General Practice 2022

Causes of infantile rectal prolapse and how é done the treatment

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Causes of infantile rectal prolapse and how é done the treatment
Causes of infantile rectal prolapse and how é done the treatment

Infant rectal prolapse happens when the rectum comes out of the anus, and can be seen as a red, moist, tube-shaped tissue. This situation is more common in children up to 4 years of age due to the fact that the muscles and ligaments that support the final part of the intestine, the rectum, are in formation and are not yet strongly attached to the abdominal wall.

Thus, during the child's development, the walls of the rectum are loose and without fixation, causing rectal prolapse to occur, especially if the child has frequent diarrhea.

Other possible causes of rectal prolapse in children can be constipation with very hard and dry stools, with straining to evacuate, malnutrition, dehydration and infection with parasites such as amoebiasis or giardiasis, for example..

Causes of infantile rectal prolapse

Child rectal prolapse can happen between 1 and 4 years of age, it is more common in boys than in girls and can happen due to several situations, the main ones being:

  • Constipation with very hard and dry stools;
  • Excessive straining to evacuate;
  • Decrease or lack of strength of the anus muscle;
  • Malnutrition;
  • Dehydration;
  • Parasite infection;
  • Cystic Fibrosis;
  • Inflammatory bowel disease.

Infantile rectal prolapse can be identified by the pediatrician or by the coloproctologist by observing the presence of dark red tissue in the shape of a tube outside the anus. In addition, it is possible to check the presence of blood in the stool, abdominal discomfort and change in bowel habits, for example.Here's how to identify rectal prolapse.

How is the treatment

In most cases, infantile rectal prolapse resolves spontaneously as the child grows and the muscles and bones in the region are strengthened and able to support the rectum. Thus, pediatric rectal prolapse usually does not require treatment, and only follow-up by a pediatrician is recommended.

However, when the prolapse does not regress naturally, is extensive and causes a lot of discomfort in the child, it may be necessary to insert the rectum manually by the doctor or, in more severe cases, through surgery. Understand how rectal prolapse is treated.

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