&lt;div class=&quot;nhsuk-grid-row&quot;&gt;
&lt;div class=&quot;nhsuk-grid-column-two-thirds&quot;&gt;
&lt;h1 class=&quot;comp article-heading&quot;&gt;&lt;strong&gt;Tenesmus (Rectal Fullness) Symptoms, Causes, and Treatment&lt;/strong&gt;&lt;/h1&gt;
&lt;/div&gt;
&lt;/div&gt;
&lt;article&gt;
&lt;h2 id=&quot;article-subheading_1-0&quot; class=&quot;comp article-subheading&quot;&gt;The Sensation of Being Unable to Empty the Bowel&lt;/h2&gt;
&lt;div id=&quot;article-meta_1-0&quot; class=&quot;comp not-news article-meta mntl-block&quot; data-tracking-container=&quot;true&quot;&gt;
&lt;div id=&quot;article-meta__wrapper_1-0&quot; class=&quot;comp article-meta__wrapper mntl-block&quot;&gt;
&lt;div id=&quot;health-bylines_1-0&quot; class=&quot;comp health-bylines mntl-bylines&quot;&gt;
&lt;p id=&quot;mntl-sc-block_1-0&quot; class=&quot;comp mntl-sc-block mntl-sc-block-html&quot;&gt;&lt;span class=&quot;processed-tts&quot; data-tts=&quot;true&quot;&gt;&lt;span data-tooltip-trigger=&quot;&quot;&gt;Tenesmus&amp;nbsp;&lt;/span&gt;&lt;/span&gt;is a medical term used to describe the feeling that you need to poop even though your bowels are empty. Tenesmus is not a disease on its own. Rather, it&#39;s a symptom of another medical problem.&lt;/p&gt;
&lt;p id=&quot;mntl-sc-block_1-0-2&quot; class=&quot;comp mntl-sc-block mntl-sc-block-html&quot;&gt;Often, it&#39;s a sign of&amp;nbsp;inflammatory bowel disease (IBD), but you may get the sensation with a variety of conditions, such as&amp;nbsp;hemorrhoids, infections, proctitis and cancer.&lt;/p&gt;
&lt;h2&gt;&lt;strong&gt;&lt;a&gt;Symptoms&lt;/a&gt;&lt;/strong&gt;&lt;/h2&gt;
&lt;p&gt;Symptoms of tenesmus include:&lt;/p&gt;
&lt;ul&gt;
&lt;li&gt;frequently feeling like you need to pass stool&lt;/li&gt;
&lt;li&gt;urgency to evacuate your bowels&lt;/li&gt;
&lt;li&gt;straining and discomfort during bowel movements&lt;/li&gt;
&lt;li&gt;passing only a small amount of stool&lt;/li&gt;
&lt;li&gt;feeling as if you can&amp;rsquo;t completely empty your bowels&lt;/li&gt;
&lt;/ul&gt;
&lt;p&gt;If you have tenesmus, you&amp;rsquo;ll often feel the need to empty your bowels, even if there&amp;rsquo;s little to no stool to pass. Bowel movements may involve significant cramping and discomfort.&lt;/p&gt;
&lt;p&gt;You may often find yourself straining to pass small amounts of fecal matter.&lt;/p&gt;
&lt;h2 id=&quot;mntl-sc-block_1-0-8&quot; class=&quot;comp mntl-sc-block health-sc-block-heading mntl-sc-block-heading&quot;&gt;&lt;strong&gt;&lt;span class=&quot;mntl-sc-block-heading__text&quot;&gt;Related Symptoms&lt;/span&gt;&lt;/strong&gt;&lt;/h2&gt;
&lt;p id=&quot;mntl-sc-block_1-0-9&quot; class=&quot;comp mntl-sc-block mntl-sc-block-html&quot;&gt;The term tenesmus specifically refers to the sensation that you need to defecate (pass a bowel movement) when you don&#39;t. However, you may notice other symptoms that accompany tenesmus, such as&lt;/p&gt;
&lt;ul id=&quot;mntl-sc-block_1-0-11&quot; class=&quot;comp mntl-sc-block mntl-sc-block-html&quot;&gt;
