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Medical condition
Rectal bleeding refers to bleeding in the rectum, thus a form of lower gastrointestinal bleeding. There are many causes of rectal hemorrhage, including
Rectal_bleeding
Intermittent or continuous expression of liquid from the anus
of escolar and oilfish in the diet) Rectal bleeding, melena and hematochezia Feculent rectal discharge (fecal rectal discharge), e.g. fecal leakage, encopresis
Rectal_discharge
Vascular structures in the anal canal
bright red rectal bleeding when defecating. External hemorrhoids often result in pain and swelling in the area of the anus. If bleeding occurs, it is
Hemorrhoid
Protrusion of the walls of the rectum outside the body
(mucus coming from the anus), rectal bleeding, degrees of fecal incontinence, and obstructed defecation symptoms. Rectal prolapse is generally diagnosed
Rectal_prolapse
Bowel movement consisting of fresh blood
bleeding, but may also occur from a brisk upper gastrointestinal bleed. The difference between hematochezia and rectorrhagia is that rectal bleeding is
Hematochezia
Inflammatory bowel disease that causes ulcers in the colon
extended period (weeks). It is estimated that 90% of people experience rectal bleeding (of varying severity), 90% experience watery or loose stools with increased
Ulcerative_colitis
Cancer of the colon or rectum
50% of people who have colorectal cancer do not report any symptoms. Rectal bleeding or anemia are high-risk symptoms in people over the age of 50. Weight
Colorectal_cancer
Chemical compound and gastrointestinal medication
ulcerative colitis Rectal bleeding due to proctitis from radiation to treat cancers of the cervix, prostate, and colon. Grade 1 bleeding experienced immediate
Sucralfate
Medical condition
entire large intestine. Patients generally exhibit symptoms including rectal bleeding as a result of ulcers, pain in the abdominal region, inflammation in
Pancolitis
Final portion of the large intestine
at its commencement, but it is dilated near its termination, forming the rectal ampulla. It terminates at the level of the anorectal ring (the level of
Rectum
Condition of the wall of the intestine
painless rectal bleeding as bright red blood per rectum. Diverticular bleeding is the most common cause of acute lower gastrointestinal bleeding. However
Diverticulosis
Inflammation of the large intestine due to insufficient blood supply
amounts of rectal bleeding. The sensitivity of findings among 73 patients were: abdominal pain (78%) lower gastrointestinal tract bleeding (62%) diarrhea
Ischemic_colitis
Narrowing of rectum
A rectal stricture (rectal stenosis) is a chronic and abnormal narrowing or constriction of the lumen of the rectum which presents a partial or complete
Rectal_stricture
Dilated submucosal veins in the stomach lining
bloody vomiting (hematemesis), dark, tarry stools (melena), or rectal bleeding. The bleeding may be brisk, and patients may soon develop shock. Treatment
Gastric_varices
Medical condition
may be a symptom of co-existent solitary rectal ulcer syndrome. Mucous rectal discharge. Rectal bleeding. Rectal tenesmus. Sensation of pressure in the
Internal_rectal_prolapse
Non-surgical hemorrhoid treatment
2020). "Mid-Term Results of Superior Rectal Artery and Coils for Hemorrhoidal Embolization with Particles Bleeding". CardioVascular and Interventional
Hemorrhoidal artery embolization
Hemorrhoidal_artery_embolization
Medical condition
may be bleeding, obstructed defecation, or no symptoms at all. Very often but not always SRUS occurs in association with varying degrees of rectal prolapse
Solitary rectal ulcer syndrome
Solitary_rectal_ulcer_syndrome
Expulsion of feces from the digestive tract
clinical features, over 90 percent of patients exhibit constant diarrhea, rectal bleeding, softer stool, mucus in the stool, tenesmus, and abdominal pain. The
Defecation
American comedy television series
stress of her job situation overwhelm her to the point where she is rectal bleeding. At the hospital, Samir volunteers to be her proxy, to Issa's envy
Adults_(TV_series)
Examination of the bowel
stool either visible or occult, it is worthy of note, that occasional rectal bleeding may have multiple non-serious potential causes. Colonoscopy is one
Colonoscopy
Medical condition
