Burning sensation during bowel movements, pain, false urges, feeling of incomplete emptying: harmless symptoms or a menacing warning? Why can't we consciously suppress bowel movements? Leave a review or comment

Often people face such a problem as a false urge to defecate. If similar phenomenon rare, the problem is associated with poor nutrition and water balance in organism. However, if false urge to go to the toilet occurs constantly, you should consider undergoing a thorough diagnosis from a specialist. However, not everyone is in a hurry to discuss such troubles with other people, even with a doctor. As a result, a person receives a correct diagnosis already at the stage when the disease reaches serious proportions and takes a long time to treat.

Therefore, you should not ignore any disturbances in the functioning of the body. This is especially true for the systematic repetition of unpleasant symptoms. It is possible that they will develop into a more significant form, and the disease will become chronic.

1 Etiology of the problem

This phenomenon is due to the fact that the intestinal muscles begin to contract convulsively, and the reasons may be different. All this is accompanied by very unpleasant sensations in the abdomen and it may seem that the intestines must empty. However, nothing happens when I go to the toilet. The absence of feces during the urge to defecate is a suspicious symptom that requires careful study and identification of the cause.

Often this kind of trouble results poor nutrition or food poisoning. For example, if food is poorly processed, this causes some discomfort in the intestines, which leads to the urge to go to the toilet. The same thing happens when consuming expired and toxic products. They provoke digestive disorders, which leads to various troubles. False urges will be only the most harmless of them.

Most often, the problem goes away after taking absorbents and completely cleansing the intestines of toxins. If the urge occurs too often and this phenomenon does not stop over a long period, gastrointestinal pathology can be suspected. A similar symptom is characterized by gastritis, ulcers, pancreatitis and many other diseases that can occur in a chronic form.

A false urge to defecate during treatment with antibiotics is considered a common occurrence. If taken medications incorrectly, a side effect such as intestinal dysbiosis may occur. This problem often leads to abdominal pain, urge to go to the toilet, and heartburn.

If the symptom does not go away for a long time and the process of defecation becomes difficult, you should definitely consult a doctor. It is possible that in this case we're talking about about serious gastrointestinal pathologies, including oncology. It is imperative to get rid of trouble. This is necessary not only because of constant discomfort, but also because possible complications. For example, false urges are often accompanied by constipation, and this is a sure way to hemorrhoids. In this case, the patient will experience not only discomfort when visiting the toilet, but also blood discharge along with feces. Treatment of hemorrhoids is a complex and lengthy matter, so you need to try to prevent the development of such a pathology.

There is no need to overload your body. For example, false urges to have a bowel movement are more common in people who actively engage in sports, especially cycling. In rare cases, people who experience a similar nuisance when they have a bowel movement. a large number of feces But in such a situation the problem goes away quickly.

2 Associated symptoms

False urges to have a bowel movement, known medically as tenesmus, are often accompanied by many other symptoms that can help determine what kind of disease we are talking about. The most important sign of a problem is pain. It always accompanies, and the symptom itself can drag on for a long time.

Most often, with false urges, feces do not come out of the rectum. However, even if a small amount of stool does appear, it will most likely be accompanied by blood. This occurs due to strong tension in the anus, where cracks appear.

In addition, with a false urge to defecate, troubles such as nausea, vomiting, and even fever can occur. Such symptoms are characteristic of poisoning and intoxication, so effective measures must be taken urgently.

Frequent additional symptoms that accompany tenesmus are constipation and diarrhea. This is not only unpleasant, but also dangerous, so you need to see a doctor and get diagnosed in order to receive the most correct and high-quality treatment.

3 How to get rid of false urges?

If a person has such a nuisance as a constant urge to go to the toilet, during which bowel movements do not occur, it is necessary to understand the reasons for what is happening. To do this, you need to visit a doctor and tell the specialist about everything that worries you. If the problem is left unattended, it can result in complications such as hemorrhoids and anal fissures.

Treatment of false urge to defecate is divided into 2 types. In the first case, the main work is done on eliminating the symptom itself, and in the second, the causes of the problem are treated. Only a doctor, after a thorough examination, can determine which medicine will be more successful in a given situation. You should not self-medicate, since even prolonged intoxication can actually turn out to be a very serious illness, for example a tumor.

To get rid of false urges to defecate, experts always recommend a special diet. It should be formulated in such a way as to eliminate either constipation or diarrhea. It is imperative to avoid foods that are harmful to the stomach and intestines and irritate the gastrointestinal tract. It is best to include in your daily menu dishes that are easily absorbed by the body. Must be present in the diet fresh vegetables and fruits. Don't forget about the drinking regime. The stool very often depends on it.

If problems arise with bowel movements, it is necessary to strictly limit physical exercise. It is especially not recommended to spend a lot of time riding a bicycle, riding horses and long time drive a car. Swimming and walking have a positive effect on the body. In addition, you can perform simple morning exercises, which will be enough for normal maintenance body.

Concerning drug treatment, then antispasmodics such as No-Shpa and Papaverine are most often prescribed here. But they can only be used with the approval of a doctor, since similar medicines have contraindications and side effects.

To treat diarrhea and intoxication, absorbents such as white and Activated carbon, Polysorb.

There are also many useful traditional methods, which help get rid of false urges to defecate. For example, a decoction works well watermelon rinds. It is also worth including bran milk in your diet. Goat's milk is best for treating bowel problems.

But rely completely on traditional medicine not worth it. If you experience a problem such as a false urge to have a bowel movement, you should definitely consult a doctor.

