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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.
Inflammatory Bowel Disease. 1  Chronic inflammation of the small and/or large intestine as a result of autoimmune factors. 2  Other symptoms include tenesmus (urging to have a bowel movement), stomach cramps and abdominal pain, bloody diarrhea or mucus in stool.his may include 1  : Pain during or after a bowel movement (character, duration, location, trigger and relieving factors). 2  Blood in the stool â fresh blood in stool (hematochezia) or dark blood in stool (melena). 3  Mucus in the stool. 4  Watery stool, hard stool or other changes in the color, consistency and volume of stool.