Gastrointestinal Disorders 2022

What to do in case of Rectal Prolapse

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What to do in case of Rectal Prolapse
What to do in case of Rectal Prolapse
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What to do in case of rectal prolapse is to go quickly to the hospital to confirm the diagnosis and start the most appropriate treatment, which often includes the use of surgery, especially in adults.

However, as prolapse can cause discomfort, before going to the hospital you can:

  1. Try to gently push the externalized part of the rectum towards the inside of the body, with washed hands;
  2. Pressing one buttock against the other to prevent the rectum from coming out again.

In some cases the prolapse can be placed in the correct place with the hands and not come out again. However, after a few hours, or days, the prolapse may reappear, as the weakening of the muscles continues.Therefore, it is always important to consult a doctor to assess the need for surgery.

In children, it is very common for the prolapse to disappear with growth and, therefore, although the first time it needs to be evaluated by the doctor, in the following times the prolapse can only be placed in place, being only important to report to the pediatrician what happened.

What is the best treatment

The only effective solution for rectal prolapse in adults, especially if it is frequent, is surgical treatment for rectal prolapse, which consists of removing a part of the rectum and fixing it to the sacrum via the perineum or abdominal. Surgery for rectal prolapse is a simple intervention and the sooner it is done, the sooner damage to the rectum is prevented.

Learn more about how this surgery is performed and what other treatment options are available.

What happens if no treatment is done

If the treatment is not done properly or if the doctor informs you that surgery is necessary, but the person chooses not to do it, there is a very high risk that the prolapse will increase over time.

As the prolapse increases in size, the anal sphincter is also stretched, leaving it with less force. When this happens, there is a great risk that the person will develop fecal incontinence, as the sphincter is no longer able to hold the stool.

Who is most at risk for prolapse

Rectal prolapse usually appears in people with weakness of the muscles of the pelvic region, being therefore more frequent in children or the elderly. However, the risk also increases in people with:

  • Constipation;
  • Intestinal malformation;
  • Prostate enlargement;
  • Intestinal infections.

These causes can lead to the appearance of prolapse mainly due to increased pressure in the abdominal region. Thus, people who have to strain to evacuate are also at increased risk of having a prolapse.

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