Doctor insights on:
Female of age 18 yrs having rectal prolapse , tenesmus and bleeding for the last 2 months . what could be the problem and Tx ?
Constipation: Is to be avoided by all means since it may have contributed to the prolapse and it can definitely worsen it. A balanced diet along with proper hydration and physical exercise are critical in the long run. Otherwise the rectal prolapse by itself can cause bleeding and rectal tenesmus. ...Read more
Rectal tenesmus...: ...Is a feeling of constantly needing to pass stools, despite an empty colon; vesicular tenesmus is when you constantly feel a need to pass urine. Treatment depends on cause, so in the case of rectal tenesmus one must rule out inflammatory bowel diseases, colorectal infection, rectal dysmotility (e.g. Dyssynergnia, pelvic floor dysfunction), stool retention (voluntary or secondary), etc. ...Read more
May be associated: Such pain and feeling of incomplete evacuation can accompany constipation and anxiety related states with anorexia. But it has an association with poor bowel habits that can be traced back to poor intake. Rarely it can lead to secondary loss of appetite, more a function of a gut related problem. ...Read more
Depends on cause: Tenesmus mean straining at bm's, often with no results, and can come from many different causes. Mostly things that inflame the anal canal and rectum causing irritation are the problem, and the cause needs to be identified to fix it, so get a good anorectal exam. If you have a diagnosis already, your doctor should have suggested a treatment. ...Read more
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