tinea cruris), and ringworm (a misnomer, as there is no worm involved; it is also known as tinea corporis). Trichophyton schoenleinii cause favus (tinea capitis),Trichophyton mentagrophytes var. mentagrophytes and Trichophyton verrucosum cause Kerion (violent reaction results from infection with an animal dermatophytes). Fungal folliculitis is a rare hair follicle infection induced overwhelmingly by Trichophyton, which can be spread zoonotically. The fungi can easily spread to other areas of the body as well and to the hosts home environs (socks, shoes, clothes, showers, bathtubs, counters, floors, carpets, etc.). They can be transmitted by direct contact, by contact with infested particles (of dead skin, nails, hair) shed by the host, and by contact with the fungis spores. These fungi thrive in warm moist dark environments, such as in the dead upper layers of skin between the toes of a sweaty foot inside a tightly enclosed shoe, or in dead skin particles on the wet floor of a communal (shared) shower. Their spores are extremely difficult to eliminate, and spread everywhere. When the hyphae of the fungi burrow into the skin and release enzymes to digest keratin, they may irritate nerve endings and cause the host to itch, which may elicit the scratch reflex, which directs the host to scratch. Scratching directly transfers fungi and dead skin particles that are infested with the fungi to the fingers and under the finger nails. From there they can be transmitted to other parts of the hosts body when the host touches or scratches those.
Rectal tenesmus is a feeling of incomplete defecation. It is the sensation of inability or difficulty to empty the bowel at defecation, even if the bowel contents have already been evacuated. Tenesmus indicates the feeling of a residue, and is not always correlated with the actual presence of residual fecal matter in the rectum. It is frequently painful and may be accompanied by involuntary straining and other gastrointestinal symptoms. Tenesmus has both a nociceptive and a neuropathic component. Often, rectal tenesmus is simply called tenesmus. The term rectal tenesmus is a retronym to distinguish defecation-related tenesmus from vesical tenesmus. Vesical tenesmus is a similar condition, experienced as a feeling of incomplete voiding despite the bladder being empty. Tenesmus is a closely related topic to obstructed defecation. The term is from Latin: tēnesmus, from Greek τεινεσμός teinesmos, from τείνω teínō to stretch, strain. Considerations
Tenesmus is characterized by a sensation of needing to pass stool, accompanied by pain, cramping, and straining. Despite straining, little stool is passed. Tenesmus is generally associated with inflammatory diseases of the bowel, which may be caused by either infectious or noninfectious conditions. Conditions associated with tenesmus include:

Tenesmus (rectal) is also associated with the installation of either a reversible or non reversible stoma where rectal disease may or may not be present. Patients who experience tenesmus as a result of stoma installation can experience the symptoms of tenesmus for the duration of the stoma presence. Long term pain management may need to be considered as a result.