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Rectal tenesmus is a feeling of incomplete defecation. [1] It is the sensation of inability or difficulty to empty the bowel at defecation, even if the bowel contents have already been evacuated. Tenesmus indicates the feeling of a residue, and is not always correlated with the actual presence of residual fecal matter in the rectum.
Frequent urge to defecate, [12] and frequent bowel movements/toilet visits, [36] where only fecal pellets may be passed. [21] Conversely, there may reduced number of bowel movements per week. [20] [1] Abnormal stool texture, which may be anything from watery/loose (overflow diarrhea), [12] to fragmented, [24] very hard [20] or pellet-shaped. [12]
Constant feeling of dampness around anus; Frequent urge to open bowels, but passage of only small amounts of mucus or pus-like liquid rather than normal feces; Rectal pain; Rectal malodor, when the discharge is foul-smelling, e.g. associated with certain infections; Pruritus ani; Rectal bleeding; Perianal erythema, swelling and tenderness
Constipation is a bowel dysfunction that makes bowel movements infrequent or hard to pass. [2] The stool is often hard and dry. [4] Other symptoms may include abdominal pain, bloating, and feeling as if one has not completely passed the bowel movement. [3] Complications from constipation may include hemorrhoids, anal fissure or fecal impaction. [4]
In terms of clinical features, over 90 percent of patients exhibit constant diarrhea, rectal bleeding, softer stool, mucus in the stool, tenesmus, and abdominal pain. [19] The symptoms may continue for around 6 weeks or even longer.
Fecal incontinence – paradoxical overflow diarrhea as a result of liquid stool passing around the obstruction; Abdominal pain and bloating; Loss of appetite; Complications may include necrosis and ulcers of the rectal tissue, which if untreated can cause death. [citation needed]
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Patients may use the Bristol Stool Chart to help them describe and characterise the morphological features of their stool, this is useful as it gives an indication of the transit time. [18] [non-primary source needed] An objective method used to evaluate the motility of the colon and help with diagnosis is the colon transit time.
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