&lt;li&gt;Cramping&lt;/li&gt;
&lt;li&gt;Straining to push stool&lt;/li&gt;
&lt;li&gt;Rectal pain&lt;/li&gt;
&lt;/ul&gt;
&lt;p id=&quot;mntl-sc-block_1-0-13&quot; class=&quot;comp mntl-sc-block mntl-sc-block-html&quot;&gt;The symptoms of tenesmus may be constantly present or may come and go.&lt;/p&gt;
&lt;p id=&quot;mntl-sc-block_1-0-15&quot; class=&quot;comp mntl-sc-block mntl-sc-block-html&quot;&gt;Other problems that may occur with tenesmus, such as stomach pains and rectal bleeding, are usually related to the underlying condition that&#39;s making you to feel like you have to go to the bathroom.&lt;/p&gt;
&lt;h2 id=&quot;mntl-sc-block_1-0-19&quot; class=&quot;comp mntl-sc-block health-sc-block-heading mntl-sc-block-heading&quot;&gt;&lt;strong&gt;&lt;span class=&quot;mntl-sc-block-heading__text&quot;&gt;Causes&lt;/span&gt;&lt;/strong&gt;&lt;/h2&gt;
&lt;p id=&quot;mntl-sc-block_1-0-20&quot; class=&quot;comp mntl-sc-block mntl-sc-block-html&quot;&gt;Doctors don&#39;t fully understand why tenesmus occurs, but other conditions can cause changes to your body that lead to this uncomfortable and painful issue.&lt;/p&gt;
&lt;h3 id=&quot;mntl-sc-block_1-0-23&quot; class=&quot;comp mntl-sc-block mntl-sc-block-subheading&quot;&gt;&lt;strong&gt;&lt;span class=&quot;mntl-sc-block-subheading__text&quot;&gt;Nerve Problems&lt;/span&gt;&lt;/strong&gt;&lt;/h3&gt;
&lt;p id=&quot;mntl-sc-block_1-0-24&quot; class=&quot;comp mntl-sc-block mntl-sc-block-html&quot;&gt;It&#39;s believed that inflammation in the bowel may affect the nerves that control the excretion of waste.&lt;span class=&quot;mntl-inline-citation mntl-dynamic-tooltip--trigger&quot; data-id=&quot;#citation-6&quot;&gt;3&lt;/span&gt;&amp;nbsp;When these nerves are overstimulated, they may send a signal to your brain saying there&#39;s still material in the bowel.&lt;/p&gt;
&lt;p id=&quot;mntl-sc-block_1-0-26&quot; class=&quot;comp mntl-sc-block mntl-sc-block-html&quot;&gt;That can trigger the muscles in the gut that are used to push out feces. Those muscles contract, so your body thinks it needs to have a bowel movement, but really there&#39;s nothing in the colon.&lt;/p&gt;
&lt;h3 id=&quot;mntl-sc-block_1-0-29&quot; class=&quot;comp mntl-sc-block mntl-sc-block-subheading&quot;&gt;&lt;strong&gt;&lt;span class=&quot;mntl-sc-block-subheading__text&quot;&gt;Bowel Damage&lt;/span&gt;&lt;/strong&gt;&lt;/h3&gt;
&lt;p id=&quot;mntl-sc-block_1-0-30&quot; class=&quot;comp mntl-sc-block mntl-sc-block-html&quot;&gt;Another possible cause of tenesmus is scarring in the bowel brought on by severe&amp;nbsp;diarrhea&amp;nbsp;or&amp;nbsp;constipation. When this scar tissue builds up, it makes it difficult to pass stool. It may also cause you to feel as if there&#39;s more in the bowel than there actually is. Sores or growths around the rectum or in the colon can do the same.&lt;/p&gt;
&lt;h3 id=&quot;mntl-sc-block_1-0-35&quot; class=&quot;comp mntl-sc-block mntl-sc-block-subheading&quot;&gt;&lt;span class=&quot;mntl-sc-block-subheading__text&quot;&gt;Conditions&lt;/span&gt;&lt;/h3&gt;
