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A separate condition called vesical tenesmus is related to the urinary bladder. It is experienced as feelings of being unable to completely empty the bladder, despite possibly there being no urine present. Contents of this article: Causes and risk factors. Possible causes of tenesmus include an inflammation of the colon, colorectal cancer, and irritable bowel syndrome. There are several potential reasons why someone would experience rectal tenesmus, the most common being colon inflammation, either from a noninfectious or infectious cause.
Ways to Relieve Pain for When You Canât Go. When you have tenesmus, it is important to determine the underlying cause so it can be treated rather than masking the discomfort with pain medications, says Velayos. If your tenesmus is caused by constipation, increasing fiber in your diet may help.