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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.
If your tenesmus is related to IBS, you need a treatment that will stabilize the nerves and muscles in the rectum. Sometimes, surgery is needed to treat the underlying cause of tenesmus. If you experience tenesmus, talk to a gastroenterologist who can diagnose the cause and the best treatment for your situation.