Frequent Painful Urge To Defecate

What Causes Frequent Urge To Defecate?

Frequent urge to defecate can have various causes, ranging in severity from 'needs attention' to 'serious'.  Finding the true cause means ruling out or confirming each possibility – in other words, diagnosis.

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Diagnosis is usually a complex process due to the sheer number of possible causes and related symptoms.  In order to diagnose frequent urge to defecate, we could:

  • Research the topic
  • Find a doctor with the time
  • Use a diagnostic computer system.
The process is the same, whichever method is used.

Step 1: List all Possible Causes

We begin by identifying the disease conditions which have "frequent urge to defecate" as a symptom.  Here are six possibilities:
  • Mercury Toxicity
  • Crohn's Disease
  • Ulcerative Colitis
  • Endometriosis
  • Diverticular Disease
  • Irritable Bowel Syndrome

Step 2: Build a Symptom Checklist

We then identify all possible symptoms and risk factors of each possible cause, and check the ones that apply:
moderate left iliac pain
nausea for 1-3 months
irritable bowel syndrome
frequent swollen cervical nodes
meals worsen left iliac pain
vision disturbances
much past amalgam filling removal
unexplained missed periods
severe meal-induced pain
moderate abdominal pain
back-of-neck lymph node problems
severe left iliac pain after meals
... and more than 100 others

Step 3: Rule Out or Confirm each Possible Cause

A differential diagnosis of your symptoms and risk factors finds the likely cause of frequent urge to defecate:
Cause Probability Status
Diverticular Disease 92% Confirm
Crohn's Disease 54% Possible
Mercury Toxicity 24% Unlikely
Ulcerative Colitis 3% Ruled out
Irritable Bowel Syndrome 2% Ruled out
Endometriosis 2% Ruled out
* This is a simple example to illustrate the process

Arriving at a Correct Diagnosis

The Analyst™ is our online diagnosis tool that learns all about you through a straightforward process of multi-level questioning, providing diagnosis at the end.

If you indicate irregular stools, The Analyst™ will ask further questions including this one:
How often do you experience intestinal pain or cramping with an urge to have a bowel movement, sometimes without success?
Possible responses:
→ Don't know
→ Never / rarely / once a year or less
→ Occasionally - several times a year
→ Regularly - several times a month
→ Frequently - daily or almost daily
Based on your response to this question, which may indicate lack of painful urge to defecate, occasional painful urge to defecate, regular painful urge to defecate or frequent painful urge to defecate, The Analyst™ will consider possibilities such as:
IBS (Irritable Bowel Syndrome)

Uncoordinated intestinal contractions can result in under-digested food arriving in the rectum more often than is normal, causing people with IBS-D (Irritable Bowel Syndrome with Diarrhea) to experience sudden, frequent, and painful urges to defecate.  IBS sufferers may also have a hypersensitive gut and rectum and therefore feel urgency and pain more acutely than the average person.

... and also rule out issues such as:
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