A healthy person normally has stool 1-2 times a day. But sometimes a malfunction occurs in the functioning of the digestive system, which affects the process of bowel movement. One of the common symptoms is false urge to defecate. Due to the sensitivity of the problem, few people immediately consult a doctor. And in vain, since this unpleasant phenomenon may be one of the signs of a serious illness.

What is false urge to defecate?

The symptom appears subjective feeling the need to empty the intestines, while the act of defecation itself does not occur. False (imperative) urges to defecate can be painless or cause excruciating pain to a person. Such urges are called tenesmus in medicine.

Tenesmus is often accompanied by flatulence, bloating, constipation or diarrhea. The basis of the futile urge to urinate is high sensitivity rectum to pressure from the inside, so even small amounts of intestinal contents - mucus, feces, blood, foreign body, inflammatory substrates - causes an increased reflex urge to visit the toilet. In this case, the anal sphincters (contractor muscles) do not relax and defecation does not occur. Spasms of the muscle layer of the sigmoid and rectum, as well as the muscles of the perineum and abdominal press, make these urges painful.

False urges can be completely painless and only bring slight discomfort and can cause excruciating pain

Causes and development factors

False urges to have a bowel movement can be a symptom of a number of diseases:

• hemorrhoids, which is the formation of nodes as a result of congestion, inflammation and expansion of the veins. Obesity, physical inactivity, hereditary predisposition, stress, heavy physical activity can lead to pathology;
• proctitis - inflammation of the inner lining of the rectum, which can be caused by frequent constipation, helminthic infestations, hypothermia, hemorrhoids, prostatitis, abuse alcoholic drinks, spicy, spicy dishes;
• sigmoiditis - inflammation sigmoid colon due to infections, dysbiosis, Crohn's disease (granulomatous enteritis), radiation sickness, intestinal ischemia;
• rectal cracks that occur during inflammatory processes or mechanical trauma;
• fistulas, which can form as a result of chronic intestinal pathology, most often occur with paraproctitis;
• polyps - outgrowths of the mucous membrane that arise at the site of inflammation, with the growth of healthy tissue or atypical cells. The reason for the formation of polyps can be heredity, frequent constipation, poor nutrition - lack of fiber and excess protein foods;
• adenocarcinoma - a malignant neoplasm that forms from glandular cells lining the walls of the rectum;
• stenosis (or stenoses) of the rectum - a pathological narrowing that occurs as a result of inflammation, a tumor, or is a congenital anomaly;
• pararectal lymphadenitis - inflammation of the lymph nodes caused by staphylococcal or streptococcal infection;
• periproctitis - inflammation of the tissues surrounding the rectum, with the formation purulent exudate. Often develops with hemorrhoids or proctitis.

Hemorrhoids can cause tenesmus - a reflex urge to defecate

In addition to these diseases, tenesmus can occur against the background of:

• clusters large quantity fecal stones in the intestines;
• irritable bowel syndrome, which occurs due to disruption of healthy microflora and failure of the vegetative system nervous system;
• infectious diseases- dysentery, cholera, typhoid, intestinal tuberculosis, acute intestinal infection;
• pathologies of the nervous system (rectal crisis, myelitis, anismus or desynergic defecation - uncontrolled spasm of the sphincter);
• spasms caused by frequent diarrhea, large stools, and prolonged riding in a sitting position.

To determine which disease symptom is the imperative urge to defecate, you need to conduct a thorough diagnostic examination sick.

Diagnostics

The proctologist makes the main diagnosis; if necessary, the patient is referred for consultation to a gastroenterologist and neurologist. The patient is interviewed, examined, and undergoes laboratory and instrumental examination.

Laboratory diagnostic methods:

1. Clinical blood test:
   • assess the level of hemoglobin and red blood cells to exclude anemia;
   • leukocytosis and high ESR indicate an inflammatory process.
2. General analysis urine is necessary to exclude urological pathology.
3. A coprogram is prescribed to assess the composition of stool, the presence of undigested food residues, and pathological elements, for example, pus.
4. Feces on occult blood helps prevent internal bleeding.
5. A stool test for worm eggs is carried out to detect helminthic infestation.
6. Stool culture is done to identify pathogenic microorganisms.

In order to find out the cause of tenesmus, you need to submit feces for coprogram

Examination of the patient consists of a digital examination of the rectum through the anus. The doctor determines muscle tone, mobility of the mucous membrane, its integrity, absence or presence hemorrhoids. If palpation examination is not enough, sigmoidoscopy and colonoscopy are prescribed.

Visual examination of the rectal mucosa is carried out using a sigmoidoscope - special device, equipped with an illuminator and lenses. Colonoscopy is carried out using a thin fiber optic probe, which allows you to examine in detail all areas of the colon and detect tumors, ulcers, polyps, as well as perform a biopsy - collecting material for histological examination. In addition to these methods, the patient undergoes an ultrasound of the abdominal organs.

Sigmoidoscopy allows you to study in detail the mucous membrane of the large intestine and find out the cause of tenesmus

After studying the results laboratory tests and evaluating the data obtained during instrumental studies, the doctor makes a diagnosis and prescribes treatment for the identified pathology.