abdominal pain, especially in the left lower quadrant, intermittent rectal bleeding and chronic diarrhea. The cause of SCAD is unknown, but may be related
Segmental colitis associated with diverticulosis
Segmental_colitis_associated_with_diverticulosis
Break or tear in anal canal skin
digital rectal examination with a finger through the anal sphincter. Narrow anal fissures might not be felt by finger palpation during the rectal exam due
Anal_fissure
Medical condition of blood in the feces
following tests are combined to determine the causes of the source of bleeding. Digital rectal exam and fecal occult blood test Colonoscopy Anoscopy Esophagogastroduodenoscopy
Blood_in_stool
Folding of part of the intestine into itself
intussuscepted bowel segment transiently stops contracting. Later signs include rectal bleeding, often with "red currant jelly" stool (stool mixed with blood and mucus)
Intussusception (medical disorder)
Intussusception_(medical_disorder)
Medical condition
painless bleeding, with vomiting blood (hematemesis) and/or black stools (melena). Less often, Dieulafoy's lesions may cause rectal bleeding (hematochezia)
Dieulafoy's_lesion
Sexual stimulation of one's own anus
inserted may be sex toys such as anal beads, butt plugs, dildos, vibrators, rectal thermometers or specially designed prostate massagers or enemas. Pleasure
Anal_masturbation
Birth defect of a bulge in the small intestine
the age of two years. The most common presenting symptom is painless rectal bleeding such as melaena-like black offensive stools, followed by intestinal
Meckel's_diverticulum
Bleeding in the small and large intestine
Angiodysplasia Bleeding from a site where a colonic polyp was removed Inflammatory bowel disease such as Crohn's disease or ulcerative colitis Rectal varices
Lower gastrointestinal bleeding
Lower_gastrointestinal_bleeding
American domestic terrorist (1942–2023)
nearby FBI museum. In March 2021 Kaczynski complained of rectal bleeding and was diagnosed with rectal cancer. On December 14, 2021, he was transferred to
Ted_Kaczynski
Medical intervention
trans-anal rectal resection (STARR) is a minimally invasive surgical procedure for conditions such as obstructed defecation syndrome, internal rectal prolapse
Stapled trans-anal rectal resection
Stapled_trans-anal_rectal_resection
Medical assessment or diagnostic procedure
Digital rectal examination (DRE), also known as a prostate exam (Latin: palpatio per anum (PPA), lit. 'palpation through the anus'), is an internal examination
Rectal_examination
Infrequent or difficult bowel movements
person has a family history of colon cancer, fever, weight loss, and rectal bleeding. Other alarming signs and symptoms include family or personal history
Constipation
Medical condition
rectum (>3 months) may cause rectal bleeding, incontinence, or a change in bowel habits. Severe cases may lead to rectal stricture or anorectal fistula
Radiation_proctitis
External opening of the rectum
anus. The anus receives blood from the inferior rectal artery and innervation from the inferior rectal nerves, which branch from the pudendal nerve. The
Human_anus
Abnormal growth of tissue projecting from a mucous membrane
not commonly associated with symptoms, occasionally they may cause rectal bleeding, and on rare occasions pain, diarrhea or constipation. They are a concern
Polyp_(medicine)
Medical condition
therapy). Symptoms typically consist of diarrhea, abdominal pain and rectal bleeding. Less commonly, nausea and vomiting may occur, which may suggest the
Checkpoint inhibitor induced colitis
Checkpoint_inhibitor_induced_colitis
Medical condition
rectum, a change in bowel habits, a lump near the anus, rectal bleeding, itching or discharge. Bleeding may be severe. Human papillomavirus: Examination of
Anal_cancer
Medical condition
abdominal distention, abdominal cramping, nausea, vomiting, fever, rectal bleeding, and possible bowel perforation. Patients that develop bowel perforation
Stercoral_ulcer
Problems arising from pouch formations in the large intestinal wall
on the right side. Diarrhea Constipation Nausea and vomiting Fever Rectal bleeding Acute diverticulitis is thought to arise from either trauma or lack
Diverticular_disease
Dilated veins in the anus
conditions such as cirrhosis. Unlike esophageal varices, rectal varices are less prone to bleeding, are less serious when a bleed does occur, and are easier