Almost every person sooner or later encounters this problem, which signals a violation of intestinal function and requires the adoption of therapeutic and preventive measures.

More often the syndrome incomplete emptying intestines suffer from residents of large cities, which is associated with low physical activity and best quality food. But residents of rural areas who eat fresh, high-quality foods and exercise a lot rarely suffer not only from this syndrome, but also from other gastrointestinal diseases.

What are the causes of incomplete bowel movement?

• Irritable bowel syndrome;
• Haemorrhoids;
• Colon polyps;
• Malignant intestinal tumors.

This article is not a guide to action. With its help, we want to draw patients’ attention to the importance of any unpleasant symptom, and emphasize that prevention and timely treatment diseases will help maintain health for many years.

Irritable bowel syndrome is the main cause of the feeling of incomplete bowel movement

The feeling of incomplete bowel movement is most often a component of irritable bowel syndrome. This is a condition in which there are no organic changes in the intestines, but under the influence of constant emotional stress and stress, the correct innervation of the intestines is disrupted, which is manifested by incomplete emptying syndrome and diarrhea, followed by constipation.

In addition to stress, pathology can be caused by the following factors:

• Frequent overeating. Overfilling and distension of the intestine increases the sensitivity of nerve receptors.
• Hormonal imbalance. Women with this pathology note an increase or appearance of symptoms of irritable bowel syndrome in the first days of menstruation.
• Poor nutrition. Consumption of fatty and smoked foods, as well as carbonated drinks provoke intestinal disorder in individuals with a predisposition to developing irritable bowel syndrome.
• Dysbacteriosis and intestinal infection can serve as a trigger for the feeling of incomplete bowel movement.
• Hereditary predisposition in the development of intestinal pathologies also plays an important role.

With this disease, the feeling of incomplete bowel movement is accompanied by abdominal pain and bloating, which precedes the urge to go to the toilet. The symptom of incomplete emptying intensifies and the urge becomes more frequent, often under stress.

Treatment of incomplete bowel movement in irritable bowel syndrome

How to eliminate the feeling of incomplete bowel movement if there are no objective reasons for its development? You should change your lifestyle. It is recommended to rest more, go for walks fresh air, V severe cases Doctors may recommend changing jobs to remove the source of stress.

Advice: Distraction from problems will remove the main pathogenetic mechanism incomplete bowel movement – ​​a violation nervous regulation. It is also recommended to take sedatives based plant extracts(valerian extract, glycine).

And second, a lot an important part Treatment of incomplete bowel movement consists of changing the nature of nutrition. You need to eat often and in small portions, give preference to soups, steamed or baked foods, increase the consumption of lean varieties of fish and meat, vegetables and fruits typical in given time year for the region.

Haemorrhoids

Hemorrhoids are a progressive varicose veins veins in the anus. The main cause of the disease is chronic blood stagnation in the pelvis. This is often facilitated by the patient’s sedentary lifestyle. The development of the disease is accompanied by ulceration, bleeding, compaction and thrombosis of the affected veins of the rectum.

Incomplete bowel movement with hemorrhoids is combined with pain during bowel movements. And bleeding of hemorrhoids leads to the appearance of red blood on the surface of the stool. Diagnosis of the disease is carried out by a proctologist based on examination, colonoscopy, radiology and ultrasound.

Important: Today, treating hemorrhoids is not difficult, and with early diagnosis, doctors even use minimally invasive surgical methods.

In general, treatment of incomplete bowel movement due to hemorrhoids comes down to the following measures:

• Normalization of digestion and treatment of constipation;
• Drug therapy for hemorrhoids (stimulants, painkillers and anti-inflammatory drugs);
• Gentle surgical intervention: ligation with latex rings, sclerotherapy, electrocoagulation, laser treatment, radio wave coagulation;
• Classical radical surgery with excision of the rectal mucosa and hemorrhoids (used in advanced stages).

After treatment, the patient should be periodically observed by a surgeon, who can promptly detect a relapse.

Colon polyps

Colon polyps are benign formations mucous membranes, which cause intestinal dysfunction. Single and small polyps can exist asymptomatically for many years, and the patient will not be aware of their presence. In this case, the polyps are not subject to surgical removal: the patient is recommended to undergo regular monitoring and, if necessary, surgical removal.

However, if polyps disrupt the function of the gastrointestinal tract and the intestines do not empty completely, they should be surgically removed. The operation is performed without opening abdominal cavity through the anus. After the polyps are removed, bowel function is restored and the feeling of incomplete bowel movement goes away. It is impossible to get rid of this symptom caused by polyps by other methods.

Malignant intestinal tumors

The feeling of incomplete bowel movement can also accompany extremely dangerous diseases, such as colon cancer. Therefore, we once again emphasize the importance of timely contacting specialists. Malignant formations can be successfully treated in the early stages, therefore early diagnosis- the key to complete recovery.

In addition to the feeling of impaired bowel movement, colon cancer is accompanied by the following symptoms:

• Diarrhea followed by constipation;
• Blood in the stool;
• Weakness, decreased performance;
• Unreasonable increase in temperature;
• Night sweats.

This diagnosis can only be confirmed with the help of histological examination– During a colonoscopy, a small area of ​​the identified tumor is removed. The removed tissue is examined under a microscope for the presence of malignant cells. Treatment depends on the stage of the tumor and includes surgery along with radiation or chemotherapy.

Advice: As you can see, the feeling of incomplete bowel movement is not always a harmless symptom, so consult a doctor as soon as possible. Due to the widespread prevalence of oncology, preventive examination will not harm anyone.