&lt;p id=&quot;mntl-sc-block_1-0-36&quot; class=&quot;comp mntl-sc-block mntl-sc-block-html&quot;&gt;Tenesmus is, essentially, a sign that your digestive system is not functioning properly. Nerve issues, inflammation, scarring of the bowel, and other problems that affect digestion and excretion are caused by a number of conditions.&lt;/p&gt;
&lt;p id=&quot;mntl-sc-block_1-0-38&quot; class=&quot;comp mntl-sc-block mntl-sc-block-html&quot;&gt;The following are some common disorders that can lead to tenesmus:&lt;/p&gt;
&lt;ul id=&quot;mntl-sc-block_1-0-40&quot; class=&quot;comp mntl-sc-block mntl-sc-block-html&quot;&gt;
&lt;li&gt;Celiac disease&lt;/li&gt;
&lt;li&gt;Chronic constipation&lt;/li&gt;
&lt;li&gt;Chronic diarrhea&lt;/li&gt;
&lt;li&gt;Constipation&lt;/li&gt;
&lt;li&gt;Colorectal cancer&lt;/li&gt;
&lt;li&gt;Crohn&#39;s disease&lt;/li&gt;
&lt;li&gt;&lt;span class=&quot;processed-tts&quot; data-tts=&quot;true&quot;&gt;&lt;span data-tooltip-trigger=&quot;&quot;&gt;Diverticular&amp;nbsp;&lt;/span&gt;&lt;/span&gt;disease&lt;/li&gt;
&lt;li&gt;Gastroenteritis&lt;/li&gt;
&lt;li&gt;Irritable bowel syndrome (IBS)&lt;/li&gt;
&lt;li&gt;Ischemic colitis&lt;/li&gt;
&lt;li&gt;Pelvic floor disorders&lt;/li&gt;
&lt;li&gt;Prolapsed hemorrhoid&lt;/li&gt;
&lt;li&gt;Rectal abscess&lt;/li&gt;
&lt;li&gt;Rectal prolepsed&lt;/li&gt;
&lt;li&gt;Rectocele&lt;/li&gt;
&lt;li&gt;Sexually transmitted proctitis (including&amp;nbsp;gonorrhea,&amp;nbsp;chlamydia, or&amp;nbsp;syphilis)&lt;/li&gt;
&lt;li&gt;Ulcerative colitis&lt;/li&gt;
&lt;li&gt;Radiation therapy&amp;nbsp;for cervical cancer, rectal cancer, prostate cancer, or colon cancer can also cause damage and inflammation in the rectum. This can result in tenesmus&amp;nbsp;as well as other symptoms such as diarrhea and pain.&lt;/li&gt;
&lt;/ul&gt;
&lt;h3 id=&quot;mntl-sc-block_1-0-55&quot; class=&quot;comp mntl-sc-block mntl-sc-block-subheading&quot;&gt;&lt;strong&gt;&lt;span class=&quot;mntl-sc-block-subheading__text&quot;&gt;Physical Exam&lt;/span&gt;&lt;/strong&gt;&lt;/h3&gt;
&lt;p id=&quot;mntl-sc-block_1-0-56&quot; class=&quot;comp mntl-sc-block mntl-sc-block-html&quot;&gt;The physical exam is essential to the diagnosis of tenesmus. It helps your doctor see if there&#39;s any inflammation or abnormalities around the rectum, tenderness or pain in the abdomen, or&lt;span style=&quot;color: #3366ff;&quot;&gt;&amp;nbsp;signs of a sexually transmitted infection (STI).&lt;/span&gt;&lt;/p&gt;
&lt;p id=&quot;mntl-sc-block_1-0-58&quot; class=&quot;comp mntl-sc-block mntl-sc-block-html&quot;&gt;The exam may involve a&amp;nbsp;digital rectal exam (DRE). This involves the insertion of a gloved finger into the anus to check for hemorrhoids, blood, mucus discharge, infection, or abnormal growths.&lt;/p&gt;
&lt;h3 id=&quot;mntl-sc-block_1-0-64&quot; class=&quot;comp mntl-sc-block mntl-sc-block-subheading&quot;&gt;&lt;strong&gt;&lt;span class=&quot;mntl-sc-block-subheading__text&quot;&gt;Lab Tests&lt;/span&gt;&lt;/strong&gt;&lt;/h3&gt;