Anorectal_varices
Branch of medicine focused on the digestive system and its disorders
colon polyps and colorectal cancer, or to evaluate symptoms such as rectal bleeding, dark stools, changes in bowel habits, abdominal pain, and unexplained
Gastroenterology
Medical condition
clinical presentation that involves watery diarrhea but a lack of rectal bleeding. Microscopic colitis does not usually cause macroscopic changes to
Collagenous_colitis
Bleeding in the gastrointestinal tract
red blood rectally, especially in the absence of bloody vomiting. Lower gastrointestinal bleeding could also lead to melena if the bleeding occurs in
Gastrointestinal_bleeding
Functional gastrointestinal disorder
IV diagnostic criteria). Symptoms such as unexplained weight loss, rectal bleeding, recent changes in bowel habits, anemia or iron deficiency are usually
Irritable_bowel_syndrome
Chemical compound
excreted through the kidneys, unless one has serious kidney problems. Rectal bleeding or failure to have a bowel movement after use could be signs of a serious
Magnesium_citrate
Blood vessel network
The rectal venous plexus (or hemorrhoidal plexus) is the venous plexus surrounding the rectum. It consists of an internal and an external rectal plexus
Rectal_venous_plexus
Season of television series
Seven-year-old Clancy (Skyler Gisondo) is admitted to the hospital with rectal bleeding, claiming alien abduction. The team runs tests, but when they get inconsistent
House_season_3
Inflammation of the anus and rectum
Symptoms are ineffectual straining to empty the bowels, diarrhea, rectal bleeding and possible discharge, a feeling of not having adequately emptied
Proctitis
1985 murder and rape of a boy in Ohio
as well as a ligature mark around the victim's neck. Significant rectal bleeding was observed, indicating that a foreign object had been forcibly inserted
Murder_of_Raymond_Fife
Medical condition
present with any of the following symptoms: abdominal pain, diarrhea, rectal bleeding, severe internal cramps/muscle spasms in the region of the pelvis and
Inflammatory_bowel_disease
Chemical compound
from use as a laxative are stomach cramps, vomiting, diarrhea, or rectal bleeding. Food Chemicals Codex European Pharmacopoeia 6.1 British Pharmacopoeia
Sorbitol
British-Canadian painter, writer, sound poet, and performance artist (1916–1986)
while sitting at a social engagement, Gysin had a very noticeable rectal bleeding. In May he wrote to Burroughs complaining he was not feeling well.
Brion_Gysin
Fictional character
successful surgeon. When a surgical patient implies she is having rectal bleeding, Andrew is too intimidated to get the information to Neela, and the
Neela_Rasgotra
Medical condition
symptoms are abdominal discomfort, anorectal pain, mucous discharge and rectal bleeding that develops from the inflamed mucosa of the distal, unused colon
Diversion_colitis
Medical intervention
reported, including: Minor abdominal pain or rectal pain/discomfort, or cramps. Chills. Nausea. Minor rectal bleeding. Electrolyte imbalance (not demonstrated
Transanal_irrigation
Medical condition
juvenile polyps most commonly occur in the rectum and present with rectal bleeding. The World Health Organization criteria for diagnosis of juvenile polyposis
Juvenile_polyposis_syndrome
Species of bacteria
polyps may have become cancerous. Colorectal polyps may be the cause of rectal bleeding, anemia, constipation, diarrhea, weight loss, and abdominal pain. Virulence
Helicobacter_pylori
Growth found in bowel wall
solitary polyps found in the rectum which most commonly present with rectal bleeding. Juvenile polyposis syndrome is characterised by the presence of more
Colorectal_polyp
Laxatives/stool softeners
drug. The most severe side effect of docusate, although very rare, is rectal bleeding. Docusate might increase the resorption of other drugs, for example
Docusate
Fear of sexual relations or sexual intercourse
irritation, genital infection, severe tearing of vaginal walls, and rectal bleeding. They may also grapple with fear of the potential reoccurrence of assault
Genophobia
Non-surgical technique for the treatment of benign prostatic hyperplasia
common adverse effects include acute urinary retention, temporary rectal bleeding, pain, blood in the urine/sperm, and urinary tract infection. Serious
Prostatic_artery_embolization
Medical condition