Other causes of incomplete emptying

Other reasons for the feeling of incomplete bowel movement include: sedentary lifestyle life, overweight, unhealthy diet, premenstrual syndrome, diabetes. However, having prescribed a standard set of examinations (stool analysis, radiography of the abdominal organs, endoscopy) and not finding any visible pathology, the doctor will still make a diagnosis of irritable bowel syndrome.

Important: International classification diseases does not distinguish such a disease as incomplete bowel movement. The diagnosis will sound like irritable bowel syndrome.

In this case, treatment for incomplete bowel movement will consist of changing lifestyle and diet, as well as drug therapy stress, impaired intestinal motility and dysbiosis.

Prevention of development

In order to prevent incomplete bowel movement and the diseases that cause it, you should follow the following nutritional rules:

• Frequent, fractional meals (small portions 4-5 times a day);
• Avoid snacking on the run;
• Refusal of fast foods and carbonated drinks: cookies with kefir will better satisfy your hunger;
• Adequate consumption of fruits and vegetables;
• Increasing the diet of liquid foods, as well as steamed or oven-cooked foods.

Recommendation: Move every day. A half-hour walk will tone your body, refresh your head and improve your mood. Take a break from everyday activities so that everyday problems do not disturb your emotional state. This is an excellent preventative measure not only for the feeling of incomplete bowel movement, but also for other nervous and somatic pathologies.

But perhaps it would be more correct to treat not the effect, but the cause?

Frequent bowel movements (bowel movements, bowel movements) without diarrhea

When a person needs to cleanse his intestines, he has the urge to defecate. Sometimes cases arise when such urges are false. This happens because the intestines contract, causing pain. Frequent bowel movements without diarrhea occur with infectious diseases.

In medicine frequent urge to defecation is usually called tenesmus. They can be either false or real. With tenesmus, the patient feels exhausted, and the skin appears cracked and eroded. With severe exposure to infection, frequent bowel movements without diarrhea appear. In addition to an infectious disease, frequent bowel movements, but not diarrhea, can cause irritable bowel syndrome.

Reasons for frequent bowel movements

There are several reasons why a person experiences frequent bowel movements, but not diarrhea. You should know these reasons:

• Inflammation of the rectum. First the patient experiences severe pain and the urge to defecate. Most often, stool is not diarrhea. A little later, the person cannot control his intestines, and stool comes out involuntarily. In most cases, feces contain blood and pus. Inflammation can be caused by various injuries;
• Frequent trips to the toilet may be caused by excessive consumption laxatives or one-time use of a strong laxative. If there are no other diseases, the stool is not diarrhea;
• Dysentery. Most often in our country, mild forms of this disease occur, so people do not experience diarrhea. You can get sick by communicating with sick people or contact with bacteria carriers;
• Irritable bowel syndrome. With this disease, the character of the stool constantly changes its state from constipation to a more liquid state. Diarrhea occurs extremely rarely, only in advanced cases. After emptying, the person feels relief and the pain stops.

Treatment of frequent bowel movements without diarrhea

First of all, you need to understand why stool is frequent, but not diarrhea. To do this, it is better to go to a specialist who will conduct a diagnosis and determine the cause. Only after this can you begin treatment.

Treatment should begin taking into account the characteristics Everyday life patient. Changes in stool may directly depend on stressful situations. The patient must understand the essence of his disease. You should also convince the person seeking help that visiting the toilet twice a day is normal. Treatment will be more effective if lifestyle changes are made.

First of all, you should take care of your daily nutrition, which can fully influence the frequency of stool. It is better to avoid products that contribute to this:

• Fructose;
• Milk. It all depends on the amount of product consumed and its fat content;
• Artificial sugar substitutes. This product may be in various drinks and some finished products. To avoid consuming artificial sugar, it is recommended to read the ingredients of products.

The best thing dietary food draw up together with your attending physician, who will take into account the prescribed treatment and the characteristics of the patient’s body. If you follow your doctor's recommendations, you can get rid of increased bowel movements without diarrhea in a few days. The exception is serious illness which requires long-term treatment and hospitalization.

For IBS, doctors prescribe the following medications:

• Probiotics;
• Antibiotics. These include Rifaximin;
• Pancreatic enzymes. The main drug is Pancreatin.

A disease characterized by the appearance of pouch-like protrusions in the walls of the colon is called diverticulosis.

Diverticula sigmoid colon– the most common gastrointestinal pathology in older patients.

For the treatment of acute and chronic diarrhea caused by intestinal gram-positive bacteria (staphylococci, streptococci.

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NUTRITION BASICS

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Frequent bowel movements may indicate various diseases of the body - poor nutrition, constant stress, helminthic infestations, intestinal dysfunction or poisoning. If such situations arise, it is imperative to monitor the frequency and nature of stool, as well as other possible manifestations pathologies. Since frequent watery stools, especially together with profuse vomiting, can lead to serious consequences such as complete dehydration of the body.

Urge to defecate

False urges may also appear; the reason for this is a contraction of the muscle base of the intestines; usually in this case, pain in the abdominal area, discomfort, a feeling of incomplete emptying are observed; bowel movements may be absent altogether or present in a small volume.

Also, with a frequent urge to defecate, diarrhea may occur, in this case this may be a sign of a serious illness. digestive system, and the manifestation nervous overstrain or stressful situation. If these symptoms are accompanied by others clear signs pathologies last more than three days, or the stool contains pus or blood, you should immediately be examined in a specialized clinic.

