What is Rectal Prolapse
Rectal Prolapse is a medical condition where part or all of the wall of the rectum slides out of place, sometimes sticking out of the anus. It occurs when the muscles and ligaments supporting the rectum become weakened, causing the rectum to descend.
Type of Rectal Prolapse
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Internal Prolapse
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Mucosal Prolapse
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Full-Thickness Prolapse
Symptoms of Rectal Prolapse
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A bulging or protrusion of tissue from the rectum that can be seen outside the anus
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Feeling of a lump or mass coming out of the anus
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Anal pain or discomfort
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Bleeding from the rectum
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Mucous discharge
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Fecal incontinence or the inability to control bowel movements
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Constipation or the feeling of incomplete bowel movements
Causes of Rectal Prolapse
- Chronic constipation or straining during bowel movements
- Long-term history of diarrhea
- Weakness in the pelvic floor muscles
- Previous surgery or trauma to the pelvic area
- Neurological disorders affecting the nerves of the pelvic floor
- Age-related weakening of muscles and ligaments
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Diagnosis of Rectal Prolapse
Physical examination,
Anoscopy or proctoscopy to view the inside of the rectum
Defecography (X-ray or MRI study) to observe bowel movement mechanics
Colonoscopy to rule out other conditions such as tumors
MRI or pelvic floor imaging for a detailed view of the pelvic organs
Rectal Prolapse Treatment in Ahmedabad
Non-Surgical
- Stool softeners and laxatives to prevent constipation
- Dietary changes to increase fiber intake
- Pelvic floor exercises (e.g., Kegel exercises)
- Manual reduction of the prolapse
Surgical
- Rectopexy: Surgery to attach the rectum to the sacrum
- Perineal surgery: Removal of the prolapsed section through the perineum
- Laparoscopic or robotic-assisted procedures for minimally invasive correction
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Dr. Ankit R. Patel, Consultant Medical Gastroenterology, Hepatology and Endoscopy at Kaizen Institute of Gastroenterology & research centre, has completed his graduation & post graduation from Pramukhswami Medical College, Karamsad, Gujarat and completed DNB Gastroenterology and Hepatology training at Apollo Hospital, Chennai. He was awarded degree of Diplomate of National Board (DNB – Medical Gastroenterology) by NBE.
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Risk Factor of Rectal Prolapse
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Older age, particularly women
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Chronic constipation or diarrhea
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History of pelvic surgery
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Neurological conditions affecting bowel control
Prevention of Rectal Prolapse
- Maintain a diet high in fiber to prevent constipation
- Stay hydrated with plenty of fluids
- Avoid straining during bowel movements
- Engage in regular physical activity to strengthen pelvic floor muscles
- Perform pelvic floor exercises regularly
- Seek medical treatment for chronic constipation or diarrhea promptly
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Read All The Frequently Asked Questions About Rectal Prolapse
FAQ’S
Yes, lifestyle changes such as a high-fiber diet, staying hydrated, regular exercise, and avoiding heavy lifting or straining can help manage symptoms and reduce the risk of worsening the prolapse.
You should see a doctor if you notice symptoms such as a bulging from the rectum, anal pain, bleeding, or any changes in bowel habits. Early diagnosis and treatment can prevent complications and improve outcomes.
While not usually life-threatening, rectal prolapse can cause significant discomfort, pain, and complications like fecal incontinence and chronic bleeding if left untreated.