Treatment of Rectal Tenesmus in Ayurveda with Herbal Remedies


Rectal disorders are now very common in society starting from a simple pileous mass to cancer. Not only old aged people but youngsters today commonly suffer from fissure, fistula, piles and autoimmune conditions like ulcerative colitis, Crohn’s disease and IBS (Irritable bowel  syndrome).  The diseases which are typically related to colon and rectum are IBS (Irritable bowel disease like ulcerative colitis and crohn’s disease) are responsible for rectal tenesmus or an anorectal fistula travelling to the level of the intestinal tract. In this article we will discuss a complete detail about rectal tenesmus which is the result of such conditions and also going to know about some really effective Ayurvedic combinations for this condition.


Rectal tenesmus is a condition in which the person has a constant feeling of being unable to empty the large bowel even when there is no remaining stool to expel. As mentioned earlier the condition is a result of many disorders related to the intestines. These autoimmune conditions are capable of  affecting the group of muscles or the muscular movement of intestines, thus the patient may have symptoms like cramping in the abdomen and some other digestive symptoms too. Let’s start with understanding the condition in detail.

Rectal Tenesmus


As mentioned earlier this is a condition in which the person has a feeling of incomplete evacuation even when the bowel is empty. The reason or cause for this feeling are certain conditions which can also be autoimmune and cancerous.

The Conditions Responsible for This are as Follows

  1. Ulcerative colitis
  2. Crohn’s disease
  3. Certain recurrent infections
  4. Haemorrhoids
  5. Rectal or colon cancer
  6. Parasitic infestation
  7. Chronic constipation


The symptoms of rectal tenesmus starts from the feeling of incomplete evacuation and extends as

  1. Too much gas in the digestive tract
  2. Rectal pain and feeling of swelling in the area
  3. Bloating on regular basis
  4. Itching on the rectal area
  5. Involuntary straining
  6. Sharp cramps in Abdomen
  7. Nausea along with vomiting may be present
  8. Side Effect of certain drugs

Risk Factors

Risk factors include all the population with chronic digestive issues and also the ones with prolapsed haemorrhoids and rectal abscess. Even the ones with rectal gonorrhoea can be at risk for developing rectal tenesmus.

Treatment of Rectal Tenesmus in Ayurveda

The treatment is usually given for the underlying cause of tenesmus in modern times. The underlying causes like ulcerative colitis in which there is increased frequency of bowel movements, simple diarrhoea due to some unsuited food articles, chronic constipation due to lack of fibre in diet etc. for all of these conditions the treatment which is given is following:

  1. Drugs to suppress the autoimmune process like azathioprine.
  2. Laxatives to relieve constipation
  3. Antimotility drugs like in diarrhoea and many others
  4. Proton pump inhibitors for accumulation of gas regularly

Ayurvedic Correlation

If we discuss or understand this condition according to the Ayurveda then it is the result of excessive vata accumulation in the digestive tract. Due to this aggravated vata dosha prickly pain is really common. Aggravated vata when moved in a downward direction then enhances the feeling of defecation even when there is no stool in the bowels. The aggravation of vata usually takes place due to blockage of its path due to aggravated pitta resulting in pratiloma gati of vata dosha (movement of vata dosha in the opposite direction). So the Treatment is given to subside the symptoms and to pacify pitta dosha initially.

Herbal Formulations for Rectal Tenesmus by Planet Ayurveda

Planet Ayurveda is a leading Ayurvedic firm which deals with the manufacturing of herbal formulations. These formulations are prepared using potent herbs which are really effective in managing many conditions related to lower strength of the immune system and disturbances with its working due to Autoimmune process manifestation. The formulations prepared by Planet Ayurveda do not contain any kind of adulterants, dyes, additives, fillers etc. These medications are really potent to manage various conditions or symptoms arising due to rectal tenesmus and are very fruitful hence giving positive noticeable results. The medication or formulations offered by Planet Ayurveda for the management of Rectal tenesmus are as follows:

