__table\">\n<colgroup style=\"\" span=\"1\"\/>\n<colgroup style=\"\" span=\"1\"\/>\n<thead>\n<tr>\n<th>cause<\/th>\n<th>treatment options<\/th>\n<\/tr>\n<\/thead>\n<tbody data-check=\"0\">\n<tr>\n<td>celiac disease<\/td>\n<td>gluten free meals<\/td>\n<\/tr>\n<tr>\n<td>constipation<\/td>\n<td>Laxatives and stool softeners<\/td>\n<\/tr>\n<tr>\n<td> <\/td>\n<td>high fiber diet<\/td>\n<\/tr>\n<tr>\n<td>diarrhea<\/td>\n<td>Anti-diarrheal drugs such as Imodium (loperamide)<\/td>\n<\/tr>\n<tr>\n<td>colorectal cancer<\/td>\n<td>surgery<\/td>\n<\/tr>\n<tr>\n<td\/>\n<td>radiation<\/td>\n<\/tr>\n<tr>\n<td> <\/td>\n<td>Chemotherapy, immunotherapy, and\/or targeted therapy<\/td>\n<\/tr>\n<tr>\n<td>Crohn&#8217;s disease and ulcerative colitis<\/td>\n<td>Corticosteroids such as prednisone<\/td>\n<\/tr>\n<tr>\n<td> <\/td>\n<td>Immunosuppressants such as methotrexate<\/td>\n<\/tr>\n<tr>\n<td> <\/td>\n<td>Aminosalicylates such as Colazar (balsalazide)<\/td>\n<\/tr>\n<tr>\n<td> <\/td>\n<td>TNF inhibitors such as Humira (adalimumab)<\/td>\n<\/tr>\n<tr>\n<td> <\/td>\n<td>Antibiotics such as Flagyl (metronidazole)<\/td>\n<\/tr>\n<tr>\n<td> <\/td>\n<td>surgery<\/td>\n<\/tr>\n<tr>\n<td>diverticular disease<\/td>\n<td>high fiber diet<\/td>\n<\/tr>\n<tr>\n<td> <\/td>\n<td>Oral or intravenous antibiotics<\/td>\n<\/tr>\n<tr>\n<td> <\/td>\n<td>surgery<\/td>\n<\/tr>\n<tr>\n<td>gastroenteritis<\/td>\n<td>Antibiotics (if bacterial cause)<\/td>\n<\/tr>\n<tr>\n<td> <\/td>\n<td>Antiparasitic drugs (if the cause is a parasite)<\/td>\n<\/tr>\n<tr>\n<td>IBS<\/td>\n<td>high fiber diet <\/td>\n<\/tr>\n<tr>\n<td> <\/td>\n<td>Antispasmodics such as Levsin (hyoscyamine)<\/td>\n<\/tr>\n<tr>\n<td> <\/td>\n<td>Anti-diarrheal or laxatives as needed<\/td>\n<\/tr>\n<tr>\n<td> <\/td>\n<td>Tricyclic antidepressants such as amitriptyline <\/td>\n<\/tr>\n<tr>\n<td>ischemic colitis<\/td>\n<td>Antibiotics<\/td>\n<\/tr>\n<tr>\n<td> <\/td>\n<td>Surgery if blood flow disorder is severe<\/td>\n<\/tr>\n<tr>\n<td>pelvic floor disease<\/td>\n<td>stool softener<\/td>\n<\/tr>\n<tr>\n<td> <\/td>\n<td>physical therapy<\/td>\n<\/tr>\n<tr>\n<td> <\/td>\n<td>Transcutaneous tibial nerve stimulation (PTNS)<\/td>\n<\/tr>\n<tr>\n<td> <\/td>\n<td>surgery<\/td>\n<\/tr>\n<tr>\n<td>prolapsed hemorrhoid<\/td>\n<td>rubber band ligation<\/td>\n<\/tr>\n<tr>\n<td> <\/td>\n<td>sclerotherapy<\/td>\n<\/tr>\n<tr>\n<td> <\/td>\n<td>hemorrhoidectomy<\/td>\n<\/tr>\n<tr>\n<td>rectal abscess<\/td>\n<td>surgical drainage<\/td>\n<\/tr>\n<tr>\n<td> <\/td>\n<td>Antibiotics including penicillin<\/td>\n<\/tr>\n<tr>\n<td>rectocele<\/td>\n<td>kegel exercises<\/td>\n<\/tr>\n<tr>\n<td> <\/td>\n<td>intravaginal pessary<\/td>\n<\/tr>\n<tr>\n<td> <\/td>\n<td>surgery<\/td>\n<\/tr>\n<tr>\n<td>sexually transmitted diseases<\/td>\n<td>Antibiotics (depending on infection)<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><span class=\"heading-toc\" id=\"toc-summary\"\/> <\/p>\n<h2 id=\"mntl-sc-block_1-0-91\" class=\"comp mntl-sc-block health-sc-block-heading mntl-sc-block-heading\"> <span class=\"mntl-sc-block-heading__text\">    summary <\/span> <\/h2>\n<p id=\"mntl-sc-block_1-0-92\" class=\"comp mntl-sc-block mntl-sc-block-html\">\n<p>Tenesmus is the feeling of needing to defecate even when the colon is empty. Depending on the underlying cause, it may be accompanied by other symptoms such as cramping, pain, and rectal bleeding.