Some reasons for increased frequency of bowel movements

One of the possible causes of increased frequency of bowel movements is proctitis, or inflammation of the rectum. This disease is characterized by the following symptoms: severe pain, diarrhea, frequent urges accompanied by pain, the presence of blood, mucus and pus in the stool, and spontaneous, uncontrolled bowel movements are also observed. Proctitis can be caused by injuries to the mucous membrane, for example, as a result of carelessness when using an enema. In addition, this disease can develop as a result of constant use of strong laxatives, or be a consequence of internal hemorrhoids.

Frequent bowel movements are one of the symptoms of dysentery. Most often, a mild form of this disease occurs. Infection occurs as a result of contact with sick people or those people in whose bodies the causative agent of the disease is present. With this pathology, frequent painful stools and false urges occur, which do not lead to defecation and do not subside after it. Diarrhea can recur very often up to forty times a day in severe forms of the disease. A mild form of dysentery is similar in its symptoms to an intestinal infection.

Persistent, frequent urges are observed with tumors of the large intestine. In this case, there may be blood or mucus in the stool and false urges. At cancerous tumors often periods of severe diarrhea alternate with constipation; benign tumors, as a rule, are not accompanied by deterioration general condition body and other ailments.

Other causes of increased bowel movements

In people with a sensitive nature, frequent bowel movements may occur due to a stressful situation or strong feelings.

As a result of improper use of medications that have laxative effect, frequent urges, diarrhea and colic may occur. In addition, defecation becomes more frequent with ulcerative colitis, thyrotoxicosis and other diseases.

I read on the website of your research center that you can do an ultrasound of the rectum, does this replace sigmoidoscopy? I've been worried about a polyp in my rectum lately. I think the pain occurs due to frequent bowel movements in small portions and the accumulation of feces in the sigmoid colon. I think there is dysbiosis too. I would like to make an appointment at your center, but, unfortunately, there are no prices or appointment times on the website. I would be grateful to receive information on how to get to you.

In young children, timely bowel movements of normal consistency and color are considered one of the signs of a healthy condition. In principle, in adults, some diseases or even pathological conditions, especially if an adult has frequent bowel movements, which may not bring any inconvenience to the person at all. Every person tries to watch their bowel movements, but how often is it permissible to go to the toilet in large quantities and when should you start to worry?

Features of the digestive tract of some people

Young parents are happy when the baby poops after every meal, but for adults, such frequent bowel movements do not indicate a normal condition and are most likely a sign of some pathological human conditions.

The norm is one bowel movement per day, two bowel movements are allowed at a certain body weight or when a person eats a lot of foods that have a laxative effect or contain a large amount of fiber. This is not about diarrhea.

Sometimes, with insufficient enzyme production, an adult may also have bowel movements several times a day, most often several hours after eating. This indicates the inability of the intestines to fully break down fats, proteins and carbohydrates. With a good metabolism, the frequency of stool can also be more than 1-2 times, but the feces should not change the normal state of consistency, color, smell, etc. In any case, you need to contact a gastroenterologist and undergo certain tests for the same enzymes and other indicators.

Pathological conditions that cause frequent bowel movements

But going to the toilet 5 or more times a day is no longer normal, and with such complaints you should definitely see a specialist. Frequent bowel movements in an adult may be a symptom of the following diseases or conditions:

• Crohn's disease of the colon;
• colitis of different origins;
• salmonellosis;
• dysentery;
• hyperthyroidism;
• dysentery;
• intestinal tuberculosis;
• diseases of the liver and/or biliary tract;
• colon or rectal cancer.

All these conditions and diseases are accompanied not only by frequent bowel movements, but also by changes in their color, smell, appearance, consistency, etc.

It goes without saying that frequent loose stools are diarrhea, which can occur as a result of a number of other diseases, including intestinal dysbiosis, which must be treated immediately.

If the human body does not produce enough bile acids, the frequency of stool also increases throughout the day. In this case, the stool also changes its color to pale, and its consistency becomes greasy and shiny. If this condition is accompanied for a long time, then vision may be impaired. evening time, increased bone fragility and anal bleeding are observed. All this is confirmation of pathology duodenum, diseases of the liver and biliary tract.

For any deviations from the norm in bowel movements and deterioration normal condition If you feel unwell, you should consult a doctor and in no case is it recommended to self-medicate.

Hello, I'm 20 years old. For 2 years I did not follow a diet. There was bloating in the evening. Now I have constant constipation, bloating, and hemorrhoids are falling out. Swallowed the probe. The examination results are good. There's nothing wrong with my stomach. The proctologist recommended not to eat peppered and smoked foods, however, other foods also lead to the above problems. Please tell me how should I eat and what should I do?

Do general tests blood, urine, coprogram, ultrasound of the abdominal organs. Resolve issues with the surgeon regarding the treatment of hemorrhoids. The diet should contain at least 500 g of vegetables per day, 400 g of fruit, 500 g of kefir per day if it is well tolerated, or replace it with cottage cheese. Limit consumption of fresh cabbage, turnips, legumes, freshly baked bread and whole milk. Eat small meals at least 4-5 times a day.

Consultation is provided for informational purposes only. Based on the results of the consultation received, please consult a doctor.

Frequent bowel movements - reasons

What is the urge to defecate?

A false urge to defecate occurs as a result of convulsive contraction of the intestinal muscles, accompanied by abdominal pain and a feeling of incomplete bowel movement. In this case, a person has a small one-time volume of stool or no stool at all. Frequent urge to defecate may occur with diarrhea.

This unpleasant symptom can be a sign of either a not very serious intestinal infection or many serious illnesses. However, false urges to defecate are usually not the only symptom of the disease. If you have a frequent urge to defecate, lasting more than 2-3 days, and you find blood or pus in your stool, you should consult a doctor.

Causes of frequent bowel movements

Inflammation of the rectum (proctitis). The onset of inflammation of the rectum is characterized by severe pain, frequent urge to defecate, and diarrhea. An indispensable symptom of the disease is involuntary bowel movement (stool mixed with mucus, blood and pus). The causes of proctitis are varied. Inflammation can be caused by damage to the rectal mucosa (eg, during an enema). As a rule, the damage heals without any complications. Other causes of proctitis - regular use laxatives or one-time use of a strong laxative medication; the presence of internal hemorrhoids.

Dysentery

In our country, only mild forms of bacillary dysentery are usually found. Infection most often occurs through contact with sick people or bacteria carriers who secrete pathogens (Shigella bacteria) during external environment with feces. In more severe forms of dysentery, severe and often painful diarrhea occurs.

However, the frequent urge to defecate does not go away even after a bowel movement (the stool contains an admixture of blood and mucus, sometimes pus). Diarrhea repeats once a day. This painful urge to defecate is called tenesmus. Light shape dysentery is difficult to distinguish from intestinal infections (found in our area), however, in the latter case, frequent and painful urges to defecation are rare.

Bowel tumor

A persistent urge to defecate may also occur with a tumor of the colon or rectum. In this case, the stool may be mixed with blood or mucus. With a tumor of the colon, the urge to defecate is most often false. At benign tumors colon or rectum (polyps), usually no ailments are observed, but in case of malignant tumors severe diarrhea alternates with prolonged constipation. Besides, important sign malignant tumors - stool mixed with blood.

Stress

In sensitive people, the urge to defecate may be caused by a strong mental stress or stress.

Use of laxatives

Under the influence of strong laxatives, bowel movements resemble an explosion. Painful colic continues for quite a long time even after defecation.

Incomplete bowel movement

Every person, at least once in his life, experiences indigestion. Impaired bowel movement is the most common disorder. It immediately affects your well-being and disrupts your usual way of life. If such a problem causes discomfort for a long period, you need to contact a specialist and correct the situation.

What is the normal frequency of bowel movements?

The number of bowel movements for each adult is individual, but normally regularity is required. The intestines should be emptied 1-2 times a day (usually in the morning after breakfast), but not less than once every two days. There are people who normally have a bowel movement once every 7 days and feel great. Therefore, the International Association of Gastroenterologists has identified special signs (“Rome criteria”) that determine incomplete bowel movement.

Causes of bowel movement disorders

For some, difficulties with excreting feces appear occasionally, while for others, an overcrowded intestine occurs constantly. Why is this happening? Most often, the feeling of incomplete bowel movement occurs in people prone to constipation or with functional bowel disease. The causes of the disorder are different, even psychological, but the most common among them are the following:

• poor diet (processed foods and not eating enough fiber);
• lack of physical activity leads to stagnation in the pelvic organs;
• stressful situations and nervous shocks;
• usage large quantities medicines, including laxatives (tablets, suppositories, syrups);
• injuries and general diseases internal organs.

Doctors identify a tendency to constipation as a separate cause that causes a feeling of fullness in the intestines. Insufficient bowel movements are not an independent disease, but a symptom of it. The most common causes of constipation are:

• congenital or acquired abnormalities of the intestinal structure;
• the presence of neoplasms in the organ: benign or malignant;
• disorder of intestinal motor-evacuation function.

Individual determination of the cause of incomplete emptying syndrome includes all disturbing signs and a mandatory examination.

Symptoms

Regular bowel movements - necessary condition normal life body. Failure to comply with this condition puts not only the organs of the digestive system at risk. The body immediately warns of a complication that has arisen, and the feeling of a full intestine is not the only symptom. There are signs not related to the digestive organ.

Bowel symptoms

• Violation of the process of defecation. One has constipation, in which the bowel movement occurs with long delay, the other has diarrhea and rapid withdrawal of contents. There is no urge to defecate, or the urge is false.
• Pain is a mandatory symptom caused by stimulation of nerve processes and dilation of the intestine. It can be different: dull, raw, cramping, sharp. Pain in the lower abdomen, on the left side, is a characteristic feature of constipation. When upset, it spreads throughout the abdomen.
• Painful swelling.
• Heaviness in the stomach. The process of emptying is carried out with tension and is painful. There remains a feeling of incomplete bowel movement after defecation.

Other symptoms

It happens that in addition to the above-described signs:

Diagnostics

The main task of specialists is to differentiate the problem of bowel movement from other diseases with similar symptoms. Diagnostics are carried out using specialized testing and a set of laboratory techniques. The list of methods is as follows:

• General analysis of urine and blood. Allows you to determine the condition of the body, eliminate inflammation and infection.
• Study of the chemical and physical characteristics of feces.
• If there is a suspicion that there is an infection in the intestine, bacteriological culture is performed.
• A biochemical blood test to evaluate the functioning of the pancreas and liver, which are directly involved in digestion.
• Examination of stool for the composition of microorganisms.

Instrumental diagnostic methods will help confirm the results obtained and make an accurate diagnosis:

• An endoscopic method that allows you to check the intestinal mucosa and determine the presence of damage and neoplasms. The duration of the procedure is about 10-15 minutes. The study is carried out using special equipment called an endoscope.
• Examination of the colon using X-rays using contrast. You can examine the structure and pathological abnormalities (irrigoscopy).
• Study of anorectal muscle tone and contraction of the small intestine.

