Constant Feeling of Fullness in the Rectum (Tenesmus): Why Does It Happen? And How to Treat It?

The persistent feeling that there's "something inside" or a heavy sensation in your rectum, even after a bowel movement, is a very uncomfortable sensation. It could be a sign of common issues like hemorrhoids, a fissure, or even a fistula. This article will break down the most common causes of this feeling.

1. Internal and External Hemorrhoids

Hemorrhoids are one of the most common reasons for a feeling of fullness or pressure in the rectum, especially while sitting or after a bowel movement. This sensation occurs due to the swelling and enlargement of the veins, which creates the feeling of a lump or heaviness inside the anal canal.

• Link: A comprehensive article on hemorrhoids, covering both internal and external types, explaining how they cause a feeling of pressure or fullness. (Arabic)

2. Anal Fissure

A chronic fissure can cause a persistent feeling of heaviness in the rectum due to repeated irritation and muscle spasms.

• Link: A comprehensive guide to anal fissures, their symptoms, and treatment. (Arabic)

3. Anal Fistula

The presence of a fistula channel can prevent complete emptying of the area and lead to a feeling of discomfort or a sensation of "something inside the rectum."

• Link: Anal Fistula: Symptoms, Causes, Prevention, and Treatment Methods. (Arabic)

4. Irritated or Inflamed Skin Around the Anus

Using harsh cleansers or scented wipes can irritate sensitive skin, leaving an uncomfortable or heavy sensation in the area, even without any actual protrusion.

• Link: Does an Itchy Anus Signal Danger? (Arabic)

5. Infection or Anal Abscess

If you feel a heavy sensation accompanied by pain or warmth in the area, there's a possibility of an infection or an anal abscess, a condition that should be treated quickly.

• Link: Types of Anal Abscesses and How to Prevent Them. (Arabic)

When to See a Doctor

• If the feeling of fullness persists for several days despite home remedies.

• If it's accompanied by pain or bleeding.

• If redness, swelling, or warmth appears in the area.

Important Tips for Home Remedies

• Diet: Eat enough fiber and fluids to soften your stool.

• Warm Bath (Sitz bath): Helps relieve muscle spasms and soothe the area.

• Gentle Cleaning: Use only water or gentle products to avoid skin irritation.

• Avoid Prolonged Sitting: If sitting is necessary, use a special cushion to reduce pressure.

Conclusion

The constant feeling of fullness in the rectum is often related to conditions like hemorrhoids, a fissure, a fistula, or skin irritation. The links provided from the Hemocure website will give you a broader understanding of each cause and offer appropriate guidance for your situation. If the symptom persists or worsens, a medical examination is essential to get an accurate diagnosis and a precise treatment plan.