I am a 25 y/o male, just last year I started feeling tenesmus. Consulted a GP to find out it might be caused by internal hemorrhoid. Took some Daflon and suppositories for weeks and it went well. By March 2021, I started to have tenesmus again, this time around I went to get a colonoscopy, to discover I have mild proctitis and hemorrhoid are getting bigger. Once again, the doctor prescribed me Daflon and suppositories. On July 2021, the tenesmus is back at it again! I went to see a surgeon to find out I had a grade 2 hemorrhoid, so I had stapled hemorrhoidectomy just a month ago. Unfortunately till today I still have this tenesmus, back and forth I had went back to see the doctor and even directed to a urologist cause my prostate was swelling and overly-sensitive. At one point I took levofloxacin, it was starting to get better, down to almost 95% of feeling gone. But just in one afternoon after a BM, tenesmus came back stronger than ever, it killed my sleep few days in a row and I even tried seeing other colorectal surgeon but they can't tell what is causing this problem exactly. Is anyone else experiencing the same problem with me, I am only 25 I don't want to live like this for the rest of my life.. Any good advice or suggestion would be appreciated.. P/S: these doctors somehow never placed ulcerative colitis as one of the possible cause, so I am thinking if I should just get mesalazine myself to see if it would get better overtime or not. Also I am suspecting it could be the stapled line that is still in my rectum that hasn't fall off yet, amplifying the tenesmus.
Understand this is an old post but on my search re Tenesmus this came up in my search feed. The above is pretty much me. All fine when I get up but as soon as I have a BM tenesmus kicks in and for most of the day I have the feeling I need to go again. It’s horrific and is totally debilitating. Sometimes there is no more stool to pass, sometimes it’s only small bits, (sorry to be graphic). I have had IBS for years and years but this tenesmus has only kicked in about three years ago.
Have had a sigmoidoscopy that only showed an internal pile. Have tried diets, medication, and whilst some things work to start with it only comes back. I am type 2 diabetic so was wondering if the meds for that could be the issue but I have been on those for years. Just wondered if this gentleman had any luck going forward with a treatment or is there another tenesmus thread which may be of help? Thanks.