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:
  • Ulcerative Colitis
  • Endometriosis
  • Crohn's Disease
  • Mercury Toxicity
  • 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:
appendix removed after age 20
painful deep penetration during sex
diminished perspiration
moderate unexplained weight loss
being easily excitable
high cold water fish consumption
chronic mouth soreness/sores
extreme moodiness
tongue swelling
significant meal-induced pain
irritable bowel syndrome
recent onset diarrhea
... 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
Irritable Bowel Syndrome 91% Confirm
Crohn's Disease 53% Possible
Diverticular Disease 27% Unlikely
Ulcerative Colitis 1% Ruled out
Endometriosis 1% Ruled out
Mercury Toxicity 1% 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:
Do you have frequent intestinal pain or cramping with an urge to defecate, sometimes without success?
Possible responses:
→ No / don't know
→ Rarely
→ Occasionally
→ Approximately daily
→ Several times per day
Based on your response to this question, which may indicate occasional painful urge to defecate, regular painful urge to defecate or frequent painful urge to defecate, The Analyst™ will consider possibilities such as:
... and also rule out issues such as:
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