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Rectal prolapse : Causes, Types, Symptoms, Diagnosis and Treatment

 What is Rectal prolapse?

Rectal prolapse happens once the body part (the lower finish of the massive intestine) falls from its traditional position among the girdle space. In some cases of terribly minor, early prolapse, treatment will begin reception with the utilization of stool softeners. However, surgery is going to be necessary to repair the prolapse.

Rectal prolapse happens once the body part (the last section of the massive intestine) falls from its traditional position among the girdle space and stands proud through the orifice. (The word "prolapse" suggests a falling down or slipping of a part from its usual position.)

Rectal prolapse is common in older adults WHO have a long-run history of constipation or a weakness within the girdle floor muscles. it's a lot of common in ladies than in men, and even a lot of common in ladies over the age of fifty (postmenopausal women), however happens in younger individuals too. body part prolapse can even occur in infants – that may well be an indication of monogenic disease – and in older kids.

No. body part prolapse results from a slippage of the attachments of the last portion of the massive gut. Hemorrhoids square measure swollen blood vessels that develop within the orifice and lower body part. Hemorrhoids will turn out anal skin sensation and pain, discomfort and bright red blood on tissue. Early body part prolapse will seem like internal hemorrhoids that have slipped out of the orifice (i.e., prolapsed), creating it tough to inform these 2 conditions apart.


What is Rectal prolapse


Explanation of medical terms and concepts Rectal prolapse

Rectal prolapse happens once a part of the big intestine's lowest section (rectum) slips outside the muscular gap at the tip of the digestive tube (anus). whereas body part prolapse might cause discomfort, it's seldom a medical emergency.

Rectal prolapse will generally be treated with stool softeners, suppositories and different medications. However surgery is typically required to treat body part prolapse.

causes The disorders which lead to rectal prolapse are categorized into : 1. Congenital defect 2. Pressure effect caused by long term constipation or diarrhea 3. Trauma like a blow trauma of the pelvis or rectum causing tears in muscles around the rectum leading to weakness and strain of the wall of the rectum eventually resulting in rectal prolapse 4. Radiation therapy can damage plexus nerves and lead to incontinence and fecal impaction 5. Neuromuscular diseases like spina bifida can lead to nerve damage with resultant loss

Rectal prolapse is the condition of a portion of the rectum (most often the lower end) slipping down into the anus It is usually <5 cm but may be up to 20 cm in extreme cases About 1 in 200 people develop this condition at some point during their lifetime and are mostly over 50 years old Rectal prolapse is more common in women than men and more common with increasing age

Symptoms Rectal prolapse

The symptoms of body part prolapse embody the sensation of a bulge or the looks of reddish-colored mass that extends outside the arse. At first, this could occur throughout or when intestine movements and could be a temporary condition. However, over time – as a result of a normal quantity of standing and walking – the top of the body part could even extend out of the anal canal impromptu, and should ought to be pushed make a copy into the arse by hand.

Other symptoms of body part prolapse embody pain within the arse and body part and hemorrhage from the inner lining of the body part. These squares measure seldom grave symptoms.

Fecal incontinence is another symptom. unclean incontinence refers to discharge of secretion, blood or stool from the arse. this happens as a results of the body part stretching the anal muscle. Symptoms change because the body part prolapse itself progresses.

If you've got body part prolapse, you'll notice a carmine mass that comes out of the arse, usually whereas staining throughout a laxative. The mass could slip back within the arse, or it's going to stay visible.

 

Other symptoms could include:

  • The inability to control bowel movements (fecal incontinence)

  • Constipation or diarrhea

  • Leaking blood or mucus from the rectum

  • Feeling that your rectum isn't empty after a bowel movement

Causes Rectal prolapse

Chronic (long-term) constipation or chronic looseness of the bowels

Long-term history of straining throughout internal organ movements

Older age: Muscles and ligaments within the body part and arsehole naturally weaken with age. alternative close structures within the pelvis space conjointly loosen with age, that adds to the overall weakness in this space of the body.

Weakening of the anal sphincter: this is often the precise muscle that controls the discharge of stool from the body part.

Earlier injury to the anal or girdle areas

Damage to nerves: If the nerves that manage the power of the body part and arsehole muscles to contract (shrink) are broken, body part prolapse may result. Nerve injury may be caused by physiological state, troublesome channel accouchement, sphincter muscle dysfunction, spinal injury, back injury/back surgery and/or alternative surgeries of the girdle space.

Other diseases, conditions and infections: body part prolapse may be a consequence of polygenic disease, mucoviscidosis, chronic preventative respiratory organ unwellness, extirpation, and infections within the intestines caused by parasites – like pinworms and whipworms – and diseases ensuing from poor nutrition or from problem digesting foods.

The cause for body part prolapse is unclear. tho' it is a common assumption that body part prolapse is related to accouchement, regarding a simple fraction of ladies with the condition have not had youngsters.

Risk factors Rectal prolapse

Certain factors may increase your risk of developing rectal prolapse, including:

  • Sex. A majority of people with rectal prolapse are women.

  • Age. Rectal prolapse is more common in people over age 50.

Diagnosis Rectal prolapse

First, your doctor can take your case history and can perform a body part test. you'll be asked to "strain" whereas sitting on a commode to mimic associate actual shitting. Having the ability to visualize the prolapse helps your doctor ensure the identification and arrange treatment.

Other conditions, like incontinence, bladder prolapse and vaginal/uterine prolapse, may be given together with body part prolapse. owing to the variability of potential issues, urologists, urogynecologists and different specialists usually team along to share evaluations and create joint treatment selections. During this manner, surgeries to repair any combination of those issues are done at identical times.