Performance instrumental diagnostics will require special patient preparation.

How to treat the syndrome?

It is necessary to treat the syndrome not only with suppositories, tablets, great importance is given to psychological and emotional state patient. Serious psychological problems require the intervention of a specialist who conducts psychotherapy sessions. In parallel with the settlement of the psycho-emotional state, treatment is carried out. There are several methods of therapy: traditional (medicinal) and folk.

Drug therapy

Treatment medicines aimed at alleviating the condition and relieving disturbing signs. The doctor prescribes:

• probiotics that enrich the body with necessary enzymes and support the intestinal microflora, for example, Espumisan, Hilak Forte;
• strengthening drugs for diarrhea - “Loperamide”;
• prokinetics for constipation - Duphalac, Motilium, Bisacodyl, suppositories with glycerin, gas-forming suppositories;
• painkillers - No-Shpa, "Papaverine", in "Spasmomen" suppositories.

Folk remedies

To enhance the effect, use the following traditional medicine recipes:

• Millet (porridge) or a mixture of blueberry leaves, bird cherry fruits, and burnet root help well against diarrhea. Mix the components in equal proportions and pour in 500 ml of boiling water. Leave for about 5-6 hours in a thermos so that the water does not cool down. Strain the resulting product and take 3 times a day.
• Blueberries, onion juice and aloe are great against constipation.
• Mint infusion and chamomile will help relieve unpleasant pain. For hemorrhoidal cones, the pain is relieved with ice suppositories.

Diet food

The right approach to nutrition is important in the treatment of the syndrome and as a prevention. A healthy, fractional diet is recommended for the patient; meals should be divided into 5-6 times and eaten in small portions. Products that increase flatulence (cabbage), alcohol, salty and smoked foods are completely excluded from the diet. The main part of the meal should be vegetables, fruits, dairy products, steamed meat and fish. It is imperative to monitor the amount of liquid you drink. In one day, a person should drink at least 2 liters and be sure to drink a glass of clean water in the morning, before meals.

Possible consequences

Irregular emptying and the use of suppositories, syrups to improve the situation leads to addiction and general malaise and to more serious complications. If defecation does not occur completely or is delayed, the feces become dense and, passing through the intestines, leave cracks and ulcers, as a result - inflammatory process. Long-term disruption leads to the development of hemorrhoids, partial or complete obstruction.

Incomplete emptying syndrome is dangerous for people with heart failure, since straining during bowel movements can cause increased pressure.

Preventive measures

Healthy lifestyle, balanced diet, physical activity, correct routine day, good mood- the main components of preventive measures. It is important, in order to avoid pathology and to increase the effectiveness of treatment, to learn how to properly empty the intestines in the morning, without using suppositories and other drugs. Learn to sit on the toilet for no more than 1 minute, and there will be no situations that provoke the development of pathology.

The main causes of false urge to defecate (rectal tenesmus) are pathological conditions in which a futile urge to empty the bowel occurs. This symptom various diseases quite painful and does not lead to a full-fledged act of defecation: it ends with the release of only a small amount of feces. Tenesmus is essential to a person’s life - they limit freedom of movement and force them to make adjustments to their vacation plans. False urge to defecate is accompanied by a disorder of the digestive system: increased gas formation and impaired intestinal motility.

The causative agents of salmonellosis provoke intestinal infection and intestinal tenesmus

Pathogenesis of the disease

Under the influence of provoking factors, the excitability of the autonomic system is disrupted. nervous system, which causes spasms of the smooth muscle muscles of the intestines. False urge to defecate most often occurs as a result of spastic contractions of the muscular walls of the sigmoid and (or) rectum. The pathological process affects abdominal wall, pelvic organs and perineum - their muscle tone is rising rapidly. Spasmodic contractions are unproductive:

• the intestinal contents do not move forward;
• feces are not excreted from the body.

The cuts are chaotic and uncoordinated. In this condition, normal peristalsis is impossible, which becomes the cause of intestinal tenesmus. The pathology is accompanied by the development of chronic constipation. The disease is characterized by inflammation of hemorrhoids and impaired blood supply to the pelvic organs. People who lead a sedentary lifestyle often suffer from false urges to defecate. In the absence of medical intervention, the severity of symptoms increases:

• the color of the skin around the anus changes and darkens;
• erosion develops;
• appear anal fissures.

A bacterial infection often attaches to the damaged rectal mucosa, increasing the spread of the inflammatory process. To prevent the development of events in such a negative scenario, you should make an appointment with a gastroenterologist at the first sign of a false urge to defecate.

Causes of the pathological process

Rectal tenesmus is one of the symptoms of diseases of the digestive system. If no such pathologies were identified when diagnosing the patient, then a neurologist is involved in the treatment. Often false urges are provoked by disruption of the central nervous or autonomic system human body.

Intestinal infections

After pathogenic viruses or bacteria penetrate the intestinal lumen, they begin to actively multiply. In the process of life, microbes produce a huge amount of toxic products. Harmful substances cause not only general intoxication of the body, but also damage to the intestinal mucosa. As a result of digestive disorders, dyspepsia occurs:

• rumbling and seething in the stomach;
• sour belching, heartburn;
• bloating.

The causative agents of rectal tenesmus include: salmonella, staphylococci, Escherichia coli and Pseudomonas aeruginosa, Shigella, streptococci. They enter the human body along with spoiled food products - milk, meat, vegetables.