&lt;p id=&quot;mntl-sc-block_1-0-65&quot; class=&quot;comp mntl-sc-block mntl-sc-block-html&quot;&gt;After the physical exam, your doctor will commonly order a number of blood and stool tests to help narrow down the causes.&lt;/p&gt;
&lt;p id=&quot;mntl-sc-block_1-0-67&quot; class=&quot;comp mntl-sc-block mntl-sc-block-html&quot;&gt;These may include:&lt;/p&gt;
&lt;ul id=&quot;mntl-sc-block_1-0-69&quot; class=&quot;comp mntl-sc-block mntl-sc-block-html&quot;&gt;
&lt;li&gt;&lt;strong&gt;Complete blood count (CBC)&lt;/strong&gt;: Shows signs of infection (characterized by an increase in white blood cells) or anemia (due to a decrease in red blood cells), among other things&lt;/li&gt;
&lt;li&gt;&lt;strong&gt;&lt;span class=&quot;processed-tts&quot; data-tts=&quot;true&quot;&gt;&lt;span data-tooltip-trigger=&quot;&quot;&gt;Erythrocyte&lt;/span&gt;&lt;/span&gt;&amp;nbsp;sedimentation rate (ESR)&lt;/strong&gt;&amp;nbsp;and&lt;strong&gt;&amp;nbsp;C-reactive protein (CRP)&lt;/strong&gt;: Blood tests to look for generalized inflammation that may be associated with infections, inflammatory diseases, and other causes&lt;/li&gt;
&lt;li&gt;&lt;strong&gt;Fecal occult blood&lt;/strong&gt;: Detects blood in a stool sample&lt;/li&gt;
&lt;li&gt;&lt;strong&gt;Stool culture&lt;/strong&gt;: Checks for pathogenic (disease-causing) bacteria in a stool sample&lt;/li&gt;
&lt;li&gt;&lt;strong&gt;STI screening&lt;/strong&gt;: A series of tests used to detect gonorrhea, chlamydia, syphilis, and other sexually transmitted infections&lt;/li&gt;
&lt;li&gt;&lt;strong&gt;&lt;span class=&quot;processed-tts&quot; data-tts=&quot;true&quot;&gt;&lt;span data-tooltip-trigger=&quot;&quot;&gt;Carcinoembryonic antigen&lt;/span&gt;&lt;/span&gt;&amp;nbsp;(CEA)&lt;/strong&gt;: One of several blood tests to look for tumor markers suggestive of colorectal cancer&lt;/li&gt;
&lt;/ul&gt;
&lt;h3 id=&quot;mntl-sc-block_1-0-80&quot; class=&quot;comp mntl-sc-block mntl-sc-block-subheading&quot;&gt;&lt;strong&gt;&lt;span class=&quot;mntl-sc-block-subheading__text&quot;&gt;Procedures&lt;/span&gt;&lt;/strong&gt;&lt;/h3&gt;
&lt;p id=&quot;mntl-sc-block_1-0-81&quot; class=&quot;comp mntl-sc-block mntl-sc-block-html&quot;&gt;If colorectal cancer is suspected or something unusual is spotted on imaging studies, your doctor may refer you to a&amp;nbsp;&lt;span class=&quot;processed-tts&quot; data-tts=&quot;true&quot;&gt;&lt;span data-tooltip-trigger=&quot;&quot;&gt;gastroenterologist&lt;/span&gt;&lt;/span&gt;, who specializes in digestive tract conditions.&lt;/p&gt;
&lt;p id=&quot;mntl-sc-block_1-0-83&quot; class=&quot;comp mntl-sc-block mntl-sc-block-html&quot;&gt;You may also need some additional tests to confirm any diagnosis:&lt;/p&gt;
&lt;ul id=&quot;mntl-sc-block_1-0-85&quot; class=&quot;comp mntl-sc-block mntl-sc-block-html&quot;&gt;
&lt;li&gt;&lt;strong&gt;Colonoscopy&lt;/strong&gt;: A procedure using a flexible scope, called a colonoscope, to examine the entire colon&lt;/li&gt;
