MyMediktor - Rectal prolapse

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Rectal prolapse is the exit of the rectum through the anal opening.

Multiple factors influence its development, including pelvic floor defects, weakened anal sphincter muscles, abnormally long colon, small bowel prolapse, constipation, diarrhea and chronic cough.

The main manifestation is pain during defecation, at which time the inner lining of the rectum protrudes through the anal opening. It may bleed slightly.

The diagnosis is made through clinical history and physical examination, which will include a rectal examination. Blood tests and a colonoscopy may be performed as complementary tests.

Cases of non-complete prolapse can be treated with a high-fiber diet. In complete cases, the alternative is surgery, which can be performed via abdominal or perineal route.

Bibliographic references

Rizwan Ahmed, Susan L. Gearhart. Diverticulosis y trastornos anorrectales frecuentes. Harrison. Principios de Medicina Interna. Volumen 2. 19ª Edición. 1971:1978.

Symptoms

Rectum comes out through the anus

Lump in the anus

Anal pain increases with defecation

Urge to defecate without being able to do so

Watery diarrhea

Symptoms to watch out for

Find blood on underwear

Inability to push the prolapse back into the body

Difficulty controlling sphincters and reaching the toilet

Self-care

It is recommended to follow a balanced diet, consume water-soluble fiber (fruits and vegetables), avoid gas-producing foods (beans, cabbage, cauliflower, broccoli), carbonated beverages with preservatives, synthetic sweeteners and refined sugar.

Maintain a fluid intake of 6 - 8 cups per day.

Do Kegel-type pelvic floor exercises.

Avoid constipation: Increase fiber intake and stay hydrated.