\n<\/p>\n<p id=\"mntl-sc-block_1-0-94\" class=\"comp mntl-sc-block mntl-sc-block-html\">\n<p>Causes range from relatively harmless causes such as diarrhea and constipation to serious causes such as cancer. To determine the cause, your health care provider will do a physical exam, such as a digital rectal exam. Tests such as blood tests, imaging tests, and colonoscopies and biopsies may also be needed.\n<\/p>\n<p id=\"mntl-sc-block_1-0-96\" class=\"comp mntl-sc-block mntl-sc-block-html\">\n<p>Once the cause is identified, the underlying condition must be treated to eliminate tenesmus. Many of these conditions require dietary changes, medication, or surgery to alleviate symptoms.<\/p>\n<\/div>\n<div id=\"post-article_1-0\" class=\"comp post-article mntl-block\">\n<div id=\"sources_1-0\" class=\"comp sources mntl-block\">\n<div id=\"mntl-article-sources_1-0\" class=\"comp mntl-article-sources mntl-expandable-block\" data-scroll-offset=\"70\">\n<div class=\"loc expandable-content\">\n<div id=\"source-guidelines_1-0\" class=\"comp source-guidelines mntl-text-block\">\n<p>At Verywell Health, we use only high-quality sources, including peer-reviewed research, to support the facts in our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and reliable.<\/p><\/div>\n<div id=\"mntl-article-sources__citation-sources_1-0\" class=\"comp mntl-article-sources__citation-sources mntl-citation-sources mntl-sources\" data-tracking-container=\"true\">\n<ol class=\"mntl-sources__content\">\n<li class=\"mntl-sources__source\" id=\"citation-14\">\n<p>Florida Health University. <a href=\"https:\/\/ufhealth.org\/conditions-and-treatments\/tenesmus\" data-component=\"link\" data-source=\"inlineLink\" data-type=\"externalLink\" data-ordinal=\"1\" target=\"_blank\" rel=\"noopener\">Tenesmus<\/a>.<\/p>\n<\/li>\n<li class=\"mntl-sources__source\" id=\"citation-1\">\n<p>Grodsky MB, Sidani SM. <a href=\"https:\/\/doi.org\/10.1055\/s-0035-1547337\" data-component=\"link\" data-source=\"inlineLink\" data-type=\"externalLink\" data-ordinal=\"1\" target=\"_blank\" rel=\"noopener\">radiation proctopathy<\/a>. <em>Clin colorectal surgery<\/em>.  2015;28(2):103-111. doi:10.1055\/s-0035-1547337<\/p>\n<\/li>\n<li class=\"mntl-sources__source\" id=\"citation-6\">\n<p>Baro LL, Farias AQ, Rezaie A. <a href=\"https:\/\/doi.org\/10.3748%2Fwjg.v25.i31.4414\" data-component=\"link\" data-source=\"inlineLink\" data-type=\"externalLink\" data-ordinal=\"1\" target=\"_blank\" rel=\"noopener\">Gastrointestinal motility and absorption disorders in patients with inflammatory bowel disease: prevalence, diagnosis, and treatment<\/a>. <em>World J Gastroenterol.<\/em> 2019 August;25(31):4414-4426. doi:10.3748\/wjg.v25.i31.4414<\/p>\n<\/li>\n<li class=\"mntl-sources__source\" id=\"citation-15\">\n<p>Kim ES, Tae Jin Y, Young Kim J. <a href=\"https:\/\/doi.org\/10.5217%2Fir.2015.13.2.180\" data-component=\"link\" data-source=\"inlineLink\" data-type=\"externalLink\" data-ordinal=\"1\" target=\"_blank\" rel=\"noopener\">Patients experiencing bloody diarrhea and tenesmus for 3 weeks<\/a>. <em>Inspection results<\/em>.  