Doctors will use many tests to diagnose body part prolapse and different girdle floor issues, and to assist confirm the simplest treatment for you. Tests want to value and create treatment.

Sometimes it is tough to tell apart body part prolapse from hemorrhoids. to assist diagnose body part prolapse and rule out different associated conditions, your doctor could recommend:

  • Digital rectal exam. Your doctor inserts a gloved and greased finger into your body part to gauge the strength of your musculus muscles and to see for any abnormalities within the body part space. throughout the communicating your doctor could raise you in-tuned down, to see for body part prolapse. 

  • Anal manometry. A narrow, versatile tube is inserted into the asshole and body part. a little balloon at the tip of the tube could also be enlarged. This take a look at helps live the tightness of your sphincter muscle and therefore the sensitivity and functioning of your body part. 

  • Colonoscopy. To rule out other conditions, such as polyps or colon cancer, you may have a colonoscopy, in which a flexible tube is inserted into your rectum to inspect the entire colon.

  • Defecography. This procedure combines the employment of a different agent with associate degree imaging study, like x-ray or resonance imaging (MRI). Defecography will facilitate revealing structural changes in and around your lower digestive tract and show however well your body part muscles are operating. 

Treatment Rectal prolapse

In some cases of terribly minor, early prolapse, treatment will begin reception with the employment of stool softeners and by pushing the fallen tissue keep a copy into the asshole by hand. However, surgery is sometimes necessary to repair the prolapse.

There are many surgical approaches. The surgeon’s selection depends on the patient's age, alternative existing health issues, the extent of the prolapse, results of the test and alternative tests and therefore the surgeon’s preference and skill with certain techniques.

Abdominal and body part (also referred to as perineal) surgery area unit the 2 commonest approaches to body part prolapse repair.

Treatment for body part prolapse sometimes involves surgery. alternative treatments embody varied therapies for constipation, as well as stool softeners, suppositories and alternative medications. There are some completely different surgical ways for treating body part prolapse. Your doctor can select the simplest approach for you when considering your age, strength and intestine performance.

Treatment usually begins with steps to avoid constipation and straining. If your body part prolapse is severe enough and interferes together with your quality of life, your attention supplier can most likely suggest surgery.

 

Types of surgery include: 

 

  • Repair done through the abdomen. A cut is made through the lower belly, and the rectum is attached to the lower part of the backbone to support it and keep it in place.

  • Repair done through the rectum. During this operation, your surgeon must remove the part of the rectum that has prolapsed and join the two ends.

  • Repair done by combining these technique

General summary

It can take as long as six weeks for a rectal prolapse to heal on its own and the longer it takes the higher chance of recurrence In more severe cases that have not healed after three months or so surgical treatment may be necessary During surgery an anal surgeon will remove the rectal prolapse and reattach the surrounding tissue

What happens if rectal prolapse is left untreated?

If you have rectal prolapse a healthy diet and exercise can help but if left untreated the condition will worsen As the rectum continues to protrude from the body it may twist or become entrapped in nearby structures like the vagina making it difficult to defecate If a tumor is present near the rectum surgical removal of the tumor can be done along with repair of the rectal prolapse In some cases surgery is not an option because of severe bleeding or advanced age and treatment with medication is used instead Surgical extraction of parts of or all of the colon might be necessary in extreme cases

Is rectal prolapse serious?

Although it might seem like a serious condition rectal prolapse is primarily an embarrassing and uncomfortable problem It usually occurs in older people whose rectums have become weakened due to long-term diarrhea or chronic constipation but it can also be caused by childbirth Rectal prolapse isn't as common among younger people as it is in the geriatric population but it can occur at any age if the muscle tissue of the rectum stretches beyond its normal capacity You're more likely to experience this problem if you have other medical conditions that weaken your body's muscles such as multiple sclerosis

Can I push my prolapse back up?

If you've lost control over the loss of internal organs it's important to see a doctor However you can try some basic home treatments to regain control and help reduce your risk of further complications that may arise due to prolapse The most common treatment for uterine prolapse is learning Kegel exercises Once mastered these exercises can be performed at home and during daily activities without interrupting your life

Can you poop with rectal prolapse?

Rectal prolapse is a condition in which the rectum and part of the sigmoid colon protrudes outside the anus The syndrome can be mild or severe depending on how much of the rectum and colon are displaced out A person with mild rectal prolapse may have just a small amount of tissue that sticks out while someone with severe rectal prolapse will have more tissue that protrudes outside his body With either form it is important to seek medical attention as soon as possible

Does rectal prolapse get worse?

Rectal prolapse is a condition that happens to both women and men but it is believed that the majority of patients are females Rectal prolapse affects millions of people around the world and its main symptoms are: rectal bleeding constipation and pain in back area This condition can be treated with surgery if patients don’t follow home treatment procedures Surgery process will take several hours with an average cost of $6,000-$8,000 for the whole process The cure rate for this medical condition is 95%

How urgent is a rectal prolapse?

A rectal prolapse occurs when the rectum which is the last portion of the large intestine that transports stool to be expelled from the body falls out of place The condition has a wide range of severity and immediate attention should be sought if symptoms are present

Rectal prolapse occurs when the rectum extends beyond the anus The most common symptoms of rectal prolapse include a sensation that something is hanging outside the anus and painless rectal bleeding The condition typically affects infants children and elderly people Symptoms can vary greatly based on how far the rectum has prolapsed out of the body It can be treated by surgery but in rare cases it may not need any treatment at all A person with rectal prolapse must seek medical care immediately because complications such as infection are possible particularly if there is fecal incontinence or lack of control over bowel movements according

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Rectal prolapse : Causes, Types, Symptoms, Diagnosis and Treatment

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