MyMediktor - Rectal prolapse

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Rectal prolapse occurs when the rectum passes through the anal opening.

Several factors influence its development, including pelvic floor defects, weakened anal sphincter muscles, an abnormally large colon, prolapse of the small intestine, constipation, diarrhoea and chronic cough.

The main symptom is pain during bowel movements, when the inner lining of the rectum protrudes through the anal opening. There may be slight bleeding.

Diagnosis is made by clinical history and physical examination, including a digital rectal examination. Additional tests may include blood tests and a colonoscopy.

Incomplete prolapse can be treated with a high-fibre diet. In complete cases, the alternative is surgery, which can be performed abdominally or perineally.

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 diarrhoea

Symptoms to watch out for

Find blood in the underwear

Inability to push the prolapse back inside the body

Difficulty controlling the sphincters and getting to the bathroom

Self-care

It is recommended to maintain a balanced diet, consume hydrosoluble fibers (fruits and vegetables), avoid food that produced gas (beans, cabbage, cauliflower, broccoli), carbonated beverages with preservatives, synthetic sweeteners, and refined sugar.

Maintain hydration of 2 litres per day.

Do pelvic floor muscle exercises (Kegel).

Avoid constipation: increase fiber intake and stay hydrated.