2015 Apr;13(2):180-181. doi:10.5217\/ir.2015.13.2.180<\/p>\n<\/li>\n<li class=\"mntl-sources__source\" id=\"citation-7\">\n<p>Petricin PW, Paradowski L. <a href=\"https:\/\/doi.org\/10.17219\/acem\/68986\" data-component=\"link\" data-source=\"inlineLink\" data-type=\"externalLink\" data-ordinal=\"1\" target=\"_blank\" rel=\"noopener\">Stool patterns and symptoms of anorectal dysfunction in patients with inflammatory bowel disease<\/a>. <em>Adv Clin Exp Med<\/em>.  2018;27(6):813-818. doi:10.17219\/acem\/68986<\/p>\n<\/li>\n<li class=\"mntl-sources__source\" id=\"citation-16\">\n<p>Stanford Medicine. <a href=\"https:\/\/stanfordmedicine25.stanford.edu\/the25\/rectal.html\" data-component=\"link\" data-source=\"inlineLink\" data-type=\"externalLink\" data-ordinal=\"1\" target=\"_blank\" rel=\"noopener\">Rectal examination<\/a>.<\/p>\n<\/li>\n<li class=\"mntl-sources__source\" id=\"citation-9\">\n<p>Swiderska M, Choromanska B, Dombrowska E, et al. <a href=\"https:\/\/doi.org\/10.5114\/wo.2013.39995\" data-component=\"link\" data-source=\"inlineLink\" data-type=\"externalLink\" data-ordinal=\"1\" rel=\"noopener noreferrer\" target=\"_blank\">Diagnosis of colorectal cancer<\/a>. <em>Contemp Oncol (Posun). <\/em>2014;18(1):1-6. doi:10.5114\/wo.2013.39995<\/p>\n<\/li>\n<li class=\"mntl-sources__source\" id=\"citation-17\">\n<p>Manon P. <a href=\"https:\/\/doi.org\/10.1016\/B978-0-7020-6896-6.00075-2\" data-component=\"link\" data-source=\"inlineLink\" data-type=\"externalLink\" data-ordinal=\"1\" target=\"_blank\" rel=\"noopener\">Immune diseases of the gastrointestinal tract<\/a>. in: <em>Clinical immunology. <\/em>5th edition, 2019.  doi:10.1016\/B978-0-7020-6896-6.00075-2<\/p>\n<\/li>\n<li class=\"mntl-sources__source\" id=\"citation-11\">\n<p>Moraras S, Haroon M, Moraras BC, Lal K, Eguare E. <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6685311\/\" data-component=\"link\" data-source=\"inlineLink\" data-type=\"externalLink\" data-ordinal=\"1\" target=\"_blank\" rel=\"noopener\">Colon biopsy: benefit or burden?<\/a> <em>J Med Life<\/em>.  2019;12(2):156-159.<\/p>\n<\/li>\n<\/ol>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"author-bio_1-0\" class=\"comp author-bio\">\n<div class=\"loc author-bio__image\">\n<img data-src=\"https:\/\/www.verywellhealth.com\/thmb\/lPfQeiXTuxCtIMJ3WmbcI47EWeg=\/144x144\/filters:no_upscale():max_bytes(150000):strip_icc()\/BarbaraBolenPhD_1000-518fe02049d3402380d5d029c47b9b53.jpg\" width=\"144\" height=\"144\" class=\"lazyload universal-image__image\" data-expand=\"300\"\/><br \/>\n<noscript><br \/>\n<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.verywellhealth.com\/thmb\/lPfQeiXTuxCtIMJ3WmbcI47EWeg=\/144x144\/filters:no_upscale():max_bytes(150000):strip_icc()\/BarbaraBolenPhD_1000-518fe02049d3402380d5d029c47b9b53.jpg\" width=\"144\" height=\"144\" class=\"img--noscript universal-image__image\"\/><br \/>\n<\/noscript>\n<\/div>\n<p class=\"author-bio__bio-text\">\n<span class=\"author-bio__bio-title\">Written by Dr. Barbara Bolen<\/span><br \/>\n<br \/>Dr. Barbara Bolen is a licensed clinical psychologist and health coach. She has written multiple books focused on living with irritable bowel syndrome.