Differential diagnosis

There are a number of symptoms from which tenesmus should be distinguished:

• Proctalgia is a pain syndrome in the rectal area. This pain is not associated with the urge to have a bowel movement and usually manifests itself in the form of nocturnal attacks.
• With coccydynia (pain in the coccyx area, most often associated with injuries), the pain is also not associated with the urge to defecate, it becomes stronger in sitting position, sometimes it radiates to the hip joints.
• Proctospasm is characterized by a feeling of compression of the anal sphincter, pain radiating to the thigh or lumbar region, while the person does not experience the urge to empty the intestines.
• Impaired sensitivity - its decrease or increase (paresthesia or hyperesthesia), in the rectal area occurs with tabes dorsalis (damage to the spinal nerve endings in late neurosyphilis).

Treatment of tenesmus

Therapy is primarily aimed at eliminating the disease that caused the symptom.

Use of medications

Drug therapy is determined by the specific disease:

• intestinal infections require use antibacterial agents, for example, Nifuroxazide, enterosorbents - Sorbex, Enterosgel;
• colitis and proctitis are treated with sulfonamide drugs;
• for hemorrhoids, anal fissures, anti-inflammatory, emollient, wound healing agents in the form of ointments or suppositories - Proctosan, Ultraproct, Methyluracil, drugs to improve blood circulation - Detralex;
• diarrhea is treated with Imodium or Loperamide; for flatulence, Espumisan is recommended;
• constipation is eliminated with mild laxatives - Duphalac, Lactulose;
• apply sedatives- Novo-Passit, Alora syrup, valerian tincture.

Symptomatic treatment of tenesmus itself is based on the use of antispasmodics:

• No-Shpy (Drotaverina);
• Papaverina;
• Dicyclomine;
• Hyoscyamine;

Microenemas with silver nitrate or warm vegetable oil are used.

Photo gallery: drugs for the treatment of false urges

The active ingredient of Spasmolysin is drotaverine, an antispasmodic that effectively eliminates tenesmus. The sedative Novo-Passit is used in the complex treatment of false urge to defecate.
Papaverine in rectal suppositories is used to relieve spasms
If false urges are caused by diarrhea, Imodium Duphalac is prescribed - a mild laxative used to treat constipation Duspatalin - an antispasmodic, prescribed to eliminate irritable bowel syndrome
Rectal suppositories Proctosan are recommended for tenesmus caused by hemorrhoids

Treatment of tenesmus as a symptom of the underlying pathology, in addition to medications, includes correction of lifestyle, nutrition and physical activity.

Diet

Therapeutic nutrition for futile urge to defecate is adjusted taking into account the underlying disease. Avoid foods that irritate the intestines:

• cold;
• hot;
• spicy;
• salty;
• fried;
• smoked;
• spicy.

It is better to boil or steam foods.

Meals should be fractional: often and in small portions.

It is imperative to remove from your diet foods that provoke processes of rotting and fermentation in the intestines:

• non-dietary meat;
• coarse vegetable fiber (cabbage, legumes);
• fresh baked goods;
• sweets;
• canned food;
• alcohol.

• vegetable purees:
  • pumpkin;
  • beet;
  • carrots;
• bran bread;
• natural juices;
• decoctions of dried fruits;
• fermented milk products.

You can eat soups, porridges, boiled, stewed lean meat (rabbit, turkey, veal) and fish.

Depending on the underlying disease, the doctor recommends dietary nutrition to the patient

Folk remedies

Traditional recipes can serve as a complement to basic therapy. Sitz baths with cool infusion are effective medicinal plants: chamomile, marigold, sage. Microclysters with herbal decoctions of chamomile, St. John's wort, and sea buckthorn oil relieve inflammation and irritation of the intestinal mucosa.

If the inflammation is not limited only to the rectum, therapeutic enemas with a volume of 200–400 ml are recommended herbal decoctions. Marshmallow root, elderberry blossom, sage leaves, and oak bark have enveloping and anti-inflammatory properties.

Herbs with antispasmodic effect Can be taken internally as tea:

• chamomile;
• mint;
• motherwort;
• sweet clover;
• lemon balm;
• oregano;
• valerian.

Chamomile infusion is prepared and taken as follows:

1. Pour boiling water (200 ml) over a large spoon of crushed raw materials and leave for an hour.
2. Strain the infusion and drink a third of a glass three times daily.

Herbal mixture for spasms:

1. Take a teaspoon of centaury, chamomile and sage herbs, pour a glass of boiling water, leave for half an hour.
2. Strain and take 2 tablespoons 4 times a day.

Chamomile infusion has an antispasmodic and anti-inflammatory effect; for tenesmus, it can be taken orally or made into microenemas

Prognosis and complications

The prognosis depends on the underlying disease that causedsymptom. If you consult a doctor in a timely manner and follow all medical recommendations, you can get rid of sensitive issue forever.

