Rectal Prolapse

  • Causes

    The rectum is held in place by ligaments and muscles. When these become weak, rectal prolapse occurs.

  • Definition

    Rectal Prolapse
    Rectal prolapse
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  • Diagnosis

    Your doctor will ask about your symptoms and medical history. A physical exam will be done. Tests may include:

    • Examination of the anus and rectum
    • Defecography—series of x-rays of the rectum and anus taken during a bowel movement
    • Anorectal manometry—measures the strength of the anal sphincter muscles, sensation in the rectum, and the reflexes needed for normal bowel movement
    • Colonoscopy
      —visual exam of the rectum and colon (large intestine) using a flexible tube with a tiny camera on the end

  • Prevention

    To help reduce your chance of rectal prolapse, take the following steps:

    • Eat a healthy diet that is
      high in fiber
    • Exercise regularly.
    • To train your bowels, create a routine. For example, try to go to the bathroom after lunch each day.
    • Do not rush when moving your bowels.
    • If you feel the urge to defecate, go to the bathroom.

  • Risk Factors

    These factors increase your chance of rectal prolapse. Talk to your doctor if you or your child has any of these risk factors:

    • Age: more common in children aged 1-3 years and in older adults (especially women after menopause)

    • For children:

      • Cystic fibrosis
      • Previous anal surgery
      • Malnutrition
      • Straining during bowel movements
      • Infections

    • For adults:

      • Straining during bowel movements
      • Pregnancy and the stress of childbirth
      • Weakness of pelvic floor muscles due to aging
      • Hemorrhoids

  • Symptoms

    If you have any of these, do not assume they are due to rectal prolapse. These symptoms may be caused by other conditions. Tell your doctor if you have any of these:

    • Fecal incontinence
      (inability to control bowel movements)
    • Bleeding or mucous from the anus
    • Constipation
    • Feeling of incomplete bowel movements
    • Loss of urge to defecate

    • Anal pain or
    • Tissue that sticks out of the anus
    • Pain during bowel movements

  • Treatment

    Prolapse in children tends to go away on its own. In adults, gentle pressure to the rectum can sometimes push the rectum back into place. The sooner the condition is treated, the better the outcome. Talk with your doctor about the best plan for you.