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Understanding Anal Prolapse: Causes, Symptoms, and Treatment

What should I do if I suspect that “something fell out” halfway through the bathroom? Can it be tucked back in? Dr. Chen Weiyou from colorectal surgery suggests that when you encounter such a situation, you should calm down first, don’t push hard, but observe what is falling out, and then deal with it separately. In addition, eating spicy hot pot and overeating are likely to cause diarrhea. However, many people worry about frequent diarrhea. Is it easy to have anal prolapse? Follow the treatment days to find out why the anal prolapse occurs? What about anal prolapse?

Why prolapse? The five major causes include long-term cough and diarrhea!

The so-called rectal prolapse refers to “rectal prolapse”. It is usually due to weak pelvic floor muscles, loose sphincter muscles, or chronic coughing and constipation, which increases intra-abdominal pressure and causes the rectum to disengage from its original position when going to the toilet. However, if we often have diarrhea, it may also cause excessive abdominal pressure, resulting in insufficient strength of the pelvic floor muscles to support the rectum during defecation, so that the rectal mucosa, anal canal, and part or all of the rectum may also prolapse from the anus.

Attention the four major ethnic groups!Long-term constipation, diarrhea, high risk of natural childbirth

The following 4 major groups have a higher probability of rectal prolapse, so special attention should be paid to it.

Children with malnutrition, natural births, women with more childbirth experience (women over 65 years old), long-term constipation, long-term diarrhea, and weak pelvic muscles are the four major groups that are prone to rectal prolapse Physicians want you to know: (What to eat for constipation? Top 10 rankings to help you defecate smoothly! Nutritionist: master 5 keys)

What about anal prolapse? Suddenly something “falls” out of the toilet!First confirm whether it is hemorrhoids or prolapse of the anus

Dr. Chen explained that usually something falls out of the anus when going to the toilet, which may be the following three situations:

1. Prolapse of hemorrhoids: The appearance of hemorrhoids is small meat balls one by one. In most cases of prolapsed hemorrhoids, you can easily push them back with your hands and apply medicine to relieve the pain. Unless it is too serious to push back, affects daily life or has bleeding, it is recommended to do hemorrhoid laser surgery to eliminate hemorrhoids.

2. Rectal mucosal prolapse: The length of rectal mucosal prolapse usually does not exceed 2 cm, and it will have a round, red appearance and smooth touch. In this case, it is usually easy to push back into the anus with your fingers after washing with warm water. But if you find that you can’t push it back, it is not recommended to push it hard, and you should see a doctor immediately. In order to avoid erosion, bleeding, or incarcerated necrosis of the prominent mucosa.

3. External rectal prolapse: rectal prolapse usually sees a red, oval object, and the prolapse exceeds 2 cm. In this case, it is not recommended to push it back forcibly, and it is recommended to seek medical examination. Wait until the doctor conducts digital rectal examination, defecation radiography, ultrasound, anoscopy and other examinations to confirm the cause of rectal prolapse and exclude other possibilities of disease, and then “reset” through surgery, so that it is not easy to relapse and cause adverse effects to other organs Impact.

What should I do if I suspect anal prolapse? Image source: Dr. Chen Weiyou, Colorectal Surgery Department, please care about me: (Anal bleeding and swelling seem to be hemorrhoids? Doctor: The treatment of hemorrhoids is not terrible!)

How to treat and improve the prolapse symptoms?

The improvement method of rectal prolapse is mainly to perform surgery from the anus, abdomen, and pelvic floor according to the patient’s physical condition and the severity of the prolapse, and fix the protruding rectal tissue to the sacrum of the pelvis to return the rectum to its original position. However, if the rectal prolapse is caused by constipation, it is recommended to remove the excess rectum and then pull the rectum back and fix it in the pelvic cavity. In this way, the nerves behind the rectum can be protected and constipation can be improved.

In general, rectal prolapse rarely causes the entire rectum to protrude at once. When the patient first defecates, he will first feel the discomfort of the swelling coming out, and the rectum can retract automatically at this time. Until the situation becomes more and more serious, the swelling will come out more and more frequently, and it must be pushed back by hand, or even to the point where it cannot be pushed back, it has to be dealt with by surgery.

Treatment day extension recommendation: (What to do with diarrhea? Understand the 6 major treatment methods and the causes of diarrhea at once! Let the intestines recover quickly)

Reminders for healing days

Rectal prolapse is often inseparable from the two major causes of “poor bowel habits” and “weak pelvic muscles”. Dr. Chen also suggested drinking plenty of water and taking in more fiber to form a good habit of defecation, and moderately doing “Kegel exercises” to strengthen the muscles around the pelvis, which can fundamentally prevent prolapse and make defecation easy and smooth.

It is recommended that if you feel pain during defecation, or have a strange feeling, you can first go to the colorectal surgery department to check whether there is rectal displacement or prolapse, so as to avoid prolapse accidents in the future.

Take a good day to heal your healthy life

This article is reproduced from:Dr. Chen Weiyou, Colorectal Surgery

Image source: 123RF

2023-07-12 16:00:00

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