Preventive measures

Since false urges to defecate are often the result of poor nutrition and healthy image life, for prevention it is necessary:

• organize a full-fledged healthy diet, minimize the amount of foods harmful to the intestines;
• make up for the lack of physical activity when sedentary life:
  • walk;
  • do morning exercises;
  • organize breaks with warm-up during the working day;
• Consult a doctor promptly and treat diseases of the digestive tract.

Walking on fresh air important for maintaining the health of all body systems, including the intestines

Features in women and men

Tenesmus associated with hemorrhoids more often bothers men, since the stronger sex is more susceptible to this disease. Women often experience tenesmus associated not only with pathology of the large intestine, but also with gynecological problems and diseases urinary tract(cystitis, urethritis), which is associated with the anatomy of the female body.

Tenesmus in women can be associated not only with diseases of the rectum, but also with gynecological and urological pathologies

Every person, at least once in his life, experiences indigestion. Impaired bowel movement is the most common disorder. It immediately affects your well-being and disrupts your usual way of life. If similar problem causes discomfort for a long period, it is necessary to contact a specialist and correct the situation.

What is the normal frequency of bowel movements?

The number of bowel movements for each adult is individual, but normally regularity is required. The intestines should be emptied 1-2 times a day (usually in the morning after breakfast), but not less than once every two days. There are people who normally have a bowel movement once every 7 days and feel great. That's why international association gastroenterologists identified special signs (“Roman criteria”) that determine incomplete bowel movement.

Causes of bowel movement disorders

Eating irregularities can cause constipation.

For some, difficulties with excreting feces appear occasionally, while for others, an overcrowded intestine occurs constantly. Why is this happening? Most often, the feeling of incomplete bowel movement occurs in people prone to constipation or functional disease intestines. Reasons causing disorder, there are different, even psychological, but among them the most common are the following:

• poor diet (processed foods and not eating enough fiber);
• lack of physical activity leads to stagnation in the pelvic organs;
• stressful situations and nervous shocks;
• use of large quantities of medications, including laxatives (tablets, suppositories, syrups);
• injuries and general diseases internal organs.

Doctors identify a tendency to constipation as a separate cause that causes a feeling of fullness in the intestines. Insufficient bowel movement - no independent disease, and its symptom. The most common causes of constipation are:

• congenital or acquired abnormalities of the intestinal structure;
• the presence of neoplasms in the organ: benign or malignant;
• disorder of intestinal motor-evacuation function.

Individual determination of the cause of incomplete emptying syndrome includes all disturbing signs and a mandatory examination.

Symptoms

Constipation is the body's signal about a problem with the gastrointestinal tract.

Regular bowel movements - necessary condition normal functioning of the body. Failure to comply with this condition puts not only the organs of the digestive system at risk. The body immediately warns of a complication that has arisen and the feeling of a full intestine does not the only symptom. There are signs not related to the digestive organ.

Bowel symptoms

• Violation of the process of defecation. One has constipation, in which bowel movements are delayed, while the other has diarrhea and rapid removal of contents. There is no urge to defecate, or the urge is false.
• Pain is a mandatory symptom caused by stimulation of nerve processes and dilation of the intestine. It can be different: dull, raw, cramping, sharp. Pain in the lower abdomen, on the left side - characteristic feature constipation When upset, it spreads throughout the abdomen.
• Painful swelling.
• Heaviness in the stomach. The process of emptying is carried out with tension and is painful. There remains a feeling of incomplete bowel movement after defecation.

Other symptoms

It happens that in addition to the above-described signs:

• headache;
• insomnia;
• pain in the lumbar region;
• general weakness.

Diagnostics

A general blood and urine test will show whether there is an infection in the body.

The main task of specialists is to differentiate the problem of bowel movement from other diseases with similar symptoms. Diagnostics are carried out using specialized testing and a complex laboratory techniques. The list of methods is as follows:

• General analysis of urine and blood. Allows you to determine the condition of the body, eliminate inflammation and infection.
• Research of chemical and physical characteristics feces
• If there is a suspicion that there is an infection in the intestine, bacteriological culture is performed.
• A biochemical blood test to evaluate the functioning of the pancreas and liver, which are directly involved in digestion.
• Examination of stool for the composition of microorganisms.

Instrumental diagnostic methods will help confirm the results obtained and make an accurate diagnosis:

• An endoscopic method that allows you to check the intestinal mucosa and determine the presence of damage and neoplasms. The duration of the procedure is about 10-15 minutes. The study is carried out using special equipment called an endoscope.
• Examination of the colon using X-rays using contrast. You can examine the structure and pathological abnormalities (irrigoscopy).
• Study of anorectal muscle tone and contraction of the small intestine.

Execution instrumental diagnostics will require special training patient.

How to treat the syndrome?

Reach full recovery perhaps by adhering to a comprehensive treatment method.

It is necessary to treat the syndrome not only with suppositories, tablets, great value is given to psychological and emotional state patient. Serious psychological problems require the intervention of a specialist who conducts psychotherapy sessions. In parallel with the settlement of the psycho-emotional state, treatment is carried out. There are several methods of therapy: traditional (medicinal) and folk.

