Tenesmus - a clinical condition of the body, manifested by frequent ineffectual urge to excrement or urination, which are accompanied by pain. The name of these symptoms comes from the word teinesmos, which is of Greek origin. This word means "a vain urge."This is not accidental. After all, all the urges, despite their intensity, do not end with full urination or defecation.
- 1 Tenesmus as a sign of certain diseases, conditions
- 2 Reasons for the development of tenesms
- 3 Description of tenesms
- 4 Treatment order
Tenesmus as a sign of certain diseases, conditions
There are two types of tenesmus:
- urge to urinate;
- desires for defecation.
If the unsuccessful urge is present, but does not give pain, it is usually called a false urge. Quite often, tenesmus develops as one of the manifestations of diseases of the large intestine. So about yourself letting know the problems of the rectum and sigmoid colon.
If new growths, polyps, cracks appeared in the large intestine. This also happens if the following diseases develop:
- proctitis or paraproctitis,
- Crohn's disease
When the intestines have fistulas or stenoses, tenesmus is also possible. They can also appear in the syndrome of the diffuse intestine. The cause of tenesmus can be infectious intestinal lesions. Such diseases include salmonellosis, dysentery, intestinal tuberculosis, typhoid, cholera, intestinal amoebiasis and others.
Tenesmus on urination testify to the pathology of the urinary organs. This can be prostate adenoma, prostatitis, urolithiasis, operative intervention in the pelvic organs can also lead to tenesmus.
Not always tenesmus are signs of severe lesions of internal organs. Sometimes they are psychosomatic. They develop as one of the manifestations of neuroses, other borderline states. Less often, tenesmus indicates the presence of a disease of the nervous system, both central and peripheral. Thus, diseases of the spinal cord can cause tenes.
Of course, any tumors localized in the pelvis, especially in gynecological organs, are also provocative of these unpleasant symptoms.
It is often impossible to establish the exact cause of tenesm, in which case the condition is called idiopathic tenesms or idiopathic proctospasm.
The causes of the development of tenesmus
The above symptom is associated with a violation of the excitability of the autonomic nervous system. They develop because of spasms of smooth muscles of the bladder or large intestine. If the sigmoid and rectus muscles are spasmodically reduced, then a urge to defecate occurs.
In this process, the muscles of the perineum, the anterior abdominal wall, and the small pelvis are also involved. Smooth muscles can not shrink effectively. It does not promote the contents of the bladder or the intestine outside.
Therefore, evacuation can not occur. To go a normal wave of peristalsis, the contractions must be ordered. In this case, the abbreviations are chaotic.
Description of the tenesms
Tenesmus manifests pain in the lower abdomen, urge to urinate, defecate. Patients complain of spasms of the anterior abdominal wall and the intestine itself. Resulting desires do not give, only unproductive discharges are possible.
The discharge carries various deviations. In feces or urine can contain mucus, pus, it depends on the disease that provoked tenesmus. If we talk about the intestinal tenesmus, we should note a painful spasm that is felt in the sphincter region.
With prolonged tenesmus, skin erosion, cracks around the anus, and maceration can appear on defecation.
Tenesmus may appear slightly and cause mild discomfort, may be completely intolerable.
Because tenesmus can signal a variety of diseases, some of which are truly dangerous, one must carefully consider these symptoms. Moreover, the main efforts should be directed to identifying the underlying disease and its treatment.
Eliminating some symptoms is not advisable. But nevertheless for simplification of a condition apply spasmolytics miotropic, for example, drotavreni( no-shpa).This drug can be drunk three times a day, pills are taken either 40 mg or 80 mg.
If the clinical symptoms are very severe, the manifestations are too troubling for the patient, then you can take spasmolytic drugs in the form of injections. They put one ampoule once. In one ampoule - 2 ml, in 1 ml contains 20 mg of the substance.
These drugs with long-term treatment cause unpleasant manifestations, for example, dizziness, arrhythmia. The whole body can feel hot. Sometimes there is a delayed reaction, a violation of coordination.
To reduce the manifestation of tenesmans can be cool tubs that do in a sedentary pose. If the tenesmus for defecation, then you can put an enema with a decoction of chamomile, a potassium permanganate solution, administered in the same way, works well.
No-shpa for the treatment of tenesmus. On the drug will tell the video:
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