gastrointestinal bleeding, such as melena (or dark, black tarry stools), maroon stools, or hematochezia, which is frank rectal bleeding. The source of hemorrhage
Hemosuccus_pancreaticus
Blood vessels
drained by the inferior rectal veins (or inferior hemorrhoidal veins) into the internal pudendal vein. Veins superior to the middle rectal vein in the colon
Inferior_rectal_veins
Medical examination of the anal canal
Anoscopy is recommended for people who are experiencing symptoms such as rectal bleeding, persistent pain in the anus, constipation or fecal incontinence. Anoscopy
Anoscopy
with a large quantity of infected blood". Youd was suffering with rectal bleeding, which was a known symptom of both heterosexual and homosexual patients
Detention of Roger George Youd
Detention_of_Roger_George_Youd
American private prison operator
made to wait thirteen days for medical treatment after complaining of rectal bleeding. Additionally, it was later determined that the detainee was HIV positive
CoreCivic
Bleeding of the esophagus, stomach, or upper intestine
signs, in order to determine the severity of bleeding and the timing of intervention Abdominal and rectal examination, in order to determine possible causes
Upper gastrointestinal bleeding
Upper_gastrointestinal_bleeding
Group of diseases involving cell growth
lumps. Ulceration can cause bleeding that can lead to symptoms such as coughing up blood (lung cancer), anemia or rectal bleeding (colon cancer), blood in
Cancer
Cancer arising from the cervix
swelling and blood clots in the legs as pelvic veins are blocked, rectal bleeding, and bleeding in the urine. Infection with some types of HPV is the greatest
Cervical_cancer
Restriction of blood flow to the small intestine resulting in injury
nausea in 44% vomiting in 35% diarrhea in 35% heart rate > 100 in 33% rectal bleeding in 16% (not stated if this number also included occult blood – presumably
Intestinal_ischemia
Medical condition
Typically CAMPT presents with petechiae, cerebral bleeds, recurrent rectal bleeding, or pulmonary hemorrhage. The cause of CAMT is believed to be mutations
Congenital amegakaryocytic thrombocytopenia
Congenital_amegakaryocytic_thrombocytopenia
Medical condition
include rectal bleeding, copious mucus discharge, prolonged, severe straining, abdominal and perineal pain, constipation, and, in rare cases, rectal prolapse
Colonic_ulcer
Infection of the intestines by Shigella bacteria
takes 5 to 7 days. Infections are associated with mucosal ulceration, rectal bleeding, and drastic dehydration. Reactive arthritis and hemolytic uremic syndrome
Shigellosis
Surgically created intestinal reservoir that restores anal evacuation
evacuation urges, daytime incontinence, nocturnal seepage, and/or rectal bleeding. Studies show pouchitis occurs more often in people who got their pouch
Ileo-anal_pouch
2006 soundtrack album by various artists
– "Your Teeth Look Like" * Cakecutter – "Fly" Johnny Knoxville – "Rectal Bleeding" * Peaches – "Fuck the Pain Away" *** Johnny Knoxville & Bam Margera
Jackass Number Two: Music from the Motion Picture
Jackass_Number_Two:_Music_from_the_Motion_Picture
Dilated veins in the lower oesophagus
People with esophageal varices have a strong tendency to develop severe bleeding which when left untreated can be fatal. Esophageal varices are typically
Esophageal_varices
Medical condition
PMID 17642585. Petzold, A.; Bischoff, C.; Conrad, B. (2000). "Repetitive cerebral bleeding in an adult with Klippel–Trenaunay syndrome". Journal of Neurology. 247
Klippel–Trénaunay_syndrome
Medical condition
Epidemiology, Risk Factors, and Health Services". Clinics in Colon and Rectal Surgery. 18 (3): 133–140. doi:10.1055/s-2005-916274. ISSN 1531-0043. PMC 2780097
Colorectal_adenoma
Fluid injection into the large intestine
An enema, also known as a clyster, is the rectal administration of a fluid by injection into the lower bowel via the anus. The word enema can also refer
Enema
Ulceration of the gastrointestinal tract
have no symptoms. Complications may include bleeding, perforation, and blockage of the stomach. Bleeding occurs in as many as 15% of cases. Common causes
Peptic_ulcer_disease
2010 environmental disaster
throat irritation; respiratory problems; blood in urine, vomit and rectal bleeding; seizures; nausea and violent vomiting episodes that last for hours;
