Featured post

Take a Quick Quiz


Monday, 7 December 2015

Differential Diagnosis of Tenesmus

Tenesmus is intense desire or feeling to defecate, even with an empty rectum.

If a patient gives history of rectal bleeding, and mucus discharge, it's likely to be an inflammatory process, i.e proctitis.

If a patient gives history of rectal bleeding, with the blood on stool surface, rather than mixed with it, a rectal tumour should be suspected.

If tenesmus is associated with change in bowel habit, usually alternating, a tumour of the descending colon is a possibility.

If the patient is a woman, and there is lower abdominal pain, dysuria, vaginal discharge, and fever, then pelvic inflammatory disease is likely.

If none of the above scenarios exist, and a patient gives history of abdominal pain that is relieved by bowel motion, then further history addressing irritable bowel syndrome should be taken.

No comments:

Post a Comment