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The doctor will examine you and ask questions such as:
- Time pattern
- Did this develop recently?
- Is it the first time you have experienced tenesmus?
- Does the feeling come and go or is it constant?
- Symptom history
- Is there a constant need to empty the bowels?
- Is there abdominal pain?
- Is there cramping?
- Is there a persistent feeling of straining?
- Is there diarrhea or vomiting?
- What other symptoms are also present (such as blood in stool, fever)?
- Dietary history
- Have you eaten anything unusual or uncooked?
- Have you been at a picnic, gathering, or similar event recently?
- Other
- Any medical problems in the past?
- Have any other people in your family or social group experienced similar problems?
The physical examination may include a detailed abdominal examination. A rectal examination -- and prostate check for men -- is performed in most cases.
Diagnostic tests that may be performed include:
- Laboratory tests: CBC (blood count), electrolytes, and stool cultures
- X-rays of the abdomen
- A CT scan of the abdomen may be done in rare instances
- Colonoscopy to look at the colon and rectum
After seeing your health care provider:
You may want to add a diagnosis related to tenesmus to your personal medical record.
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