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Rectal Prolapse (cont.)

IN THIS ARTICLE

What Natural or Home Remedies Treat and Relieve Rectal Prolapse Pain?

Almost all cases require medical care, and in most cases, surgery is required to treat and cure the problem. Most cases will worsen without surgery. Occasionally, successful treatment of an underlying cause of a prolapsed rectum may resolve the problem. However, these scenarios usually involve infants or children.

The cause of this condition in many patients are constipation or straining while having a bowel movement.

These tips may help ease bowel movements and ease symptoms.

  • Try to avoid or reduce straining during a bowel movement. However, it may not be enough to correct the condition.
  • Ease constipation and straining by eating plenty of fruits and vegetables and other fiber-filled foods, and drinking lots of water.
  • Use stool softener if needed to help prevent straining during bowel movements.
  • If a doctor has diagnosed you with the condition, and with his or her guidance you may be able to manually push the prolapse back into place. Check with your doctor about whether this is something you should do yourself, and how to do it effectively.
  • For infants and children, reducing the need to strain during bowel movements with stool softeners may correct a prolapsed rectum.
  • Women may find pelvic floor exercises (for example, Kegel exercises) can help improve symptoms.
  • A doctor should always be consulted before any attempt to treat this condition at home.

Can Rectal Prolapse Be Treated Without Surgery?

The treatment standard to cure the condition is surgery. Medical treatment is normally used to ease the symptoms of a prolapsed rectum temporarily or to prepare the patient for surgery. Bulking agents (such as bran or psyllium), stool softeners, and suppositories or enemas are used for these purposes.

What Is Rectal Prolapse Surgery?

Patient Comments

The treatment goal of all of the surgical techniques used to correct a prolapsed rectum is to attach or secure the rectum to the back side (or posterior) part of the inner pelvis. Surgery is performed through either the abdomen or the perineum.

  • Surgery through the abdomen
    • Typically performed in younger or healthier patients
    • Type of abdominal surgery usually determined by severity of associated constipation
    • Associated with higher morbidity rate than perineal approach but lower recurrence rate of prolapse
    • Performed under general anesthesia
    • Usually involves a hospital stay of 3-7 days
  • Perineal approach
    • Typically performed in elderly people or people in poor health
    • Approach for a patient who cannot tolerate general anesthesia
    • Associated with higher recurrence rate than abdominal approach
    • Usually involves a shorter hospital stay

If a patient is too weak for surgery, a doctor can prevent a prolapse by inserting a wire or plastic loop to hold the sphincter closed.

What Is the Surgery Recovery Time?

After surgery, a Foley catheter may be left in place for a day or two and the patient may need to follow a liquid diet until normal bowel functions return.

A perineal surgery may require one to three days in the hospital, and abdominal surgery may require up to a week.

The recovery time following either type of surgery is several weeks and involves adding fiber to the diet and avoiding:

  • Straining with bowel movements
  • Sexual intercourse
  • Sneezing
  • Lifting
  • Coughing
  • Extended periods of standing

The patient will likely need one or two follow-up visits to their doctor within the first month after surgery to check that incisions are healing well and to make sure bowel movements are normal.

How Can You Prevent Rectal Prolapse?

  • A high-fiber diet and a daily intake of plenty of fluids can reduce a person's risk of developing constipation.
  • Avoid straining during bowel movements.
  • A person with long-term diarrhea, constipation, or hemorrhoids should seek medical attention to treat these conditions in order to lessen the chance of developing a prolapsed rectum.

What Is the Outlook and Prognosis for a Person with Rectal Prolapse?

With timely and appropriate treatment, most people who undergo surgery experience few or no symptoms related to rectal prolapse after surgery. Several factors, including age, severity of the prolapse, type of surgical approach, and health of the patient, contribute to the quality and speed of a person's recovery.

What Does Rectal Prolapse Look Like (Pictures)?

Full-thickness rectal prolapse.
Full-thickness rectal prolapse.
Marlex rectopexy (a surgical procedure approaching through the abdomen).
Marlex rectopexy (a surgical procedure approaching through the abdomen).
Delorme mucosal sleeve resection (a perineal surgical procedure).
Delorme mucosal sleeve resection (a perineal surgical procedure).
Altemeier perineal rectosigmoidectomy (a perineal surgical procedure).
Altemeier perineal rectosigmoidectomy (a perineal surgical procedure).

REFERENCE:

Kronfol, R., MD. "Overview of rectal prolapse in children." UpToDate. Updated: Mar 30, 2016.
<http://www.uptodate.com/contents/overview-of-rectal-prolapse-in-children>

Varma, Madhulika G M.D. "Overview of Rectal Procidentia (Rectal Prolapse)." UptoDate. Jun 3, 2015.
<http://www.uptodate.com/contents/overview-of-rectal-procidentia-rectal-prolapse>


Medically Reviewed by a Doctor on 1/31/2017
Medical Editor:

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Patient Comments & Reviews

The eMedicineHealth doctors ask about Rectal Prolapse:

Rectal Prolapse - Experience

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Rectal Prolapse - Causes

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Rectal Prolapse - Recovery

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Rectal Prolapse - Surgery

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Read What Your Physician is Reading on Medscape

Rectal Prolapse »

Rectal prolapse was described as early as 1500 BC.

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