\n<\/p>\n<\/div>\n<div id=\"trust-ribbon_1-0\" class=\"comp trust-ribbon trust-ribbon-expandable-block\">\n<div class=\"loc expandable-content\">\n<div id=\"trust-ribbon__feedback-block_1-0\" class=\"comp trust-ribbon__feedback-block article-feedback mntl-article-feedback\">\n<div class=\"article-feedback__success-section js-success-section is-hidden\">\n<p>Thank you for your feedback!<\/p>\n<\/div>\n<div class=\"article-feedback__feedback-section js-feedback-section is-hidden\">\n<p>What is your feedback?<\/p>\n<p><button id=\"article-feedback__open-form-button_1-0\" class=\"comp article-feedback__feedback-button article-feedback__open-form-button mntl-button\"><\/p>\n<p>other<br \/>\n<\/button><br \/>\n<button id=\"helpful-button_1-0\" class=\"comp article-feedback__feedback-button helpful-button mntl-button\"><\/p>\n<p>useful<br \/>\n<\/button><br \/>\n<button id=\"report-error-button_1-0\" class=\"comp article-feedback__feedback-button report-error-button mntl-button\"><\/p>\n<p>Report an error<br \/>\n<\/button><br \/>\n<svg class=\"icon icon-x close-button\">\n<use xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"#icon-x\"\/>\n<\/svg><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/figure>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Tenesmus There is often a feeling of urgency to defecate, even though the bowels are empty. It is accompanied by discomfort, cramping, tension, and rectal pain. Tenesmus can be caused by a variety of gastrointestinal disorders, such as hemorrhoids, infections, and inflammatory bowel disease (IBD). This can also be a symptom of colon cancer, so &#8230; <a title=\"Symptoms, causes, and treatment of tenesmus\" class=\"read-more\" href=\"https:\/\/drhimanshuyadav.com\/blog\/symptoms-causes-and-treatment-of-tenesmus\/\" aria-label=\"Read more about Symptoms, causes, and treatment of tenesmus\">Read more<\/a><\/p>\n","protected":false},"author":2,"featured_media":3316,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[102],"tags":[21,977,15],"class_list":["post-3315","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-colonic-motility-disorders","tag-symptoms","tag-tenesmus","tag-treatment"],"_links":{"self":[{"href":"https:\/\/drhimanshuyadav.com\/blog\/wp-json\/wp\/v2\/posts\/3315","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drhimanshuyadav.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/drhimanshuyadav.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/drhimanshuyadav.com\/blog\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/drhimanshuyadav.com\/blog\/wp-json\/wp\/v2\/comments?post=3315"}],"version-history":[{"count":0,"href":"https:\/\/drhimanshuyadav.com\/blog\/wp-json\/wp\/v2\/posts\/3315\/revisions"}],"wp:attachment":[{"href":"https:\/\/drhimanshuyadav.com\/blog\/wp-json\/wp\/v2\/media?parent=3315"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/drhimanshuyadav.com\/blog\/wp-json\/wp\/v2\/categories?post=3315"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/drhimanshuyadav.com\/blog\/wp-json\/wp\/v2\/tags?post=3315"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}