Warning: “If a person is frivolous about food poisoning and prefers self-medication, then it is not surprising that he soon develops an inflammatory process in the small or large intestine.”

Damage localized in the rectum leads to diarrhea, pain and false urge to have a bowel movement. Clinical picture complicated by fever, nausea, vomiting, weakness.

Diseases of the rectum

In case of damage to the mucous membrane lower section bowel movements are upset. The main causes of tenesmus are:

• rectal fissures;
• a chronic form of paraproctitis, characterized by the formation of deep pathological canals.

Such diseases are accompanied by constipation, pain with each bowel movement, and the appearance of blood clots, mucus, and pus in the stool. Tenesmus occurs due to the development and progression of the inflammatory process affecting the rectum or perirectal tissue.

Malignant and benign tumors

After the formation of tumors on the mucous membrane or in the deeper layers of the intestine, peristalsis is disrupted, and the urge to defecate without feces occurs. Tens of thousands of people die from colon cancer every year. The danger of the pathology lies in the absence of any symptoms at an early stage. After the gradual growth of the tumor, pain appears during bowel movements, along with feces blood and pus are released.

The main reasons for the development of rectal tumors are precancerous diseases:

• one or more polyps in the intestines;
• ulcerative lesions of the rectum;
• decreased immunity;
• genetic predisposition.

Warning: “Gastroenterologists, proctologists and surgeons never tire of repeating that timely treatment of anal fissures and hemorrhoids is an important part of the prevention of rectal cancer.”

Neoplasms provoke the occurrence of spastic contractions, slow movement of feces, the release of a small amount of feces or their complete absence. Often the cause of problems with bowel movements is not the tumor itself, but the metastases that have formed. The tumor cell spreads through the blood or lymph flow to healthy areas of the rectum, where it begins to grow rapidly. Often, metastases significantly exceed the size of the initial malignant formation.

False urge to defecate occurs with rectal cancer

Dysbacteriosis

Intestinal dysbiosis often provokes not only chronic constipation, indigestion, but also rectal tenesmus. The disease develops after penetration into gastrointestinal tract pathogenic pathogens or activation of bacteria of opportunistic microflora. A person experiences the following negative signs:

• abdominal pain;
• chronic diarrhea;
• appearance in stool blood streaks or clots.

After antibiotic therapy, the patient may develop dysbiosis. To prevent it, doctors recommend that patients take a course of probiotics and (or) prebiotics containing lactobacilli, bifidobacteria, and saccharomycetes. Dysbacteriosis can be provoked by food poisoning, poisons of plant and animal origin, heavy metals, caustic alkalis and acids. The false urge to defecate that occurs in this case disappears after detoxification therapy.

Autoimmune pathologies

Non-specific ulcerative colitis and Crohn's disease are autoimmune inflammatory pathologies, one of the symptoms of which is a constant urge to defecate. The etiology of the development of diseases has been little studied. Most scientists are inclined to believe that the inflammatory process of the intestinal mucosa occurs as a result of a decrease in functional activity immune system human body. Symptoms associated with rectal tenesmus nonspecific colitis and Crohn's disease are a sharp decrease in body weight, Iron-deficiency anemia, as well as a lack of vitamins and microelements due to impaired absorption.

CNS dysfunction

The reasons for the urge to defecate, which does not bring relief to a person, are disorders of the central nervous system:

• neurotic conditions;
• mental disorders;
• specific reactions to stressful situations;
• emotional instability.

Recently, patients are often diagnosed with “irritable bowel syndrome,” which can be caused by diseases of the central nervous system. The pathogenesis of tenesmus is based on a violation of the transmission of nerve impulses in the colon.

Diagnosis and treatment

Diagnosis of rectal tenesmus begins with interviewing the patient, assessing general health, and studying a history of diseases. If you suspect bacterial infection a biological sample is inoculated into a nutrient medium to identify the type of pathogen and its sensitivity to antibiotics. Laboratory and biochemical tests. To determine the cause of false urge to defecate, instrumental studies are carried out:

• Magnetic resonance imaging;
• ultrasonography;
• CT scan;
• X-ray examination.

Treatment of intestinal tenesmus is aimed at eliminating its cause. For this, patients are shown drug therapy, and in case of detection of benign or malignant tumors, surgical intervention. Most often used in etiotropic treatment:

• antibiotics;
• antimicrobials;
• probiotics and prebiotics;
• antiulcer drugs;
• hemostatic drugs;
• adsorbents and enterosorbents;
• drugs to reduce excess gas formation with simethicone.

To reduce the severity of tenesmus, antispasmodics are used - Drotaverine or its analogue No-shpa in the form of tablets or solutions for parenteral administration. They have the ability to normalize the functioning of intestinal smooth muscle muscles, eliminate pain systems and prevent the occurrence of tenesmus.

Disturbances in the act of defecation, such as pain during defecation, false urges, burning, going to the toilet after every meal, or bowel movements in small portions, can be a sign of a variety of diseases: nervous, endocrine, oncological, and not just rectal fissures or hemorrhoids.
Disorder of bowel movement can occur for several reasons, which are associated with a disorder of nervous regulation and diseases of the pelvic organs, namely the rectum.

