Rectal Prolapse (Mucosal Prolapse; Partial Prolapse; Complete Prolapse; Internal Prolapse)
Description rectal prolapse
The rectum is the final portion of the large intestine. Loss occurs, when part of the rectum stretches and falls through the anus. This can occur when straining during bowel movements. If you think, that you have this disease, immediately seek medical advice.
Causes of rectal prolapse
The rectum is held in place by ligaments and muscles. When they become weak, Rectal prolapse occurs.
Risk factors for rectal prolapse
Factors, which can increase the risk of rectal prolapse include:
- Age: more common in children 1-3 years and elderly people (especially in women after menopause);
- For children:
- Mukovystsydoz;
- Previous anal surgery;
- Malnutrition;
- Tension during defecation;
- Infection;
- For adults:
- Tension during defecation;
- Pregnancy and childbirth heavy;
- The weakness of the pelvic floor muscles due to aging;
- Hemorrhoids.
Symptoms of rectal prolapse
These symptoms, except for rectal prolapse, They may be caused by other diseases. If you experience any of them, should seek medical advice immediately.
- Scatacratia (inability to control bowel movements);
- Bleeding or mucous discharge from the anus;
- Constipation;
- Feeling of incomplete bowel movements;
- Loss of urge to defecate;
- Anal itching or pain;
- Cloth, protruding from the anus;
- Pain during bowel movements.
Diagnosis of rectal prolapse
The doctor will ask about your symptoms and medical history, and perform a physical examination. Tests may include:
- Examination of the anus and rectum;
- Дефекография – серия рентгеновских снимков прямой кишки и ануса, taken during a bowel movement;
- Аноректальная манометрия – измеряет силу мышц анального сфинктера, sensation in the rectum, and reflexes, needed for normal bowel movement;
- Колоноскопия – визуальный осмотр прямой и ободочной кишки (colon) using a flexible tube with a tiny camera on the end.
Treatment of rectal prolapse
Prolapse in children tends to take itself. In adults,, slight pressure to the rectum can sometimes help establish it in place. The sooner treatment begins rectal prolapse, the better the result.
Medication on a roll of the rectum
Some medications can help reduce pain and straining during bowel movements. Your doctor may recommend stool softeners and biological agents, such as:
- Docusate sodium;
- Plantain (eg, Metamuцil);
- Methyl cellulose (eg, Citrucel).
Surgery for rectal prolapse
In some cases, surgery may be needed. Operations, used to treat rectal prolapse:
- Лапароскопическая ректопексия – лапароскоп вводится через небольшой разрез в брюшную полость. The rectum is secured in place sutures;
- Резекция промежности – в прямой кишке будет сделан разрез. Cloth, which falls from the anus removed.
Prevention of rectal prolapse
To reduce the chance of rectal prolapse:
- Eat a healthy diet high in fiber;
- Exercise regularly;
- Try to go to the toilet at the same time every day, eg, after lunch;
- Take your time, if you feel the movement of the intestines;
- If you feel the urge to defecate, go to the toilet.