Deepwater_Horizon_oil_spill
Medical condition
constipation, hard and bulky stools, low frequency of bowel movement, rectal bleeding, encopresis which means stool overflow incontinence, straining during
Intestinal_neuronal_dysplasia
Intestinal disease due to radiation exposure
cancers frequently develop gastrointestinal symptoms. These include: rectal bleeding diarrhea and steatorrhea other defecation disorders including fecal
Radiation_enteropathy
Pharmaceutical drug
pain Bloating Gas Seek medical attention if: severe stomach cramps rectal bleeding no bowel movement within 3 days after using polycarbophil Chiba T,
Polycarbophil_calcium
Medical condition
"abdominal pain, nausea, vomiting, diarrhea, abdominal distention and rectal bleeding". Infarction Anemic infarct Cerebral infarction Lung infarction Myocardial
Hemorrhagic_infarct
Inability to fully empty the rectum during bowel movements
of rectal digitation are injury of the lining of the rectum, such as ulcerations with bleeding and discomfort, and anal fibrosis leading to a rectal stricture
Obstructed_defecation
Medical condition
by Farlex. Retrieved 14 October 2012. Ehrenpreis, Eli (2003). Anal and Rectal Diseases Explained. Remedica. ISBN 978-1-901346-67-1. Cohee, Mark W.; Hurff
Anorectal_disorder
Medical condition with dark feces
tarry feces that are commonly associated with upper gastrointestinal bleeding. The black color and characteristic strong odor are caused by hemoglobin
Melena
Medical condition
also involve symptoms like constipation, diarrhea, nausea, bloating, and rectal or abdominal pain. This is sometimes caused by endometriosis on the bowels
Endometriosis
Japanese mythological creature
65 The heishimureru is ascribed effectiveness against geketsu (下血, rectal bleeding: melena) by both Kaibara Ekiken (1709) and Ono Ranzan (1803) Ekiken's
Ningyo
Medical condition
(asymptomatic); when present, symptoms usually include gastrointestinal bleeding and prolapse through the rectum. Removal of the polyp (polypectomy) is
Juvenile_polyp
Sexual abuse cases in the United States
camp. Gale sodomized the victim that night; the victim woke up with rectal bleeding. The archdiocese was sued in April 2002 by another man who said that
Sexual abuse scandal in the Archdiocese of Boston
Sexual_abuse_scandal_in_the_Archdiocese_of_Boston
Conflict-related sexual violence affecting Tamil ethnic group
Tamil Gynaecologist provided him with numerous menstrual pads due to rectal bleeding. He was also examined by Brian Senewiratne, who confirmed multiple
Sexual violence against Tamils in Sri Lanka
Sexual_violence_against_Tamils_in_Sri_Lanka
Array of tests performed on urine
with blood from a non-urinary source, such as from menstruation or rectal bleeding, can mimic hematuria, and microscopic hematuria is sometimes observed
Urinalysis
Type of radiation therapy
Transient increased bowel frequency, diarrhoea, constipation or minor rectal bleeding may also occur. Acute and subacute side effects usually resolve over
Brachytherapy
Historical medical treatment
fallen into their canals and apparently drowned. Patients were also given rectal infusions of tobacco smoke, as a respiratory stimulant. Richard Mead was
Tobacco_smoke_enema
History of FCC fines issued over ''The Howard Stern Show''
1991, including those about masturbating to a picture of Aunt Jemima, rectal bleeding, a sexual fantasy with actress Michelle Pfeiffer, the shaving of pubic
Federal Communications Commission fines of The Howard Stern Show
Federal_Communications_Commission_fines_of_The_Howard_Stern_Show
Granular oral laxative brand containing standardized sennosides
Adverse effects of senna may include abdominal cramping and, rarely, rectal bleeding (which warrants medical advice). Patient-facing guidance recommends
Senokot_granules
Condition in which organs fall down or slip out of place
some cases, the rectum may protrude. Symptoms of a rectal prolapse may be: Leakage of stool Bleeding, anal pain, itching, irritation Tissue that protrudes
Prolapse
Species of bacterium
infections are characterized by diarrhea, headaches, bloating, cramping, rectal bleeding and colitis. Treatment for 10 days with co-amoxicillin 1 g twice daily
Brachyspira_pilosicoli
RECTAL BLEEDING
RECTAL BLEEDING
Girl/Female
Hindu
Love, Merciful or compassionate
Female
Hebrew
(מֵיטַל) Hebrew name MEITAL means "dew drops."