Drug therapy

Treatment medicines aimed at alleviating the condition and relieving disturbing signs. The doctor prescribes:

• probiotics that enrich the body with necessary enzymes and support the intestinal microflora, for example, Espumisan, Hilak Forte;
• strengthening drugs for diarrhea - “Loperamide”;
• prokinetics for constipation - Duphalac, Motilium, Bisacodyl, suppositories with glycerin, gas-forming suppositories;
• painkillers - No-Shpa, "Papaverine", in "Spazmomen" suppositories.

Folk remedies

To enhance the effect, use the following traditional medicine recipes:

• Millet (porridge) or a mixture of blueberry leaves, bird cherry fruits, and burnet root help well against diarrhea. Mix the components in equal proportions and pour in 500 ml of boiling water. Leave for about 5-6 hours in a thermos so that the water does not cool down. Strain the resulting product and take 3 times a day.
• Blueberries, onion juice and aloe are great against constipation.
• Take off unpleasant pain Mint infusion and chamomile will help. For hemorrhoidal cones, the pain is relieved with ice suppositories.

Diet food

Diet is an integral part of treating the disease.

The right approach to nutrition is important in the treatment of the syndrome and as a prevention. A healthy, fractional diet is recommended for the patient; meals should be divided into 5-6 times and eaten in small portions. Products that increase flatulence (cabbage), alcohol, salty and smoked foods are completely excluded from the diet. The main part of the meal should be vegetables, fruits, dairy products, steamed meat and fish. It is imperative to monitor the amount of liquid you drink. In one day, a person should drink at least 2 liters and be sure to drink a glass of clean water in the morning, before meals.

Disturbances in the act of defecation, such as pain during defecation, false urges, burning, going to the toilet after every meal, or bowel movements in small portions, can be a sign of a variety of diseases: nervous, endocrine, oncological, and not just rectal fissures or hemorrhoids.
Disorder of bowel movement can occur for several reasons, which are associated with a disorder of nervous regulation and diseases of the pelvic organs, namely the rectum.

Discoordination of the act of defecation

Disturbances in nervous regulation lead to a failure in the coordinated functioning of the smooth muscles of the intestines and the anal sphincter. Anismus- this is a bowel movement in which an involuntary spasm of the sphincters occurs (the name is reminiscent of vaginismus, in which a spasm of the vaginal muscles occurs. A false urge to defecate occurs, but the act of defecation itself does not occur. Dysshesia(dyschezia), dyschezia, essentially constipation, is the most severe manifestation of a violation of the act of defecation, as a result of excessively weak tension of the rectal muscles or a rather strong tone of the anal sphincter. The patient describes that when defecating he has to strain very hard, while helping himself with pressure on the perineum, but there is still a feeling of incomplete emptying. Dysshesia must be distinguished from a mechanical obstruction to emptying.
The urges that arise cannot realize themselves independently and even with significant stress on the person, which leads to chronic and persistent constipation and abdominal pain. Sometimes doctors do not immediately recognize the disease, but perceive it as false symptoms with intestinal atony.

It is clear that not only constipation, but also incontinence of feces and gases can also be associated with disruption of the synchronous functioning of muscles and sphincters.

Defecation disorders are determined using defecography. The sigmoid colon is filled with a barium suspension, through the anus, and the bowel movement is observed using a fluoroscopic method. This method can be used to determine the anorectal angle during defecation, prolapse or prolapse of the rectum, and weakness of the pelvic floor.
Anorectal manometry documents some parameters of the act of defecation, this study will help determine how the anal sphincter works, the relaxation reflex of the internal sphincter when the intestine is filled, the pressure that is perceived as a signal for emptying. Both studies are not pleasant, but they must be done to determine the advisability of a particular treatment.

Rectal prolapse

This disease develops mainly in women after childbirth, when the pudendal nerve is damaged, and also in old age. In addition, it is possible with severe persistent constipation. Usually the disease has only one symptom - this is rectal prolapse, which, if pinched, can cause quite severe pain during bowel movements and burning.
There are 3 types of rectal prolapse:
Complete protrusion of all layers of the intestinal tube through the anus.
Protrusion of the rectal mucosa only
Internal rectal prolapse without external prolapse through the anal ring.
Treatment of this pathology is mainly surgical; there is no drug treatment.

A type of rectal prolapse in women is.

Sometimes it is not the intestine itself that falls out, but the one that has a leg.

Haemorrhoids

Hemorrhoids develop as a disease severe forms constipation, after childbirth, with a sedentary lifestyle or with frequent strain. During defecation, hemorrhoidal nodules prolapse through the anus, which causes pain in the area. anus. A burning sensation in the anus area is also one of the manifestations of hemorrhoids.

Anal fissure

The causes of anal fissure lie in damage to the mucous membrane of the anal sphincter by solid feces, loose stools, as well as due to exotic sexual relations. In most cases, an anal fissure heals on its own when stool normalizes or other factors are eliminated. If fast healing does not occur, then a chronic anal fissure may form, and the process will constantly worsen. Pain during defecation will intensify spasm of the anus, which will lead to even greater injury to the fissure.
Characteristic symptoms of an acute anal fissure are pain during defecation, as well as for several minutes after it. If the crack goes into chronic stage, then the pain after bowel movement significantly exceeds the pain during bowel movement itself. Also characteristic symptom An anal fissure is the appearance of light, scarlet blood in the stool.

