Rectal urgency can be caused by several factors, including:

• Inflammatory bowel diseases (IBD): Conditions like Crohn’s disease and ulcerative colitis can cause inflammation and irritation of the rectum and colon, leading to urgency.
• Irritable bowel syndrome (IBS): A functional gastrointestinal disorder characterized by abdominal pain, bloating, and changes in bowel habits, including urgency.
• Infectious diarrhea: Bacterial, viral, or parasitic infections of the gastrointestinal tract can cause sudden and urgent bowel movements.
• Hemorrhoids: Swollen veins in the rectum or anus can cause discomfort and urgency, especially during bowel movements.
• Rectal prolapse: When the rectum slips down and protrudes through the anus, it can cause a feeling of urgency.
• Neurological conditions: Conditions affecting the nervous system, such as multiple sclerosis or spinal cord injuries, can affect bowel control and lead to urgency.
• Certain medications: Some medications may cause diarrhea or affect bowel function, leading to urgency.
• Dietary factors: Certain foods or beverages, such as spicy foods, caffeine, or alcohol, can irritate the digestive tract and trigger urgency.

Common symptoms associated with rectal urgency include:

• Sudden and intense urge to have a bowel movement.
• Difficulty controlling bowel movements (fecal incontinence).
• Increased frequency of bowel movements.
• Abdominal cramping or discomfort.
• Bloating or gas.

Managing rectal urgency involves addressing the underlying cause and implementing strategies to reduce symptoms. Here are some approaches that may help:

• Medications: Depending on the cause, medications such as anti-inflammatory drugs, antispasmodics, or antibiotics may be prescribed.
• Dietary changes: Avoiding trigger foods that exacerbate symptoms, such as caffeine, spicy foods, and artificial sweeteners.
• Fiber supplementation: Increasing fiber intake through fruits, vegetables, and whole grains to promote regular bowel movements.
• Hydration: Drinking plenty of water to maintain hydration and support digestive health.
• Stress management: Practicing relaxation techniques, such as deep breathing or meditation, to reduce stress and anxiety that can exacerbate symptoms.
• Pelvic floor exercises: Strengthening the muscles of the pelvic floor through exercises (e.g., Kegel exercises) can improve bowel control.
• Biofeedback therapy: A technique that helps individuals gain voluntary control over physiological processes, including bowel function.