Rectal prolapse

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Overview

Rectal prolapse is the protrusion of rectal mucosa or the entire wall of the rectum.

Partial prolapse involves only the mucosa and usually stands outside the anus only a few centimeters. Complete prolapse affects all layers of the rectal wall.


Contents

1. Overview
2. Causes of rectal prolapse
3. Symptoms of rectal prolapse
4. Treatment of children with rectal prolapse
5. Treatment of adults with rectal prolapse


Causes of rectal prolapse

Rectal prolapse is caused by weakened ligaments and muscles supporting the rectum position. In most of the cases of rectal prolapse, anal sphincter muscles are relaxed. The exact cause of this weakness is unknown. However, rectal prolapse is usually associated with the following conditions:

- age
- long term constipation
- long term diarrhea
- straining during defecation
- pregnancy and birth stress
- cystic fibrosis
- chronic obstructive pulmonary disease
- whooping cough
- multiple sclerosis
- paralysis.


Symptoms of rectal prolapse

Manifestations of rectal prolapse are similar to those of hemorrhoids. A person with rectal prolapse may feel the tissue that stands outside the anus and may experience the following symptoms:

- pain during bowel movements
- mucus or bloody discharge from tissue protruding
- fecal incontinence
- absence of the need to defecate
- awareness tissue that stands outside the anus, when used toilet paper.

In the early stages of a rectal prolapse, protrusion may occur during bowel movements and to retire later.


Treatment of children with rectal prolapse

In children, rectal prolapse resolves by itself. One of the parents should keep under observation the rectal prolapse with home care methods until it heals. If the child is suffering from rectal prolapse, to prevent its recurrence can be taken the following measures:

- pushing the tissue that had slipped from the anus, as soon as it is visible. Wear disposable latex and lubricant gel for this operation. Apply ice for the swelling to diminish.
- would be indicated that during a bowel movement the kid to use a potty placed on the floor. This position will decrease the likelihood of forcing it.
- most children who develop rectal prolapse between the ages of 9 months and 3 years will respond very well to treatment at home. In these cases rectal prolapse will continue to be present after the age of 6 years.


Treatment of adults with rectal prolapse

Treatment of rectal prolapse in adults will focus on dietary changes, medications such as laxatives and may need even surgery. Choice of treatment depends on the type of prolapse, the presence of other health problems, age, activity level and if it can be treated at home. The first choice is the home treatment, because the surgery can’t always help to treat the condition.

You can treat a prolapsed part by dietary changes in order to exclude constipation and straining during bowel movements. Adding dietary fiber increases the amount of water in the stool and helps it move faster through your intestines. You can also use a prescription such as lactulose, which soften the stool and allow movement and its passage through the intestine more easily.

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