1 Causes of the appearance of the disease

In most cases it is the excitability of the nervous system that is considered the main cause of the appearance of tenesmus. It provokes contractions of the muscles of the small pelvis and rectum, which lead to spasms in the intestines and do not allow the calves to pass freely. In this regard, there are false desires that do not completely emptify the intestines and do not improve the overall condition of the patient.

Tenesmus is considered to be a clinical manifestation. Their presence indicates the diseases of the organs of the gastrointestinal tract. Such pathologies include:

• food poisoning;
• is an infectious disease;
• is a tumor in the rectum.

Food poisoning develops as a result of the consumption of poor-quality products or dirty water. In this case, the patient has vomiting and nausea. Irritable bowel syndrome often causes the appearance of tenesmus.

The intestines are also affected by infectious diseases, such as intestinal tuberculosis, salmonellosis or cholera. Reproduction of microbes leads to intoxication of the body and the appearance of false painful desires.

No less common cause of tenes is the presence of hemorrhoids, paraproctitis or proctitis. Anal breaks, stenosis or fistulas may provoke the appearance of tenesmus.

Perhaps the most dangerous reason for the appearance of false desires is the presence of neoplasms on the rectal mucosa. They can be benign or malignant in nature. Benign tumors include polyps. Clinical symptoms may be accompanied by aching abdominal pain and constipation.

Inflammatory process in the intestines can also cause the appearance of painful urge. The focus of inflammation can appear in all departments or in one of them. The most common form of the disease of the gastrointestinal tract is Crohn's disease and ulcerative colitis.

Such pathologies are characterized by the appearance of ulcers, which lead to the appearance of scars on the mucosa. Scars do not allow free passage through the intestines to caloric masses. Unlike ulcerative colitis in Crohn's disease, ulcers can spread not only in the rectum and large intestine, but also throughout the gastrointestinal tract.

The reason for the appearance of tenesmus can be psychosomatic. To provoke false desires can be severe stress, nervous breakdown or neurosis. Only in determining the root cause of treatment gives a positive result.

2 Clinical picture

Tenesmus represent a strong pain in the lower abdomen. Desires can be on emptying the bowel or urinating. Patients have abdominal and intestinal spasm. Depending on the nature of the disease in feces and urine, mucus or blood may be present. In addition to spasm in the intestine, patients complain of pain in the anus.

The nature of abdominal pain is unstable. As a rule, the pain manifests itself in the form of an attack. Initially, tenesmus brings light discomfort, but over time, the pain becomes unbearable. Prolonged tenesmus can provoke the appearance of erosions and cracks in the sphincter region.

Frequent contractions of the intestinal muscles do not allow the calves to move normally, thus the process of passing the contents of the intestine becomes very painful for the patient.

At the first false urges, it is necessary to consult a specialist. Painful false desires can cause serious illness of one of the organs of the digestive system.

To identify the root causes, the doctor appoints the patient a complete examination with a proctologist and gastroenterologist. In addition, the patient donates blood for analysis. To obtain a complete clinical picture, the doctor conducts ultrasound examination of all abdominal organs, colonoscopy, anoscopy.

3 Treatment measures

After determining the cause of the pathological false urges, the doctor prescribes treatment, which is aimed at its elimination. To restore the intestine, a gentle diet is indicated. From the diet it is necessary to exclude fried and smoked dishes, pickled and canned products, butter, spices, fresh baked goods, sweets, sour fruit, sweet fizzy drinks, coffee and strong tea. Such products have a big load on the digestive organs.

Useful porridge on the water, pasta, rye bread, cottage cheese, boiled meat, steamed vegetables, green or herbal tea.

Take small meals 4-5 times a day. Do not forget that breakfast should be dense, not dinner. Too cold or, conversely, hot food irritates the intestinal mucosa and disrupts the microflora.

If the cause of discomfort is hemorrhoids or other bowel diseases, then the patient is prescribed therapeutic gymnastics and strict adherence to hygiene measures. Physical activity stimulates intestinal motility. Medical gymnastics helps to eliminate tenesmus and helps the intestines to excrete the products of vital activity through the gastrointestinal tract.

If tenesmus appeared as a result of inflammatory bowel disease, the patient is prescribed anti-inflammatory drugs that not only reduce inflammation, but also the immune system response. In some cases, treatment is done with antibiotics.

Treatment of immediate desires is carried out by myotropic antispasmodics.

These medicines include No-shpa or Drotaverin. These drugs reduce spasms of smooth muscles and reduce pain syndrome. The course of treatment is appointed by the attending physician depending on the nature of the pathology and the severity of the symptoms. Self-medication can lead to complications. Among the side effects are severe headaches, weakness, arrhythmia, impaired coordination and dull reaction.

At the advanced stages, when the tenesmus deliver unbearable pain to the patient, the doctor can prescribe antispasmodics as an injection.

4 Recipes from traditional medicine

With tenesms, the intestines are not completely cleaned, so microclysters based on medicinal plants are effective. They help to cleanse the intestines from stool and reduce spasm.

Very well cleans and nourishes the large intestine of microclystation based on flowers of chamomile, sage and yarrow. For its preparation, take 1.5 tablespoons of each herb and chop. Pour 2 tablespoons of herbal mixture with 400 ml of boiling water. Leave the infusion for 15-20 minutes, then strain through gauze.

No less effective is an enema from plantain. For its preparation, pour 250 ml boiling water 1 tablespoon dry psyllium. This enema removes mucus from the intestine, and also heals microcracks in the rectum.

Cleansing enema on the basis of yarrow helps to reduce inflammation in the intestines. To prepare enema, pour 2 tablespoons of dry herb 500 ml of boiling water. After the infusion has cooled, it must be filtered through gauze.

Cool sessile baths help to relieve pain.