Symptoms of defecation disorder

The pathology of the act of defecation can be the consequence of various intestinal pathologies and improper food intake and is manifested by the following symptoms:

• Pain after defecation;
• Defecation after every meal;
• Frequent bowel movements in small portions;
• False urge to defecate;
• Feeling of incomplete bowel movement

Pain during and after defecation, as well as pain in the abdomen, can occur against the background of a spasm of the smooth muscles of the sigmoid colon, which occurs when severe constipation, requiring powerful voltage. Excessive distension of the sigmoid and rectum by feces also leads to abdominal pain for a short time.

Symptoms inflammatory diseases intestines, such as abscess, infection, hemorrhoids, oncology, can worsen after defecation, so if you have persistent and prolonged abdominal pain, you need to see a specialist.

Defecation after each meal is most often associated with accelerated peristalsis, which is observed in irritable bowel syndrome. Frequent bowel movements in small portions after each meal are also typical for infectious diseases accompanied by diarrhea. Sometimes bowel movements after each meal and chronic abdominal pain are observed with pancreatitis, which is especially common in alcoholics. Defecation after each meal is very common in women with hyperthyroidism and during menstruation. In all cases, diagnosis does not cause problems for specialists.

False urge to defecate and feeling of incomplete bowel movement - dangerous symptoms. The urge to defecate occurs when feces act on the receptors of the rectal mucosa. False urges to defecate appear when the mucous membrane is irritated by something else. Can act as an irritant inflammatory process rectum, infection, or cancer. Alas, false urges do not arise in the first place. With the development of any pathological process in the rectum, not only false urges are characteristic, but also pain during defecation.

Attention! The early ones are very vague and non-specific. False urge to defecate, they are also called tenesmus, Not good symptom! You need to contact a gastroenterologist.

Burning during bowel movements: the reasons that cause burning are due to the occurrence of damage to the mucous membrane of the rectum or anus. Burning sensation during bowel movements can be caused by mechanical damage when wearing tight and dense underwear. In children, itching and burning are most often caused by helminthic infestations and diaper rash. Hemorrhoids and anal fissures can cause both burning and pain during bowel movements. Rectal polyps, when injured by feces, can cause symptoms similar to an anal fissure.

The presence of problems with stool and bowel movements, constipation, in most cases are the result of eating food harmful to the body, and only a small percentage is caused by intestinal diseases and nervous disorders. By following all the rules of a healthy lifestyle, you can forever forget about constipation and other disorders.

Dear Friends! Medical information on our website is for informational purposes only! Please note that self-medication is dangerous to your health! Sincerely, Site Editor

Frequent bowel movements and diarrhea are two different concepts, and an adult may experience a similar condition, and the reasons may be completely incomprehensible.

Most often, the urge to defecate in this state is false and can be accompanied by pain. During diarrhea, it is easier to find out the reasons than when frequent urges appear, without stool upset.

Causes of frequent bowel movements

IN medical practice There are several main reasons for frequent bowel movements in an adult, but feces not a liquid consistency, therefore do not indicate symptoms of diarrhea.

Every person needs to know possible reasons the appearance of such a condition.

The reasons may be inflammatory processes in the intestines, in which case the urge to defecate is accompanied by pain, and bowel movements will be frequent.

Initially, such a condition and stool can be controlled, but after a while, bowel movements become uncontrollable.

The main reasons in an adult are:

1. Insufficient production of enzymes. Many people may have a failure in the production of enzymes, when there are very few of them in the intestines and foods cannot be digested normally, and accordingly, gastrointestinal problems begin. The lack of enzymes is caused by a malfunction of the pancreas.
2. Failure of gastrointestinal tract functions. In this condition, people experience frequent bowel movements, which is caused by various pathological conditions, for example, gastritis, pancreatitis, cholecystitis. The patient begins to feel heaviness and strong gas formation, which leads to a frequent urge to defecate.
3. Irritable bowel syndrome. This pathology is common, but it is difficult to determine. People with this disease may begin bowel movements immediately after eating. In some cases, it is not possible to finish eating and the urge already appears. With this disease, the patient's stool may change in density, but diarrhea will not appear often.
4. More consumption plant products. Vegetables and fruits contain a lot of fiber, which causes intestinal upset. If such products are suddenly included in the diet, then a rapid change in urges is possible.
5. Raw foodism and vegetarianism. In this case, the urge becomes more frequent as a result of incorrectly chosen nutrition. When using raw foods Intestinal activity increases, due to this, rapid and frequent bowel movements begin.

Any of the reasons described lead not only to frequent bowel movements, but also to changes in stool. They can become of a different density, change shade, and also change smell.

There are other reasons that are not related to nutrition or disease. These include factors psychological nature. Frequent bowel movements in an adult occur due to constant stress, anxiety and worry.

The human nervous system greatly influences the functioning of the gastrointestinal tract, as well as the condition of the body as a whole.

