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
  • Mercury Toxicity
  • Crohn's Disease
  • Irritable Bowel Syndrome
  • Diverticular Disease
  • Endometriosis

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:
back-of-neck lymph node problems
joint pain/swelling/stiffness
major mid-abdomen pain after food
moodiness
slight abdominal fullness
metallic taste in mouth
much past amalgam filling removal
moderate right iliac pain after food
elevated basophil count
acute abdominal pain
suspected diverticular disease
meals worsen right iliac pain
... and more than 110 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
Crohn's Disease 91% Confirm
Diverticular Disease 57% Possible
Endometriosis 15% Unlikely
Irritable Bowel Syndrome 5% Ruled out
Ulcerative Colitis 0% Ruled out
Mercury Toxicity 0% 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:
... and also rule out issues such as:
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