&lt;li&gt;&lt;strong&gt;&lt;span class=&quot;processed-tts&quot; data-tts=&quot;true&quot;&gt;&lt;span data-tooltip-trigger=&quot;&quot;&gt;Sigmoidoscopy&lt;/span&gt;&lt;/span&gt;&lt;/strong&gt;: A version of colonoscopy limited to the lower part of the colon, called the sigmoid colon&lt;/li&gt;
&lt;li&gt;&lt;strong&gt;Colon biopsy&lt;/strong&gt;: Performed during a colonoscopy or sigmoidoscopy to obtain a sample of tissue for evaluation&lt;/li&gt;
&lt;/ul&gt;
&lt;p id=&quot;mntl-sc-block_1-0-87&quot; class=&quot;comp mntl-sc-block mntl-sc-block-html&quot;&gt;If colorectal cancer is the cause of tenesmus, the only test that can definitively confirm the diagnosis is a biopsy. Blood tests and imaging studies can support the diagnosis, but they cannot diagnose the disease.&lt;/p&gt;
&lt;h2 id=&quot;mntl-sc-block_1-0-91&quot; class=&quot;comp mntl-sc-block health-sc-block-heading mntl-sc-block-heading&quot;&gt;&lt;strong&gt;&lt;span class=&quot;mntl-sc-block-heading__text&quot;&gt;Treatment&amp;nbsp;&lt;/span&gt;&lt;/strong&gt;&lt;/h2&gt;
&lt;p id=&quot;mntl-sc-block_1-0-92&quot; class=&quot;comp mntl-sc-block mntl-sc-block-html&quot;&gt;Tenesmus tends to improve once the underlying cause is identified and treated. Because the causes of tenesmus are so diverse, so are the treatments. Below are the treatments used for the conditions that cause tenesmus.&lt;/p&gt;
&lt;figure id=&quot;mntl-sc-block_1-0-95&quot; class=&quot;comp mntl-sc-block mntl-sc-block-table&quot;&gt;
&lt;div class=&quot;mntl-sc-block-table__table-wrapper&quot;&gt;
&lt;table class=&quot;mntl-sc-block-table__table&quot;&gt;&lt;colgroup span=&quot;1&quot;&gt;&lt;/colgroup&gt;&lt;colgroup span=&quot;1&quot;&gt;&lt;/colgroup&gt;
&lt;thead&gt;
&lt;tr&gt;
&lt;th&gt;Cause&lt;/th&gt;
&lt;th&gt;Treatment Options&lt;/th&gt;
&lt;/tr&gt;
&lt;/thead&gt;
&lt;tbody data-check=&quot;0&quot;&gt;
&lt;tr&gt;
&lt;td&gt;Celiac disease&lt;/td&gt;
&lt;td&gt;Gluten-free diet&lt;/td&gt;
&lt;/tr&gt;
&lt;tr&gt;
&lt;td&gt;Constipation&lt;/td&gt;
&lt;td&gt;Laxatives&amp;nbsp;and&amp;nbsp;stool softeners&lt;/td&gt;
&lt;/tr&gt;
&lt;tr&gt;
&lt;td&gt;&amp;nbsp;&lt;/td&gt;
&lt;td&gt;High-fiber diet&lt;/td&gt;
&lt;/tr&gt;
&lt;tr&gt;
&lt;td&gt;Diarrhea&lt;/td&gt;
&lt;td&gt;Antidiarrheals&amp;nbsp;like Imodium (loperamide)&lt;/td&gt;
&lt;/tr&gt;
&lt;tr&gt;
&lt;td&gt;Colorectal cancer&lt;/td&gt;
&lt;td&gt;Surgery&lt;/td&gt;
&lt;/tr&gt;
&lt;tr&gt;
&lt;td&gt;&amp;nbsp;&lt;/td&gt;
&lt;td&gt;Radiation&lt;/td&gt;
&lt;/tr&gt;
&lt;tr&gt;
&lt;td&gt;&amp;nbsp;&lt;/td&gt;
&lt;td&gt;Chemotherapy, immunotherapy, and/or targeted therapy&lt;/td&gt;
&lt;/tr&gt;
&lt;tr&gt;
&lt;td&gt;Crohn&#39;s disease and Ulcerative Colitis&lt;/td&gt;
&lt;td&gt;Corticosteroids like&amp;nbsp;prednisone&lt;/td&gt;
&lt;/tr&gt;
&lt;tr&gt;
&lt;td&gt;&amp;nbsp;&lt;/td&gt;
&lt;td&gt;Immunosuppressants like&amp;nbsp;methotrexate&lt;/td&gt;
&lt;/tr&gt;
&lt;tr&gt;
&lt;td&gt;&amp;nbsp;&lt;/td&gt;
&lt;td&gt;Aminosalicylates like&amp;nbsp;Colazal (balsalazide)&lt;/td&gt;