If you have frequent bowel movements, the cause of the deviation may be:

1. Constant feeling of fear and emotional stress, which appears on an ongoing basis.
2. Schizophrenia.
3. Regular stressful situations, many irritating factors.
4. There are many different difficulties in life that appear at the same time.

If this condition is not stopped in a timely manner, then an abnormal reaction of the body begins in an adult, so bowel movements become more frequent.

Often a person can take everything very personally; perhaps people simply think that they have a serious illness, and such thoughts only intensify the unpleasant condition.

To get rid of frequent bowel movements for psychological reasons you will need:

1. Contact a psychologist who, during a conversation, will help you get rid of various stressful problems.
2. In some cases, doctors may recommend the use of anti-depression medications, may prescribe sedatives, or recommend folk remedies to calm the nervous system.

If resolved in a timely manner psychological reasons, then the symptoms will quickly pass and the person can return to normal life, the stool will no longer interfere and will return to normal.

The danger of frequent bowel movements

Frequent bowel movements for any person can become dangerous condition, so it doesn't need to be ignored.

The fact is that when defecating with feces, a lot comes out of the body. useful substances, including vitamins and microelements. Such substances are needed for normal operation body.

In addition, frequent bowel movements can lead to anemia and vitamin deficiency if the cause is a lack of enzymes. In this case, food simply cannot be digested.

With insufficient bile and its production, the frequency of bowel movements begins to increase per day. The stool begins to take on a pale color and the consistency becomes oily.

If the problem is not quickly stopped, then vision may deteriorate, teeth and bones may become brittle, and blood will come out of the anus.

Prohibited Products

If bowel movements become frequent, but this is not diarrhea, then it is necessary to review the menu and exclude daily diet some products. By the way, they are not recommended for use if you have diarrhea.

Adjusting nutrition is very important to solve problems, because one of the common causes is an unbalanced, unhealthy diet.

In this case, the following products can provoke both diarrhea and frequent urge to bowel movement:

1. Sugar substitutes. Such an additive often becomes the main cause of intestinal upset.
2. Milk. At widely used milk and other dairy products, bowel movements become frequent.
3. Fructose. If you eat foods with every day a large number fructose, then frequent bowel movements are possible.

In order to get rid of the uncomfortable state, you need to carefully review the menu for every day. To do this, you can take the help of a nutritionist.

Until treatment is carried out and frequent bowel movements have not stopped, you need to remove fried foods and smoked foods from your diet.

All dishes and products should be used only warm; cold or hot food irritates the intestinal walls, which increases the frequency of bowel movements.

Measures to normalize stool

Before treatment, you will need to diagnose and establish the real reasons why frequent bowel movements appear.

To do this, it is better to consult a doctor, who can not only visually examine and make a diagnosis, but also collect tests, if necessary. laboratory examination and only through the data will diagnosis and treatment be established.

Diarrhea, frequent bowel movements without diarrhea, should be treated by changing your daily routine, habits and diet.

To normalize stool you will need:

1. Initially, the diet is adjusted for every day.
2. All food products and dishes that were used before intestinal irritation are analyzed. To do this, an analysis is carried out 3 days before the onset of frequent urges.

To normalize stool and intestinal function, it is recommended to add the following products to the menu:

1. Eat crackers instead of bread, which will strengthen the intestinal walls and reduce trips to the toilet.
2. It is recommended to steam or boil meat and fish only. In addition, such products can be eaten in low-fat varieties.
3. When using broths, they should be kept light and cooked only with vegetables or dietary meat. A weak broth will help normalize stool, otherwise diarrhea may occur.
4. Diarrhea and frequent urges can be stopped by drinking strong black tea without added sugar or honey. It is useful to eat boiled eggs.
5. It is recommended to add low-fat cottage cheese to your daily menu, as well as more fish.
6. To normalize intestinal function, you should prepare and drink jelly, the main thing is to use only natural products, do not use powdered jelly for cooking.

If diarrhea or frequent bowel movements without diarrhea appears as a result of a lack of enzymes, then treatment should be carried out in addition to medications.

As a rule, such a problem is caused by pancreatitis and Mezim and Festal are used for treatment.

Therapy for pancreatitis is carried out strictly according to the instructions, but it is better to consult a doctor before using the tablets, who will indicate exact dosage and time of taking medications.

Often the course of treatment is 1-2 weeks, after which frequent bowel movements go away and enzymes begin to be produced normally.

If the underlying cause of the disorder is colitis, antibiotics must be used. Without them, treatment will be very difficult and can result in various complications for a person.

Antibiotics can kill various pathogenic bacteria that live and develop in the gastrointestinal tract. For treatment, the drugs “Polymyxin” or “Terramycin” are used.

The exact dosage and course of treatment can be prescribed by the doctor after examining the patient and depending on the severity of the condition.

You can also drink a lot when treating colitis. strong tea. This drink will relieve inflammation and also has an antiseptic effect. Tea can kill without any problems harmful bacteria in the stomach and intestines.