Boy/Male
Biblical
Square, chariot with team of four horses.
Girl/Female
Hindu
Friendly, Friendship, Sweet
Girl/Female
Christian, German, Indian
Flower Petal
Girl/Female
Hindu, Indian
Love
Girl/Female
Hindu
Loved one
Girl/Female
Hindu, Indian
According to Season
Girl/Female
Hindu
Innocent lamb
Girl/Female
Indian
Special
Girl/Female
Gujarati, Hindu, Indian
Creative; Cool
Girl/Female
Christian, Hebrew, Hindu, Indian
Responsible
Girl/Female
Gujarati, Indian
Beautiful
Female
English
 English variant spelling of Spanish Rita, REETA means "pearl." Compare with another form of Reeta.
Surname or Lastname
English, of French (Huguenot) origin
English, of French (Huguenot) origin : altered form of French Vassal, status name for a medieval retainer (see Vassell).
Boy/Male
Biblical
To whisper; an embalmer.
Female
Finnish
 Short form of Finnish Margareeta, REETA means "pearl." Compare with another form of Reeta.
Girl/Female
Hindu
There is no ending. ne-no tal-ending, The forehead
Girl/Female
Gujarati, Hindu, Indian
Love
Girl/Female
Hindu, Indian
Fame
RECTAL BLEEDING
RECTAL BLEEDING
Girl/Female
Indian
Selflessness, Preference
Surname or Lastname
English
English : variant spelling of Cheshire.
Girl/Female
Muslim
Excellent, Highest social standing, Tall, Towering (Celebrity Name: Pooja Bedi)
Boy/Male
Shakespearean
King Henry the Sixth, Part III' and 'King John' Earl of Pembroke.
Girl/Female
Welsh
Fiend.
Boy/Male
Tamil
Ekatma | à®à®•à®¾à®¤à¯à®®à®¾
Oneself, Alone
Boy/Male
Bengali, Indian, Kannada, Marathi, Tamil
Handsome Gem
Surname or Lastname
English
English : nickname from Middle English scharp ‘keen’, ‘active’, ‘quick’.Irish (County Donegal) : Anglicized (part translated) form of Gaelic Ó Géaráin ‘descendant of Géarán’, a byname from a diminutive of géar ‘sharp’.Americanized form of any of several European names with similar meaning, for example German Scharf.
Male
Spanish
Portuguese and Spanish form of Roman Latin Gratianus, GRACIANO means "pleasing, agreeable."
Surname or Lastname
English
English : occupational name for a marksman, from an agent derivative of Middle English schoot(en) ‘to shoot’.Americanized spelling of German and Dutch Schutter.
RECTAL BLEEDING
RECTAL BLEEDING
RECTAL BLEEDING
RECTAL BLEEDING
RECTAL BLEEDING
a.
Pertaining to, or situated near, the surface; outer; -- opposed to ental.
n.
Revocation; abrogation; as, the repeal of a statute; the repeal of a law or a usage.
a.
Of or pertaining to the rictus; as, rictal bristles.
a.
Of or pertaining to the mind; intellectual; as, mental faculties; mental operations, conditions, or exercise.
a.
Confining to the bed; as, a lectual disease.
v. t.
To recall, as a deed, will, law, or statute; to revoke; to rescind or abrogate by authority, as by act of the legislature; as, to repeal a law.
a.
Done at retail; engaged in retailing commodities; as a retail trade; a retail grocer.
n.
A vocal or instrumental performance by one person; -- distinguished from concert; as, a song recital; an organ, piano, or violin recital.
n.
Recall, as from exile.
n.
The act of reciting; the repetition of the words of another, or of a document; rehearsal; as, the recital of testimony.
a.
Of or pertaining to the rectum; in the region of the rectum.
a.
Pertaining to, or connected with, a fetus; as, fetal circulation; fetal membranes.
v. t.
To recall; to summon again, as persons.
a.
Pertaining to a rector or governor.
v. t.
To cover with metal; as, to metal a ship's bottom; to metal a road.
pl.
of Rectus
n.
A sum total of rents; as, an estate that yields a rental of ten thousand dollars a year.
a.
Of or pertaining to the chin; genian; as, the mental nerve; the mental region.
v. t.
To call back; to summon to return; as, to recall troops; to recall an ambassador.