&lt;/tr&gt;
&lt;tr&gt;
&lt;td&gt;&amp;nbsp;&lt;/td&gt;
&lt;td&gt;TNF blockers like&amp;nbsp;Humira (adalimumab)&lt;/td&gt;
&lt;/tr&gt;
&lt;tr&gt;
&lt;td&gt;&amp;nbsp;&lt;/td&gt;
&lt;td&gt;Antibiotics like&amp;nbsp;Flagyl (metronidazole)&lt;/td&gt;
&lt;/tr&gt;
&lt;tr&gt;
&lt;td&gt;&amp;nbsp;&lt;/td&gt;
&lt;td&gt;Surgery&lt;/td&gt;
&lt;/tr&gt;
&lt;tr&gt;
&lt;td&gt;Diverticular disease&lt;/td&gt;
&lt;td&gt;High-fiber diet&lt;/td&gt;
&lt;/tr&gt;
&lt;tr&gt;
&lt;td&gt;&amp;nbsp;&lt;/td&gt;
&lt;td&gt;Oral or intravenous antibiotics&lt;/td&gt;
&lt;/tr&gt;
&lt;tr&gt;
&lt;td&gt;&amp;nbsp;&lt;/td&gt;
&lt;td&gt;Surgery&lt;/td&gt;
&lt;/tr&gt;
&lt;tr&gt;
&lt;td&gt;Gastroenteritis&lt;/td&gt;
&lt;td&gt;Antibiotics (if the cause is bacterial)&lt;/td&gt;
&lt;/tr&gt;
&lt;tr&gt;
&lt;td&gt;&amp;nbsp;&lt;/td&gt;
&lt;td&gt;Antiparastic drugs (if the cause is parasitic)&lt;/td&gt;
&lt;/tr&gt;
&lt;tr&gt;
&lt;td&gt;IBS&lt;/td&gt;
&lt;td&gt;High-fiber diet&amp;nbsp;&lt;/td&gt;
&lt;/tr&gt;
&lt;tr&gt;
&lt;td&gt;&amp;nbsp;&lt;/td&gt;
&lt;td&gt;Antispasmodics like&amp;nbsp;Levsin (hyoscyamine)&lt;/td&gt;
&lt;/tr&gt;
&lt;tr&gt;
&lt;td&gt;&amp;nbsp;&lt;/td&gt;
&lt;td&gt;Anti-diarrheals or laxatives, as needed&lt;/td&gt;
&lt;/tr&gt;
&lt;tr&gt;
&lt;td&gt;&amp;nbsp;&lt;/td&gt;
&lt;td&gt;Tricyclic antidepressants&amp;nbsp;like&amp;nbsp;amitriptyline&amp;nbsp;&lt;/td&gt;
&lt;/tr&gt;
&lt;tr&gt;
&lt;td&gt;Ischemic colitis&lt;/td&gt;
&lt;td&gt;Antibiotics&lt;/td&gt;
&lt;/tr&gt;
&lt;tr&gt;
&lt;td&gt;&amp;nbsp;&lt;/td&gt;
&lt;td&gt;Surgery, if blood flow obstruction is severe&lt;/td&gt;
&lt;/tr&gt;
&lt;tr&gt;
&lt;td&gt;Pelvic floor disorders&lt;/td&gt;
&lt;td&gt;Stool softeners&lt;/td&gt;
&lt;/tr&gt;
&lt;tr&gt;
&lt;td&gt;&amp;nbsp;&lt;/td&gt;
&lt;td&gt;Physical therapy&lt;/td&gt;
&lt;/tr&gt;
&lt;tr&gt;
&lt;td&gt;&amp;nbsp;&lt;/td&gt;
&lt;td&gt;Percutaneous tibial nerve stimulation (PTNS)&lt;/td&gt;
&lt;/tr&gt;
&lt;tr&gt;
&lt;td&gt;&amp;nbsp;&lt;/td&gt;
&lt;td&gt;Surgery&lt;/td&gt;
&lt;/tr&gt;
&lt;tr&gt;
&lt;td&gt;Prolapsed hemorrhoid&lt;/td&gt;
&lt;td&gt;Rubber band ligation&lt;/td&gt;
&lt;/tr&gt;
&lt;tr&gt;
&lt;td&gt;&amp;nbsp;&lt;/td&gt;
&lt;td&gt;Sclerotherapy&lt;/td&gt;
&lt;/tr&gt;
&lt;tr&gt;
&lt;td&gt;&amp;nbsp;&lt;/td&gt;
&lt;td&gt;Hemorrhoidectomy&lt;/td&gt;
&lt;/tr&gt;
&lt;tr&gt;
&lt;td&gt;Rectal abscess&lt;/td&gt;
&lt;td&gt;Surgical drainage&lt;/td&gt;
&lt;/tr&gt;
&lt;tr&gt;
&lt;td&gt;&amp;nbsp;&lt;/td&gt;
&lt;td&gt;Antibiotics, including&amp;nbsp;penicillin&lt;/td&gt;
&lt;/tr&gt;
&lt;tr&gt;
&lt;td&gt;Rectocele&lt;/td&gt;
&lt;td&gt;Kegel exercises&lt;/td&gt;
&lt;/tr&gt;
&lt;tr&gt;
&lt;td&gt;&amp;nbsp;&lt;/td&gt;
&lt;td&gt;Intravaginal pessary&lt;/td&gt;
&lt;/tr&gt;
&lt;tr&gt;
&lt;td&gt;&amp;nbsp;&lt;/td&gt;
&lt;td&gt;Surgery&lt;/td&gt;
&lt;/tr&gt;
&lt;tr&gt;
&lt;td&gt;STIs&lt;/td&gt;
&lt;td&gt;Antibiotics (varies by infection)&lt;/td&gt;
&lt;/tr&gt;
&lt;/tbody&gt;
&lt;/table&gt;
&lt;/div&gt;
&lt;/figure&gt;
&lt;p class=&quot;comp mntl-sc-block mntl-sc-block-html&quot;&gt;&amp;nbsp;&lt;/p&gt;
