• Dr.Bhavik Rana(Consultant)|Vapi & Valsad

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Prolapse Rectum

Prolapse Rectum

If you feel like something just isn’t right when you poop, or try to poop, you shouldn’t ignore it or make light of it.
Rectal prolapse is a medical condition in which the rectum starts to push through the anus. The rectum is that last part of your large intestine, and the anus is the opening through which stool exits your body.
If you feel like you’re sitting on a ball after pooping, or if you notice that you have something sticking out of the opening (your anus) where you poop, you could have what is called rectal prolapse.
Women over 50 are six times more likely than men to have this condition. It’s often suspected when the problem is actually a serious case of hemorrhoids.


Types of Rectal Prolapse

There are three types of prolapse::

  • The entire rectum sticks out of your anus.
  • Part of the rectal lining pokes out of your anus.
  • The rectum has started to drop but is not yet sticking out of your anus.

Symptoms

The symptoms of rectal prolapse tend to come on slowly. The first symptom you’ll notice is the feeling that there is a bulge at your anus. It may seem as though you are sitting on a ball.

With a mirror, you may be able to see a reddish-colored bulge peeking through or actually extending out of your anus. Sometimes during a bowel movement, a small part of the rectum will emerge, but may retreat on its own or be easily pushed back into place.

Normal physical activity, such as walking, sitting, and exercising, may also cause part of the rectum to push through your anus. At first, it can be returned to its proper location by hand.

If rectal prolapse worsens, there could be bleeding from the inner lining of the rectum. In cases of partial or complete prolapse, you may have trouble controlling liquid or solid bowel movement and gas from your rectum.

Up to half of the people with rectal prolapse experience constipation, while others may have episodes of constipation and incontinence.

Causes

A variety of things can cause the condition, including:

  • Long-term history of diarrhea or constipation
  • Long-term history of having to strain when you poop.
  • Old age, which weakens muscles and ligaments in the rectal area
  • Previous injury to the anal or hip area
  • Nerve damage that affects your muscles’ ability to tighten and loosen

Who Is At Risk of Getting It

More women develop rectal prolapse than men, especially women older than 50. In general, older people who have had a history of constipation or problems with their pelvic floor have a higher chance of having the problem.: