What Is Tenesmus, and Why Does It Cause Constant Urge to Defecate?

Question

For the past few days, I’ve been experiencing the constant urge to pass stool, even when there’s nothing left to pass. After looking it up, I found that this condition is called tenesmus. But what exactly causes tenesmus, and how can it be treated?

I read that tenesmus can be due to irritable bowel syndrome (IBS), infections, inflammatory bowel diseases (IBD) like Crohn’s disease and ulcerative colitis, or even hemorrhoids and constipation. How do I determine the exact cause?

I also noticed that when I eat certain foods, my symptoms seem to worsen. Can dietary changes help reduce tenesmus, or is medical treatment always necessary?

Are there any Ayurvedic treatments or natural remedies for managing tenesmus and digestive issues? I’ve heard that Triphala, fennel, and buttermilk can help regulate bowel movements—do these actually work?

If anyone has experienced tenesmus, what was the cause, and what treatments helped you feel better?

Dr. Harsha Joy · Accepted Answer

Tenesmus is the constant sensation of needing to pass stool, even when the bowels are empty, and it can be caused by various conditions, including irritable bowel syndrome (IBS), inflammatory bowel diseases (IBD) like Crohn’s disease or ulcerative colitis, infections, hemorrhoids, or even constipation. Determining the exact cause typically requires medical evaluation, including tests like stool cultures, colonoscopy, or imaging studies, to rule out infections or chronic conditions. Dietary changes can help manage tenesmus, especially by avoiding trigger foods such as spicy, greasy, or gas-producing foods, which can worsen symptoms. Medical treatment, like anti-inflammatory medications, antispasmodics, or antibiotics, may be necessary depending on the cause. Ayurveda offers natural remedies like Triphala (which aids digestion and promotes regularity), fennel (which can reduce bloating and gas), and buttermilk (which soothes the digestive system and supports gut health). These remedies can complement medical treatment and help alleviate symptoms for some people. If you’ve experienced tenesmus, the cause varies for each person, but managing stress, making dietary adjustments, and using natural remedies like herbal teas and dietary supplements may offer some relief, along with any prescribed treatments.

Dr Sujal Patil · Answer

Hello!

Tenesmus, the sensation of needing to pass stool even after emptying the bowels, is often linked to underlying conditions like irritable bowel syndrome (IBS), infections, inflammatory bowel diseases (IBD) (e.g., Crohn’s disease, ulcerative colitis), hemorrhoids, or chronic constipation. Identifying the cause usually requires medical evaluation, including a physical exam, stool tests, and possibly a colonoscopy if inflammatory issues are suspected.

Dietary changes can help manage tenesmus. High-fiber foods can regulate bowel movements, but for IBS sufferers, avoiding trigger foods (e.g., spicy or fatty foods) may reduce symptoms. Probiotics can also help restore gut balance.

Ayurvedic remedies like Triphala (a combination of three fruits) may improve digestion and regulate bowel movements. Fennel seeds and buttermilk are soothing, aid digestion, and may reduce bloating. However, persistent tenesmus often needs medical treatment alongside natural remedies.

If you’ve had tenesmus, identifying triggers and following a tailored treatment plan is essential.

What Is Tenesmus, and Why Does It Cause Constant Urge to Defecate? - #15287

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