&lt;h2&gt;&lt;strong&gt;&lt;a&gt;Takeaway&lt;/a&gt;&lt;/strong&gt;&lt;/h2&gt;
&lt;p&gt;Tenesmus is the urgent feeling that you need to have frequent bowel movements. But even with pushing and straining, you might not be able to pass much stool.&lt;/p&gt;
&lt;p&gt;Tenesmus can be a sign of several health issues, so it&amp;rsquo;s a good idea to talk with your doctor if you&amp;rsquo;re experiencing this condition frequently.&lt;/p&gt;
&lt;/div&gt;
&lt;/div&gt;
&lt;/div&gt;
&lt;p class=&quot;nhsuk-body-s nhsuk-u-margin-top-7 nhsuk-u-secondary-text-color&quot;&gt;Page last reviewed: 25 January 2022&lt;br /&gt;Next review due: 25 January 2024&lt;/p&gt;
&lt;/article&gt;

&lt;h2&gt;&lt;strong&gt;Where can I get consultation and treatment?&lt;/strong&gt;&lt;/h2&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;&lt;strong&gt;&lt;img src=&quot;https://cms.pulse-clinic.com/Files/Flag%20TH.png&quot; width=&quot;23&quot; height=&quot;15&quot; /&gt;&lt;/strong&gt;&lt;/span&gt;&lt;strong&gt;Thailand&lt;br /&gt;&lt;/strong&gt;&lt;span style=&quot;color: #999999;&quot;&gt;&lt;strong&gt;PULSE&lt;/strong&gt; Clinic Silom Bangkok &lt;a href=&quot;mailto:info.silom@pulse-clinic.com&quot;&gt;info.silom@pulse-clinic.com&lt;/a&gt; &lt;/span&gt;&lt;span style=&quot;color: #999999;&quot;&gt;&lt;strong&gt;&lt;a href=&quot;https://wa.link/qcxxf1&quot;&gt;&lt;img src=&quot;https://cms.pulse-clinic.com/Files/WhatsApp.png&quot; width=&quot;25&quot; height=&quot;24&quot; /&gt;&lt;/a&gt;&lt;/strong&gt;&lt;/span&gt;&lt;br /&gt;&lt;span style=&quot;color: #999999;&quot;&gt;&lt;strong&gt;PULSE&lt;/strong&gt; Clinic Nana Bangkok &lt;a href=&quot;mailto:info.nana@pulse-clinic.com&quot;&gt;info.nana@pulse-clinic.com&lt;/a&gt; &amp;nbsp;&lt;strong&gt;&lt;a href=&quot;https://wa.link/qcxxf1&quot;&gt;&lt;img src=&quot;https://cms.pulse-clinic.com/Files/WhatsApp.png&quot; width=&quot;25&quot; height=&quot;24&quot; /&gt;&lt;/a&gt;&lt;/strong&gt;&lt;/span&gt;&lt;br /&gt;&lt;span style=&quot;color: #999999;&quot;&gt;&lt;strong&gt;PULSE&lt;/strong&gt; Clinic Patong Beach, Phuket &lt;a href=&quot;mailto:info.phuket@pulse-clinic.com&quot;&gt;info.phuket@pulse-clinic.com&lt;/a&gt;&amp;nbsp;&lt;strong&gt;&lt;a href=&quot;https://wa.link/qcxxf1&quot;&gt;&lt;img src=&quot;https://cms.pulse-clinic.com/Files/WhatsApp.png&quot; width=&quot;25&quot; height=&quot;24&quot; /&gt;&lt;/a&gt;&lt;/strong&gt;&lt;/span&gt;&lt;br /&gt;&lt;span style=&quot;color: #999999;&quot;&gt;&lt;strong&gt;PULSE&lt;/strong&gt; Clinic Sukhumvit 37, Bangkok&amp;nbsp;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;&lt;span style=&quot;color: #999999;&quot;&gt;&lt;strong&gt;PULSE&lt;/strong&gt; Clinic Airport Link Phayathai, Bangkok&amp;nbsp;&amp;nbsp;&lt;br /&gt;&lt;strong&gt;PULSE&lt;/strong&gt;&amp;nbsp;Clinic Pattaya&amp;nbsp;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;&lt;span style=&quot;color: #999999;&quot;&gt;&lt;strong&gt;EU Clinic &amp;ndash; Executive