Rectal prolapse: Difference between revisions
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{{Infobox medical condition | |||
| name = Rectal prolapse | |||
| image = [[File:Rectal_prolaps.jpg|250px]] | |||
| caption = A case of rectal prolapse | |||
| field = [[Gastroenterology]], [[Colorectal surgery]] | |||
| synonyms = Prolapse of the rectum | |||
| symptoms = [[Fecal incontinence]], [[rectal bleeding]], [[anal pain]], [[constipation]] | |||
| complications = [[Ulceration]], [[strangulation]], [[gangrene]] | |||
| onset = More common in [[elderly]] and [[children]] | |||
| duration = Chronic or acute | |||
| causes = [[Chronic constipation]], [[diarrhea]], [[pregnancy]], [[cystic fibrosis]] | |||
| risks = [[Age]], [[female gender]], [[previous pelvic surgery]] | |||
| diagnosis = [[Physical examination]], [[defecography]], [[colonoscopy]] | |||
| differential = [[Hemorrhoids]], [[rectocele]], [[intussusception]] | |||
| treatment = [[Surgical repair]], [[dietary changes]], [[pelvic floor exercises]] | |||
| medication = [[Stool softeners]], [[laxatives]] | |||
| prognosis = Generally good with treatment | |||
| frequency = Rare | |||
}} | |||
[[Rectal prolapse]] is a condition in which the rectum, the last section of the large intestine, loses its normal attachments within the body, allowing it to protrude or slide out through the anus. This condition can lead to discomfort and an inability to control bowel movements (fecal incontinence). | [[Rectal prolapse]] is a condition in which the rectum, the last section of the large intestine, loses its normal attachments within the body, allowing it to protrude or slide out through the anus. This condition can lead to discomfort and an inability to control bowel movements (fecal incontinence). | ||
[[File:Rectal prolaps.jpg|thumb|Rectal prolaps]] | [[File:Rectal prolaps.jpg|thumb|Rectal prolaps]] | ||
| Line 7: | Line 27: | ||
* Aging, which can affect the strength of muscles and ligaments in the rectum and anus | * Aging, which can affect the strength of muscles and ligaments in the rectum and anus | ||
* Pregnancy and the stresses of childbirth | * Pregnancy and the stresses of childbirth | ||
==Symptoms== | ==Symptoms== | ||
The main symptom of rectal prolapse is the sensation of a bulge or the appearance of reddish-colored mass that extends outside the anus. This can occur following a bowel movement. Other symptoms can include pain, discomfort, bleeding, and fecal incontinence. | The main symptom of rectal prolapse is the sensation of a bulge or the appearance of reddish-colored mass that extends outside the anus. This can occur following a bowel movement. Other symptoms can include pain, discomfort, bleeding, and fecal incontinence. | ||
==Diagnosis== | ==Diagnosis== | ||
Diagnosis of rectal prolapse usually involves a medical history and physical exam, including a rectal exam. Additional tests may be performed to evaluate the anorectal function and may include defecography, anorectal manometry, and colonoscopy. | Diagnosis of rectal prolapse usually involves a medical history and physical exam, including a rectal exam. Additional tests may be performed to evaluate the anorectal function and may include defecography, anorectal manometry, and colonoscopy. | ||
==Treatment== | ==Treatment== | ||
Treatment depends on the severity of the condition. Initial approach can include dietary changes, stool softeners, or exercises to help strengthen the pelvic muscles. In more severe cases, or if conservative treatments don't help, surgery may be necessary to repair the prolapse. | Treatment depends on the severity of the condition. Initial approach can include dietary changes, stool softeners, or exercises to help strengthen the pelvic muscles. In more severe cases, or if conservative treatments don't help, surgery may be necessary to repair the prolapse. | ||
==See Also== | ==See Also== | ||
* [[Constipation]] | * [[Constipation]] | ||
* [[Fecal incontinence]] | * [[Fecal incontinence]] | ||
* [[Pelvic Floor Dysfunction]] | * [[Pelvic Floor Dysfunction]] | ||
==References== | ==References== | ||
* "Rectal Prolapse". Mayo Clinic. | * "Rectal Prolapse". Mayo Clinic. | ||
* "Rectal Prolapse". Johns Hopkins Medicine. | * "Rectal Prolapse". Johns Hopkins Medicine. | ||
* "Rectal Prolapse". Cleveland Clinic. | * "Rectal Prolapse". Cleveland Clinic. | ||
==External Links== | ==External Links== | ||
[[Rectal Prolapse - MedlinePlus]] | [[Rectal Prolapse - MedlinePlus]] | ||
Latest revision as of 07:33, 6 April 2025
Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
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| Rectal prolapse | |
|---|---|
| |
| Synonyms | Prolapse of the rectum |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Fecal incontinence, rectal bleeding, anal pain, constipation |
| Complications | Ulceration, strangulation, gangrene |
| Onset | More common in elderly and children |
| Duration | Chronic or acute |
| Types | N/A |
| Causes | Chronic constipation, diarrhea, pregnancy, cystic fibrosis |
| Risks | Age, female gender, previous pelvic surgery |
| Diagnosis | Physical examination, defecography, colonoscopy |
| Differential diagnosis | Hemorrhoids, rectocele, intussusception |
| Prevention | N/A |
| Treatment | Surgical repair, dietary changes, pelvic floor exercises |
| Medication | Stool softeners, laxatives |
| Prognosis | Generally good with treatment |
| Frequency | Rare |
| Deaths | N/A |
Rectal prolapse is a condition in which the rectum, the last section of the large intestine, loses its normal attachments within the body, allowing it to protrude or slide out through the anus. This condition can lead to discomfort and an inability to control bowel movements (fecal incontinence).
Causes[edit]
- While the exact cause of rectal prolapse is unknown, several factors may contribute to it:
- Weakening of the anal sphincter muscle
- Chronic constipation or straining during bowel movements
- Aging, which can affect the strength of muscles and ligaments in the rectum and anus
- Pregnancy and the stresses of childbirth
Symptoms[edit]
The main symptom of rectal prolapse is the sensation of a bulge or the appearance of reddish-colored mass that extends outside the anus. This can occur following a bowel movement. Other symptoms can include pain, discomfort, bleeding, and fecal incontinence.
Diagnosis[edit]
Diagnosis of rectal prolapse usually involves a medical history and physical exam, including a rectal exam. Additional tests may be performed to evaluate the anorectal function and may include defecography, anorectal manometry, and colonoscopy.
Treatment[edit]
Treatment depends on the severity of the condition. Initial approach can include dietary changes, stool softeners, or exercises to help strengthen the pelvic muscles. In more severe cases, or if conservative treatments don't help, surgery may be necessary to repair the prolapse.
See Also[edit]
References[edit]
- "Rectal Prolapse". Mayo Clinic.
- "Rectal Prolapse". Johns Hopkins Medicine.
- "Rectal Prolapse". Cleveland Clinic.
External Links[edit]
Rectal Prolapse - MedlinePlus Rectal Prolapse - American Society of Colon & Rectal Surgeons
