What To Do If You Feel Like You Can't Fully Empty Your Bowel

Feeling like you can't completely empty your bowel after a bowel movement is often related to conditions affecting the rectum. This sensation, sometimes referred to as tenesmus, gives the persistent urge to go again even after just having a bowel movement. In most cases, this issue is connected to rectal disorders, such as rectal inflammation. One of the most common conditions associated with this symptom is ulcerative colitis, especially when it affects the rectum. Previously known as chronic colitis, this condition is now more specifically diagnosed as ulcerative colitis and can cause persistent rectal discomfort and incomplete evacuation.

Other Possible Causes

While rectal inflammation is a primary cause, other issues can also contribute to this sensation. Problems with the nerves surrounding the anal area can lead to a feeling of incomplete bowel emptying. These nerves play a crucial role in signaling and controlling bowel movements, and any disruption can result in abnormal sensations or difficulties in evacuation.

Recommended Diagnostic Steps

If you're experiencing persistent symptoms, it's important to visit a reputable medical facility for proper diagnosis. A colonoscopy is often recommended to determine whether the issue is due to inflammation or a functional problem affecting the bowel. This procedure allows doctors to visually inspect the colon and rectum, helping to distinguish between inflammatory bowel disease and other non-inflammatory causes.

Treatment Options

Inflammatory Conditions

If the cause is found to be inflammation, such as ulcerative colitis affecting the rectum, treatment may include medications like mesalamine (also known as mesalazine). This drug helps reduce inflammation in the lining of the digestive tract. Additionally, probiotics or other gut microbiota-modulating therapies may be prescribed to help restore a healthy balance of intestinal bacteria, which can support overall digestive health.

Nerve-Related Issues

For cases involving nerve dysfunction, particularly when anal sphincter function is affected, physical therapy and specific exercises can be beneficial. Pelvic floor therapy, including Kegel exercises and other forms of anal sphincter strengthening, may help improve bowel control and reduce the sensation of incomplete evacuation.

Lifestyle and Dietary Adjustments

In addition to medical treatments, dietary changes can play a key role in managing symptoms. Increasing your intake of fiber-rich foods—such as fruits, vegetables, and whole grains—can promote regular, well-formed stools and support healthy bowel function. Staying well-hydrated and maintaining a consistent eating schedule can also help regulate digestion over time.