Page 2785 - Cote clinical veterinary advisor dogs and cats 4th

1451.e2 Tenesmus

Tenesmus
VetBooks.ir

YES Tenesmus NO

Urogenital Inappropriate
disease present? elimination

NO YES
Conscious of
Dyschezia? Urinary tract infection defecation?
Urethral obstruction
Cystitis
Urolithiasis
Neoplasia
NO YES YES NO

Visual evidence Reservoir Incontinence
of anal or
Small volume, Increased frequency, No feces perianal disease? • Colitis
• Dietary
ribbonlike feces mucoid feces, or produced • Neoplasia
hematochezia
• Behavioral
Constipation Sphincter Incompetence
Obstipation NO YES • Anal trauma or surgery
• Anal neoplasia
Inflammatory Disease Digital palpation Perianal fistulas • Spinal trauma
• Idiopathic colitis abnormal? Neoplasia • Degenerative myelopathy
• Bacterial Anal sacculitis • Spinal neoplasia
• Fungal Perineal hernia • Lumbosacral stenosis
• Parasites
• Dietary indiscretion NO YES
• Inflammatory bowel disease
• Neoplasia
Proctitis Foreign body
Neoplasia
Lumen Narrowing Polyp
• Stricture
• Intraluminal neoplasia
• Extraluminal compression
• Prostatomegaly Rectoanal Disease No Rectoanal Disease
• Pelvic fractures • Perianal fistulas • Megacolon
• Neoplasia • Perineal hernia • Metabolic disease
• Neoplasia • Decreased water intake
• Pelvic fractures • Diet

(From Foley P: Constipation, obstipation, and megacolon. In Ettinger SJ, Feldman EC, Côté E, editors: Textbook of veterinary internal medicine: diseases of the dog and
cat, ed 8, St. Louis: Elsevier, 2017.)

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