What Is Tenesmus?

Tenesmus is one of the common symptoms in the clinic. It manifests as discomfort in the lower abdomen. I really want to relieve my stool, but I can't release it quickly. "Liji" means that the stool is urgent in the abdomen, embarrassing and painful, and it is easy to relieve it; "Hard after" describes the stool to the anus, and there is a feeling of heavy stagnation; Have "feeling of defecation".

Basic Information

English name

tenesmus

Visiting department

Gastroenterology

Common causes

Infectious and non-infectious colon and rectal disease, as well as gynecological diseases, appendicitis, pelvic abscess, etc.

Common symptoms

Discomfort in the lower abdomen, bloating in the anus, rectum and tail

Etiology and common diseases after emergency

Crisis can be caused by a variety of diseases. According to the location of the disease, the cause can be divided into two categories: colon, rectal disease and extra-intestinal disease.

Colon and rectal disease

(1) Infectious diseases Bacterial diarrhea: bacterial dysentery, enteroinvasive Escherichia coli enteritis, non-typhoid Salmonella food poisoning, halophilic food poisoning, Campylobacter jejuni enteritis, pathogenic coliform Bacteria food poisoning. Protozoal diarrhea: amoebic dysentery. helminthic diarrhea: schistosomiasis, whipworm disease, intestinal pouch ciliariasis

(2) Non-infectious diseases Inflammatory bowel disease: ulcerative colitis, Crohn's disease. Functional diarrhea: Irritable bowel syndrome. radiation proctitis. tumorous diarrhea; colon cancer, rectal cancer. Others: pellagra, rectal prolapse, anorectal genital warts, rectal endometriosis.

2. Extra-intestinal lesions

(1) Gynecological diseases: Pelvic inflammatory disease. Ectopic pregnancy ruptures. uterine fibroids. posterior uterus.

(2) Pelvic appendicitis.

(3) Pelvic abscess.

Differential diagnosis after emergency

Diarrhea

Normal people usually defecate once a day, and individual patients will defecate 2 to 3 times a day or once every 2 to 3 days. It is also normal if there is no abnormality in the stool. Normal feces are generally formed, and the average weight of discharged feces is 150-200g, and the moisture content is 50% -80%. Diarrhea refers to stool and undigested food and moisture, pus and blood, mucus, or shedding mucous membranes.

(1) Secretory diarrhea is caused by excessive gas and water secretion from the gastrointestinal tract.

(2) Celiac disease was previously referred to as non-tropical statorrhea (celiacdisease), also known as celiac diarrhea and glutin-inducedenteropathy (glutin-induced enteropathy).

2. Defecation

Many people have a feeling of unclean defecation, and the stool is not formed, the bowel movement is unpleasant and uncomfortable. Long-term excessive fatigue, emotional excitement, and excessive mental stress can all be incentives.

3. Defecation takes too long

Generally, the defecation time is 5-10 minutes. It is normal to read a book and play with a mobile phone while going to the toilet. The defecation time is too long and the energy is scattered, which easily causes anorectal diseases such as hemorrhoids and constipation.

Recheck after emergency

Blood image

According to the primary disease that causes post-emergency, the total number of white blood cells and neutrophil count increase when there is inflammation.

2. Fecal routine

Depending on the primary disease, it is often accompanied by mucus, mucus, or pus. Microscopic examination showed a large number of pus, red blood cells and macrophages. Fecal bacteria can be isolated from pathogenic bacteria (the most common bacillus dysenteriae). Fecal immunoassay showed positive for dysentery antigen.

Crisis after treatment principle

It is mainly aimed at the treatment of the primary etiology that leads to severe aftermath.