Discoordination of the act of defecation

Disturbances in nervous regulation lead to a malfunction in the coordinated functioning of the smooth muscles of the intestines and the anal sphincter. Anismus is a defecation in which an involuntary spasm of the sphincters occurs (the name is reminiscent of vaginismus, in which a spasm of the vaginal muscles occurs. A false urge to defecate occurs, but the act of defecation itself does not occur. Dysshesia(dyschezia), dyschezia, essentially constipation, is the most severe manifestation of a violation of the act of defecation, as a result of excessively weak tension of the rectal muscles or a rather strong tone of the anal sphincter. The patient describes that when defecating he has to strain very hard, while helping himself with pressure on the perineum, but still there is a feeling of incomplete emptying. Dysshesia must be distinguished from a mechanical obstruction to emptying.
The urges that arise cannot realize themselves independently and even with significant stress on the person, which leads to chronic and persistent constipation and abdominal pain. Sometimes doctors do not immediately recognize the disease, but perceive it as false symptoms of intestinal atony.

It is clear that not only constipation, but also incontinence of feces and gases can also be associated with disruption of the synchronous functioning of muscles and sphincters.

Defecation disorders are determined using defecography. The sigmoid colon is filled with a barium suspension, through the anus, and the bowel movement is observed using a fluoroscopic method. This method can be used to determine the anorectal angle during defecation, prolapse or prolapse of the rectum, and weakness of the pelvic floor.
Anorectal manometry documents some parameters of the act of defecation, this study will help determine how the anal sphincter works, the relaxation reflex of the internal sphincter when the intestine is filled, the pressure that is perceived as a signal for emptying. Both studies are not pleasant, but they must be done to determine the advisability of a particular treatment.

Rectal prolapse

This disease develops mainly in women after childbirth, when the pudendal nerve is damaged, and also in old age. In addition, it is possible with severe persistent constipation. Usually the disease has only one symptom - this is rectal prolapse, which, if pinched, can cause quite severe pain during bowel movements and a burning sensation.
There are 3 types of rectal prolapse:
Complete protrusion of all layers of the intestinal tube through the anus.
Protrusion of the rectal mucosa only
Internal rectal prolapse without external prolapse through the anal ring.
Treatment of this pathology is mainly surgical; there is no drug treatment.

A type of rectal prolapse in women is.

Sometimes it is not the intestine itself that falls out, but the one that has a leg.

Haemorrhoids

Hemorrhoids develop as a disease severe forms constipation, after childbirth, with a sedentary lifestyle or with frequent strain. During defecation, hemorrhoids prolapse through the anus, which causes pain in the anus. A burning sensation in the anus area is also one of the manifestations of hemorrhoids.

Anal fissure

The causes of anal fissure lie in damage to the mucous membrane of the anal sphincter due to hard feces, loose stools, and also due to exotic sexual relations. In most cases, an anal fissure heals on its own when stool normalizes or other factors are eliminated. If rapid healing does not occur, then a chronic anal fissure may form, and the process will constantly worsen. Pain during defecation will intensify spasm of the anus, which will lead to even greater injury to the fissure.
Characteristic symptoms of an acute anal fissure are pain during defecation, as well as for several minutes after it. If the fissure progresses to a chronic stage, then the pain after bowel movement significantly exceeds the pain during bowel movement itself. Another characteristic symptom of an anal fissure is the appearance of light, scarlet blood in the stool.

Symptoms of defecation disorder

Pathology of the act of defecation may be consequences various pathologies intestines and improper food intake and is manifested by the following symptoms:

• Pain after defecation;
• Defecation after every meal;
• Frequent bowel movements in small portions;
• False urge to defecate;
• Feeling of incomplete bowel movement

Pain during and after defecation, as well as pain in the abdomen, can occur against the background of a spasm of the smooth muscles of the sigmoid colon, which occurs when severe constipation, requiring powerful voltage. Excessive distension of the sigmoid and rectum by feces also leads to abdominal pain for a short time.

Symptoms inflammatory diseases intestines, such as abscess, infection, hemorrhoids, oncology, can worsen after defecation, so if you have persistent and prolonged abdominal pain, you need to see a specialist.

Defecation after each meal is most often associated with accelerated peristalsis, which is observed in irritable bowel syndrome. Frequent bowel movements in small portions after each meal are also typical for infectious diseases accompanied by diarrhea. Sometimes bowel movements after each meal and chronic abdominal pain are observed with pancreatitis, which is especially common in alcoholics. Defecation after each meal is very common in women with hyperthyroidism and during menstruation. In all cases, diagnosis does not cause problems for specialists.

False urge to defecate and the feeling of incomplete bowel movement are dangerous symptoms. The urge to defecate occurs when feces act on the receptors of the rectal mucosa. False urges to defecate appear when the mucous membrane is irritated by something else. The irritant may be an inflammatory process of the rectum, an infection, or oncological diseases. Alas, false urges do not arise in the first place. With the development of any pathological process in the rectum, not only false urges are characteristic, but also pain during defecation.

Attention! The early ones are very vague and non-specific. False urge to defecate, they are also called tenesmus, not a good symptom! You need to contact a gastroenterologist.

Burning during bowel movements: the reasons that cause burning are due to the occurrence of damage to the mucous membrane of the rectum or anus. Burning sensation during bowel movements may be caused by mechanical damage when wearing tight and thick underwear. In children, itching and burning are most often caused by helminthic infestations and diaper rash. Hemorrhoids and anal fissures can cause both burning and pain during bowel movements. Rectal polyps, when injured by feces, can cause symptoms similar to an anal fissure.

The presence of problems with stool and bowel movements, constipation, in most cases are the result of eating food that is harmful to the body, and only a small percentage is caused by intestinal diseases and nervous disorders. By following all the rules of a healthy lifestyle, you can forever forget about constipation and other disorders.

Dear friends! Medical information on our website is for informational purposes only! Please note that self-medication is dangerous to your health! Sincerely, Site Editor