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A separate condition called vesical tenesmus is related to the urinary bladder. It is experienced as feelings of being unable to completely empty the bladder, despite possibly there being no urine present. Contents of this article: Causes and risk factors. Possible causes of tenesmus include an inflammation of the colon, colorectal cancer, and irritable bowel syndrome. There are several potential reasons why someone would experience rectal tenesmus, the most common being colon inflammation, either from a noninfectious or infectious cause.
Common symptoms include the following: 1  Rectal pain or bleeding. 2  Frequent, small bowel movements. 3  Feeling an urgent need to have a bowel movement. 4  Diarrhea. Blood in the stool.  Abdominal cramping and 1  pain. A strong feeling that you need to have a bowel movement, but not being able to do so (called tenesmus)  Pain on the left side of the abdomen.