Health&lt;/strong&gt; Asoke, Bangkok&amp;nbsp;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;&lt;span style=&quot;color: #999999;&quot;&gt;&lt;strong&gt;EU Clinic &amp;ndash; Executive Health&lt;/strong&gt; Ploenchit, Bangkok&amp;nbsp;&amp;nbsp;&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&lt;strong&gt;&lt;img src=&quot;https://cdn11.bigcommerce.com/s-ey7tq/images/stencil/1280x1280/products/3404/18798/malaysia-flag__65890.1575392639.jpg?c=2&quot; width=&quot;26&quot; height=&quot;17&quot; /&gt;&amp;nbsp;Malaysia&lt;/strong&gt;&lt;br /&gt;&lt;span style=&quot;color: #999999;&quot;&gt;&lt;strong&gt;PULSE&lt;/strong&gt; Clinic &lt;strong&gt;Bukit Bintang&lt;/strong&gt;, Kuala Lumpur &lt;a href=&quot;mailto:info.kl@pulse-clinic.com&quot;&gt;info.kl@pulse-clinic.com&lt;/a&gt;&amp;nbsp;&lt;a href=&quot;https://wa.link/htywc0&quot;&gt;&lt;img src=&quot;https://cms.pulse-clinic.com/Files/WhatsApp.png&quot; width=&quot;25&quot; height=&quot;24&quot; /&gt; +601165388678&lt;/a&gt;&lt;/span&gt;&lt;br /&gt;&lt;span style=&quot;color: #999999;&quot;&gt;&lt;strong&gt;PULSE&lt;/strong&gt; Clinic &lt;strong&gt;Bangsar&lt;/strong&gt;, Kuala Lumpur &lt;a href=&quot;mailto:info.kl@pulse-clinic.com&quot;&gt;info.kl@pulse-clinic.com&lt;/a&gt;&lt;a href=&quot;https://wa.link/htywc0&quot;&gt;&lt;img src=&quot;https://cms.pulse-clinic.com/Files/WhatsApp.png&quot; width=&quot;25&quot; height=&quot;24&quot; /&gt; +601165388678&lt;/a&gt;&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&lt;strong&gt;&lt;img src=&quot;https://upload.wikimedia.org/wikipedia/commons/5/5b/Flag_of_Hong_Kong.svg&quot; width=&quot;26&quot; height=&quot;17&quot; /&gt;&amp;nbsp;Hong Kong&lt;/strong&gt;&lt;br /&gt;&lt;span style=&quot;color: #999999;&quot;&gt;&lt;strong&gt;PULSE&lt;/strong&gt; Clinic &lt;strong&gt;Central, Hong Kong&lt;/strong&gt; &lt;a href=&quot;mailto:info.hk@pulse-clinic.com&quot;&gt;info.hk@pulse-clinic.com&lt;/a&gt; &lt;a href=&quot;https://wa.link/w1ujew&quot;&gt;&lt;img src=&quot;https://cms.pulse-clinic.com/Files/WhatsApp.png&quot; width=&quot;25&quot; height=&quot;25&quot; /&gt;&lt;/a&gt;&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&lt;strong&gt;&lt;img src=&quot;https://upload.wikimedia.org/wikipedia/commons/thumb/7/75/Flag_of_Singapore_%28bordered%29.svg/320px-Flag_of_Singapore_%28bordered%29.svg.png&quot; width=&quot;26&quot; height=&quot;18&quot; /&gt;&amp;nbsp;Singapore&lt;/strong&gt;&lt;span style=&quot;color: #999999;&quot;&gt;&lt;br /&gt;&lt;strong&gt;PULSE&lt;/strong&gt; Clinic &lt;strong&gt;Tanjong Pagar&lt;/strong&gt;, Singapore &lt;a href=&quot;mailto:info.sg@pulse-clinic.com&quot;&gt;info.sg@pulse-clinic.com&lt;/a&gt;&amp;nbsp;&lt;span class=&quot;_5mfr&quot;&gt;&lt;span class=&quot;_6qdm&quot;&gt;&lt;img src=&quot;https://s.w.org/images/core/emoji/12.0.0-1/svg/260e.svg&quot; width=&quot;18&quot; height=&quot;18&quot; class=&quot;emoji&quot; /&gt;&lt;/span&gt;&lt;/span&gt;Tel: +65 6974 5919&lt;/span&gt;&lt;/p&gt;

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