Rectal prolapse is a condition marked by slipping off the last portion of the large intestine, i.e. the rectum, out of the anus. Although it does sound a little scary, it is not a serious condition and does not call for the need for a medical emergency. However, proper treatment is a must, to negate the risks of unnecessary complications and prevent the problem from getting worse. Although the problem can affect anyone, as per the experts specialising in rectal prolapse treatment in Jaipur, it is more common in older women, usually about the age of 50.
- Rectal prolapse is broadly classified into the following three types:
- External prolapse, in which the entire rectum is sticking out of the patient’s anus
- Mucosal prolapse, in which a portion of the rectal lining is sticking out of the anus
Internal prolapse, in which the rectum is not sticking out of the anus, even after dropping from its position.
How will you know if you have rectal prolapse?
Patients suffering from the condition usually feel that something is not right when they try to poop. It may feel like you’re sitting on a ball after using the washroom, or you may even notice something sticking out of your anus when you are on the toilet seat. The symptoms are usually experienced during or after bowel movements. Initially, the rectum will go back inside, on its own. Gradually, the symptoms will become more prominent and you will have a constant feeling that something is not right down there. Experts specialising in rectal prolapse treatment in Jaipur suggest that some patients might even be able to push their rectum back by themselves. But this is just a temporary solution.
Other symptoms associated with rectal prolapse include:
- Noticing a bulge outside your anus
- Anal or rectal pain
- Rectal bleeding
- Bowel incontinence
Some people also mistake rectal prolapse for haemorrhoids, however, it is important to understand that both conditions are different from each other. The latter is caused by the swelling of blood vessels present inside the anus. It is often accompanied by itching, pain and bleeding.
What causes rectal prolapse?
Rectal prolapse can be a result of various factors, and we have mentioned some of the most common of these here:
- History of chronic diarrhoea constipation
- Experiencing strain during bowel movements
- Weakening of the rectal muscles and ligaments due to ageing
- Chronic trauma injury to the pelvic area
- Nerve injury or damage
- Underlying neurological ailments
How is the condition diagnosed?
Just like many other conditions, rectal prolapse diagnosis requires proper assessment and evaluation. Here are a few tests that may be recommended by your doctor
- Anal electromyography, or EMG, to look for the signs of nerve damage.
- Anal manometry, which is done by inserting a thin tube in the rectum to assess muscle strength
- Anal ultrasound, which uses a special probe to examine and assess the anal and rectal tissues.
- Pudendal nerve terminal motor latency test, to assess the pudendal nerves, which are responsible for controlling the bowel movements
- Proctography, which involves the recording of x-ray videos during bowel movements to determine how well the rectum is functioning.
- Colonoscopy, in which a long tube, fitted with a camera, is inserted via the rectum to have a clear view of the rectum.
- Proctosigmoidoscopy, which involves the use of a tube similar to that used in Colonoscopy. This helps to look for inflammation, scarring or any sort of growth or tumour.
The condition is usually corrected with the help of a surgery that may be performed via laparoscopic means, using an abdominal or perineal approach.