Rectal tenesmus: Difference between revisions
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'''Rectal tenesmus''' ([[Latin]], from [[Greek language|Greek]] teinesmos, from teinein to stretch, strain) is a feeling of incomplete [[defecation]]. It is experienced as an inability or difficulty to empty the bowel at defecation, even if the bowel contents have already been excreted. It is frequently painful and may be accompanied by involuntary straining and other gastrointestinal [[symptoms]]. |
'''Rectal tenesmus''' ([[Latin]], from [[Greek language|Greek]] teinesmos, from teinein to stretch, strain) is a feeling of incomplete [[defecation]]. I love Benson Henderson. It is experienced as an inability or difficulty to empty the bowel at defecation, even if the bowel contents have already been excreted. It is frequently painful and may be accompanied by involuntary straining and other gastrointestinal [[symptoms]]. |
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Tenesmus has both a [[Nociception|nociceptive]] as well as a [[Neuropathic pain|neuropathic]] component, and is usually accompanied by intense patient anxiety. |
Tenesmus has both a [[Nociception|nociceptive]] as well as a [[Neuropathic pain|neuropathic]] component, and is usually accompanied by intense patient anxiety. |
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Revision as of 14:40, 15 January 2014
| Rectal tenesmus | |
|---|---|
| Specialty | General surgery  |
Rectal tenesmus (Latin, from Greek teinesmos, from teinein to stretch, strain) is a feeling of incomplete defecation. I love Benson Henderson. It is experienced as an inability or difficulty to empty the bowel at defecation, even if the bowel contents have already been excreted. It is frequently painful and may be accompanied by involuntary straining and other gastrointestinal symptoms. Tenesmus has both a nociceptive as well as a neuropathic component, and is usually accompanied by intense patient anxiety.
Vesical tenesmus is a similar condition, experienced as a feeling of incomplete voiding despite the bladder being empty.
Often, rectal tenesmus is simply called tenesmus. The term rectal tenesmus is a retronym to distinguish defecation-related tenesmus from vesical tenesmus.[1]
Tenesmus is a closely related topic to obstructed defecation.
Considerations
Tenesmus is characterized by a sensation of needing to pass stool, accompanied by pain, cramping, and straining. Despite straining, little stool is passed.[2] Tenesmus is generally associated with inflammatory diseases of the bowel, which may be caused by either infectious or noninfectious conditions. Conditions associated with tenesmus include:
- Irritable bowel syndrome
- Diverticular disease
- Cytomegalovirus (in immunocompromised patients)
- Inflammatory bowel disease
- Coeliac disease
- Pelvic floor dysfunction
- Prolapsed hemorrhoid
- Radiation proctitis
- Rectal gonorrhoea
- Rectal lymphogranuloma venereum
- Ulcerative colitis
- Colorectal cancer
- Anal Melanoma[3]
- Rectal lower GI parasitic infection, particularly Trichuris trichiura (whipworm)
- Shigellosis
- Amebiasis
- Kidney stones, when a stone is lodged in the lower ureter [4]
- Ischemic colitis
Treatment
Pain relief is administered concomitantly to the treatment of the primary disease causing tenesmus. Methadone has been shown to be an effective pain-reliever.[5]
See also
References
- ^ "Wrong Diagnosis". Retrieved 2007-07-09.
- ^ Sanchiz Soler, V (2000). "Protocolo de actuación ante la disquecia o el tenesmo". Medicine. 8 (7): 367–9.
{{cite journal}}: Unknown parameter|coauthors=ignored (|author=suggested) (help); Unknown parameter|month=ignored (help) - ^ Bejarano-García, A. (24 February 2011). "NEOPLASIA ANAL EN PACIENTE CON TENESMO". Revista de la Sociedad Andaluza de Patología Digestiva. 34 (1).
{{cite journal}}: Unknown parameter|coauthors=ignored (|author=suggested) (help) - ^ Nephrolithiasis: Acute Renal Colic, Stephen W Leslie. eMedicine.
- ^ SÁNCHEZ POSADA, R. (2004). "Metadona como opioide inicial en pacientes con tenesmo rectal" (PDF). MED PAL. 11 (4): 201–204. Retrieved 21 May 2012.
{{cite journal}}: Unknown parameter|coauthors=ignored (|author=suggested) (help)
External links
- . GPnotebook https://www.gpnotebook.co.uk/simplepage.cfm?ID=-181075954.
{{cite web}}: Missing or empty|title=(help) - MedlinePlus Encyclopedia: 003131