  1. Sanjivani vati
  2. Mahashankh vati
  3. Praval Panchamrit Ras
  4. Avipattikar churna

Treatment of Rectal Tenesmus in Ayurveda

Treatment of Rectal Tenesmus in Ayurveda

1. Sanjivani Vati

Sanjivani vati is popular in the Ayurvedic texts due to its life infusing properties. It is best for ama digestion and also helps in burning the accumulated toxins. This is also a classical formulation and contains many herbs like sonth (Zingiber officinale), vidanga (Piper retrofractum), giloy (Tinospora cordifolia), triphala etc. These all combinedly strengthen the immune system and hampers the recurrence of any disease. These herbs, when ingested and passed through the intestine, create an environment that is suitable for healthy digestion. It all over works by enhancing the digestion power and provides a very good and positive effect on digestion processes as well as on the digestive system.

Dose: Two tablets twice a day after meals along with lukewarm water.

2. Mahashankh Vati

Mahashankh vati is the best classical formula which helps in the improvement of digestion and also effectively relieves symptoms like bloating and indigestion. This formulation is also mentioned in classics and contains pippali (piper longum), chitrak (Plumbago zeylanica), danti (Baliospermum montanum) and many more. The formulation  helps in naturally dealing with indigestion, loss of appetite, hyper acidity along with gas and other digestion related problems. In rectal tenesmus, mahashankh vati helps relieve the sharp spasm usually felt or observed by the patient.

Dose: Two tablets twice a day 10 minutes before meals with lukewarm water.

3. Praval Panchamrit Ras

The praval panchamrit is prepared using many herbo minerals components like pearl bhasma (mukta bhasma), conch shell bhasma (shankha bhasma), pearl oyster bhasma (shukti bhasma) and many more. These all herbs are a very good combination for relieving the symptoms present in this condition, especially the feeling of incomplete evacuation. It relieves pitta dosha as well as a feeling of burning in the digestive tract too. The formulation is also very beneficial in hyperacidity, anorexia, and excessive diarrhoea as it has an antispasmodic effect too. Praval panchamrit also relieves bloating.

Dosage: Two tablets twice a day after meals.

4. Avipattikar Churna

Avipattikar churna is a classical formulation which has ingredients like Pippali (Piper longum), Sonth (Zingiber officinale), Marich (Piper nigrum), Amla (Emblica officinalis), Haritaki (Terminalia chebula), Bibhitaki (Terminalia bellirica) and many more. All of the ingredients of this formulation works really well in pacification and balancing of pitta in the body along with the one situated in our grahani or digestive tract. This churna is generally known to have a healing effect on the lining of the stomach and is very much best to avoid or prevent or manage conditions like constipation, heartburn, indigestion, gastritis and others too. This is really effective in rectal tenesmus as well.

Dosage: Half tsp before meals twice a day with lukewarm water.

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The rectal tenesmus is really a tough thing to go through. It’s like having one thing constantly in your mind and not able to do anything about it. Though this kind of situation is tough to manage as it is usually associated with other chronic conditions like ulcerative colitis, IBS, crhon’s disease and others too. Even in colon cancer or rectal cancer the above mentioned formulations can be used and effectively manage the situation. All of the above mentioned medications are totally herbal and do not have any kind of side effects. These can be used in any age group but the dosage may vary. To confirm the dosage one must take these medications under the guidance of a professional Ayurvedic physician.

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Dr. Vikram Chauhan

Dr. Vikram Chauhan (MD - Ayurveda) is the CEO and Founder of Planet Ayurveda Pvt. Ltd. He is Author of the Book "Ayurveda – God’s Manual For Healing". He is an Ayurveda Expert Serving People worldwide through all the Possible Mediums, Operating from Main Branch in Mohali, India. With his Vast Experience in Herbs and their Applied Uses, he is successfully treating Numerous Patients suffering from Various Ailments with the help of Purest Herbal Supplements, Diet, and Lifestyle, according to the Principles of Ayurveda. For More Details, visit

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