Rectal prolapse occurs when the rectum, the last part of the large intestine, protrudes outside of the anus. This condition can cause discomfort, pain, and bleeding. Here’s what you need to know about rectal prolapse:
Causes:
- Weakness or damage to the muscles and tissues that support the rectum and anus
- Chronic constipation
- Straining during bowel movements
- Chronic coughing
- Pelvic floor dysfunction
- Pregnancy and childbirth
- Aging
- Neurological disorders like multiple sclerosis and spinal cord injuries
Symptoms:
- Protrusion of the rectum outside of the anus
- A feeling of fullness or a lump in the anus
- Pain or discomfort during bowel movements
- Bleeding or mucus discharge from the anus
- Inability to control bowel movements (fecal incontinence)
- Anal itching or irritation
Diagnosis:
- Physical examination of the anus and rectum
- Digital rectal exam
- Anoscopy
- Sigmoidoscopy or colonoscopy
- Imaging tests like X-rays, MRI, or ultrasound
Treatment:
- Conservative measures like dietary changes, increasing fiber and water intake, and stool softeners
- Biofeedback therapy to strengthen pelvic floor muscles
- Surgical treatment, including rectopexy, sigmoid resection, or perineal proctectomy
Prevention:
- Maintaining good bowel habits by avoiding constipation and straining during bowel movements
- Maintaining a healthy weight
- Strengthening pelvic floor muscles through exercise or physical therapy
- Avoiding prolonged sitting or standing
Myths and Facts:
Myth: Rectal prolapse only occurs in elderly women.
Fact: Rectal prolapse can occur in people of all ages and genders.
Myth: Surgery is the only treatment for rectal prolapse.
Fact: Conservative measures like dietary changes and pelvic floor muscle exercises may be effective in treating mild cases of rectal prolapse.
FAQs:
Q: Can rectal prolapse go away on its own?
A: In some cases, rectal prolapse may resolve on its own without treatment. However, it’s important to see a healthcare provider if you experience rectal prolapse to rule out any underlying conditions.
Q: Is rectal prolapse a sign of cancer?
A: Rectal prolapse itself is not a sign of cancer, but it can be associated with other conditions like rectal tumors or inflammatory bowel disease.