It is worth noting that antibiotics often lead to dysbiosis. In this condition, the patient may have diarrhea, frequent bowel movements without diarrhea, as well as other disorders that appear as a result of disturbances in the intestinal microflora.

To restore it, of course, you can drink a lot of fermented milk products labeled “Bio” or use medications.

If you use medications, you need to buy probiotics, which will relieve flatulence and normalize stool. For this, Linex, Lactofiltrum, and Bifidumbacterin are often prescribed.

As in most cases, these drugs should be used only as prescribed by a doctor.

When a doctor diagnoses gastritis, this means that the body does not have enough gastric juice to process food normally, which is why stools become more frequent.

Patients with gastritis may experience additional abdominal pain; in addition, food stagnation occurs, which causes gases and unpleasant odors.

With gastritis, belching often appears, and if the disease develops into a chronic condition, then the functioning of not only the stomach, but also the intestines is disrupted.

The main causative agent of the disease is considered to be the bacterium Helicobacter pylori, and to get rid of it you will need to take antibiotics.

The bacterium is not the main cause of gastritis and the problem can be caused by an ulcer or erosion of the stomach.

Irritable bowel syndrome must be treated individually because medications are selected for a specific case and a specific person, based on the characteristics of the body.

In some cases, medications for depression, simple exercise, or therapy with a psychologist may be used.

To reduce stool and other associated unpleasant sensations, you can use antispasmodics, for example, Papaverine, Drotaverine.

In order to normalize intestinal activity, doctors recommend using prokinetics, for example, Trimedat or Alosetron.

Frequent bowel movements in children

Reasons frequent bowel movements in small children the causes differ significantly from those in adults.

A child may have bowel movements about 10-15 times a day, and this normal condition which appears after feeding.

This situation is caused by the fact that digestive system children is not fully formed.

In addition, color, smell, and consistency may vary:

1. For children who are fed with mother's milk, the stool will not have an odor, and its color is often yellow. In some cases, the stool has white lumps, which means that the milk was not digested and came out in its pure form.
2. If a child is fed artificial formula, the stool will have an unpleasant odor. In addition, the frequency of bowel movements is reduced to 4 times a day.

When do complementary foods begin to be introduced? various products, then the feces become similar to the masses of adults.

In addition, introducing complementary foods and new foods may increase the frequency of bowel movements. If the child behaves normally and is not capricious, then there is no reason to worry.

The stool of children and adults is different and in any case it is recommended to have an examination by a doctor in order to promptly determine the reasons for the frequency.

The sooner you see a doctor, the faster and easier it will be will undergo treatment in case of detection of diseases.

Frequent bowel movements can cause diseases and other pathological abnormalities of the gastrointestinal tract.

To get rid of the uncomfortable condition, the problem must be eliminated, because relieving the condition with pills at home gives only short-term results.

There are several useful tips that will help avoid frequent bowel movements:

1. It must be remembered that frequent and overuse fresh plant products can negatively affect the functioning of the gastrointestinal tract.
2. If the disorder is caused by medication treatment, you will need to use various means to normalize intestinal microflora.
3. Be sure to follow the diet rules during the treatment period.

It is prohibited to conduct self-treatment, since such actions can only complicate the problem or illness.

Chronic colitis is characterized by pain localized mainly in the lower abdomen, in the flank area (in the lateral sections of the abdomen), i.e. in the projection of the large intestine, less often - around the navel. The pain can be of a varied nature; it can be dull, aching, sometimes paroxysmal, spastic, or bursting. Characteristic feature pain is that they decrease after the passage of gas, defecation, after applying heat to the abdominal area, as well as after taking antispasmodics. Increased pain is observed when taking coarse plant fiber (cabbage, apples, cucumbers, and other vegetables and fruits), milk, fatty, fried foods, alcohol, champagne, carbonated drinks.

With the development of pericolitis and mesadenitis, the pain becomes constant and intensifies with bumpy driving, jumping, and after a cleansing enema.

In many patients, increased pain is accompanied by the urge to defecate, rumbling and transfusion in the abdomen, a feeling of bloating, distension of the abdomen.

Stool disorders

Chronic colitis is accompanied by stool disorders in almost all patients. The nature of these disorders is different and is caused by a disorder of intestinal motor function. Unformed, liquid or pasty stool mixed with mucus is often observed. In some patients, the urge to defecate occurs soon after eating (gastrointestinal or gastrocecal reflex). In some cases, insufficient bowel movement syndrome is observed. This is manifested by the release during defecation of a small amount of mushy or liquid feces, sometimes with an admixture of formed pieces, often with mucus; such stool occurs several times a day. In this case, patients complain of a feeling of insufficient bowel movement after defecation.

When the distal part of the colon is affected predominantly, especially when involved in pathological process anus, there is a frequent urge to defecate, tenesmus, and the release of small amounts of feces and gases. False urges to defecate are possible, while there is almost no feces, only a small amount of gas and mucus is released.

Chronic colitis may also be accompanied by constipation. Long delay feces in lower sections colon causes irritation of the mucous membrane, increased secretion and secondary dilution of feces. Constipation may be replaced by frequent bowel movements for 1-2 days with the separation of the initial hard stool(“fecal impaction”), and then liquid, foamy, fermentable or fetid putrefactive masses (“constipative diarrhea”). In some patients, constipation alternates with diarrhea.

