Tenesmus in Pediatrics — 6yo Child | Pediatric Gastroenterology | SMLE Q#575

SMLE Question #575

Pediatrics Pediatric Gastroenterology
Last updated: February 2026
A 6-year-old boy has 3 days of high fever, crampy lower abdominal pain, and frequent small-volume bloody stools with tenesmus and a sensation of incomplete evacuation. He has no recent travel and no recent antibiotic use. Examination shows mild illness with abdominal distension and diffuse tenderness; there are no perianal lesions. What is the most likely diagnosis?

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