Pain relief is administered concomitantly to the treatment of the primary disease causing tenesmus. Symptoms include rectal bleeding, mucous discharge, tenesmus, and abdominal pain. Obstructed defecation frequently gives rise to a symptom called tenesmus. The symptom tenesmus is a closely related topic. Large adenomas can cause rectal bleeding, mucus discharge, tenesmus, and a sensation of urgency. Symptoms include a painful lump, bleeding, pruritus ani, tenesmus, discharge or possibly fecal incontinence. Often, rectal tenesmus is simply called tenesmus. Rectal tenesmus is a feeling of incomplete defecation. The term rectal tenesmus is a retronym to distinguish defecation-related tenesmus from vesical tenesmus. When the word tenesmus is used without modification, it usually refers to rectal tenesmus. In cats, it infects the digestive tract, causing chronic diarrhea, tenesmus, flatulence and fecal incontinence. Constipation, bowel obstruction and tenesmus are therefore all closely related topics. Symptoms are usually minimal, but mucous discharge, bleeding, and tenesmus may be present. Vesical tenesmus is caused by urogenital diaphragm muscle spasms. Constipation is improved in 50% of cases, but often urgency and tenesmus are created.