Dyspeptic syndrome

Dyspeptic syndrome is observed often, especially during the period of exacerbation of chronic colitis, and is manifested by nausea, loss of appetite, feeling metallic taste in the mouth.

Asthenoneurotic manifestations

Asthenoneurotic manifestations can be expressed quite clearly, especially when long term diseases. Patients complain of weakness, fatigue, headache, decreased performance, bad dream. Some patients are very suspicious, irritable, and suffer from cancerophobia.

Data from an objective clinical study of patients

Weight loss is not typical for chronic colitis. Weight loss, however, can be observed in some patients when they sharply reduce the amount of food they eat due to increased intestinal manifestations of the disease after eating. It is possible that body temperature may rise to subfebrile levels with exacerbation of the disease, as well as with the development of pericolitis and mesadenitis.

The tongue of patients with chronic colitis is covered with a grayish-white coating and is moist.

Palpation of the abdomen reveals pain and hardening of either the entire large intestine, or predominantly one of its sections. The detection of zones of skin hyperesthesia (Zakharyin-Ged zone) is also characteristic. These zones are located in the iliac and lumbar areas(corresponding to 9-12 lumbar segments) and are easily identified by pricking the skin with a needle or gathering the skin into a fold.

With the development of nonspecific mesadenitis, pain on palpation is quite pronounced and is not limited to the colon, but is detected around the navel and in the area of ​​the mesenteric lymph nodes - medially from the cecum and in the middle of the line connecting the navel with the intersection of the left midclavicular line and the costal arch.

With the development of concomitant ganglionitis (involvement of the solar plexus in the inflammatory process), sharp pain appears on deep palpation in the epigastric region and along the linea alba.

Quite often when chronic colitis palpation reveals an alternation of spasmodic and dilated areas of the large intestine, sometimes a “splashing noise.”

With so-called secondary colitis caused by other diseases of the digestive system, objective research the patient reveals clinical signs of these diseases ( chronic hepatitis, pancreatitis, biliary tract diseases, etc.).

Clinical symptoms of segmental colitis

Segmental colitis is characterized by symptoms of predominant inflammation of any part of the large intestine. There are typhlitis, traversitis, sigmoiditis, proctitis.

Tiflit - predominant inflammation of the cecum (right-sided colitis).

The main symptoms of typhlitis are:

• pain in right half abdomen, especially in the right iliac region, irradiating into right leg, groin, sometimes lower back;
• bowel dysfunction (usually diarrhea or alternating diarrhea and constipation);
• spasm or dilation and pain on palpation of the cecum;
• restriction of mobility of the cecum with the development of peritiphlitis;
• pain medially from the cecum and in umbilical region with the development of nonspecific mesadenitis.

Transversit - inflammation of the transverse colon. Characterized by the following symptoms:

• pain, rumbling and bloating mainly in the middle part of the abdomen, with pain appearing soon after eating;
• alternating constipation and diarrhea;
• imperative urge to defecate immediately after eating (gastro-transversal reflux);
• soreness and dilation of the transverse colon (detected by palpation); in some patients, spasms or alternation of spasmed and dilated areas may be detected.

Angulite - isolated inflammation of the splenic angle of the transverse colon (“left hypochondrium syndrome”). It is characterized by:

• severe pain in the left hypochondrium, often radiating to left half chest(often in the heart area), back;
• reflex pain in the heart area;
• a feeling of fullness, pressure in the left hypochondrium or in the left upper quadrant of the abdomen;
• tympanitis on percussion of the left upper quadrant of the abdomen;
• pain on palpation in the area of ​​the splenic flexure of the transverse colon;
• unstable stool (alternating diarrhea and constipation).

Sigmoiditis- inflammation of the sigmoid colon. Characterized by the following symptoms:

• pain in the left iliac region or lower abdomen on the left, aggravated by prolonged walking, shaking, physical activity. The pain often radiates to the left groin area and perineum;
• a feeling of pressure and fullness in the left iliac region;
• spastic contraction and tenderness of the sigmoid colon on palpation, sometimes expansion of the sigmoid colon is detected. In some cases, dense feces create a feeling of density and tuberosity of the sigmoid colon upon palpation, which requires differential diagnosis with a tumor. After a cleansing enema, the density and lumpiness disappear.

Proctosigmoiditis - inflammation in the area of ​​the sigmoid and rectum.

Proctosigmoiditis is characterized by:

• pain in the anus during bowel movements;
• false urge to defecate with the release of gases, sometimes mucus and blood (in the presence of erosive sphincteritis, anal fissures, hemorrhoids);
• feeling of empty bowel after bowel movement;
• itching and “wetting” in the anal area;
• feces of the “sheep” type (segmented) with an admixture of mucus, often blood;
• During digital examination of the rectum, sphincter spasm may be detected (during an exacerbation of proctosigmoiditis).

The diagnosis of proctosigmoiditis is easily verified using sigmoidoscopy.

Classification of chronic colitis