Archoptosis – Rectal prolapse

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;
• Defekografiя – series of x-rays of the rectum and anus, taken during a bowel movement;
• Anorectal manometry – It measures the strength of the anal sphincter muscles, sensation in the rectum, and reflexes, needed for normal bowel movement;
• Colonoscopy – visual inspection of the rectum and colon (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:

• Laparoscopic rectopexy – laparoscope inserted through a small incision into the abdominal cavity. The rectum is secured in place sutures;
• Perineal resection – in the rectum to make the cut. 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.