Rectal Prolapse and Proper Anal Hygiene Practices - Surgery

More Info

---

Understanding rectal prolapse and maintaining proper anal hygiene practices are crucial for managing symptoms and preventing further complications. Based on your description, it seems you have been experiencing discomfort in the anal region, which has been diagnosed as anal fissures and rectal prolapse. Let’s address your questions systematically.

1. Hygiene Practices: You mentioned that your doctor advised against washing the area and suggested using toilet paper instead. This can be confusing, especially since you have been accustomed to washing after bowel movements. The rationale behind this recommendation is to avoid further irritation to the anal area. Washing with soap and water can sometimes exacerbate inflammation or irritation, especially if the skin is already sensitive due to fissures or prolapse. Instead, gentle wiping with soft toilet paper is recommended. If you feel the need to clean the area, consider using a moist wipe that is free from fragrances and alcohol, as these can irritate the skin.
It’s important to note that while maintaining cleanliness is essential, over-washing or using harsh products can lead to more irritation. If you experience bleeding after bowel movements, it’s crucial to monitor this closely. The fact that you have had two instances of bleeding but have not experienced it in the last two weeks is a positive sign. However, if bleeding recurs, you should consult your healthcare provider.

2. Understanding Prolapse: Rectal prolapse occurs when the rectum protrudes through the anus. This condition can happen for various reasons, including chronic straining during bowel movements, which may be exacerbated by factors such as constipation or diarrhea. Even if you have not given birth, other factors like age, chronic cough, or conditions that increase abdominal pressure can contribute to prolapse.
The type of prolapse you are experiencing can be classified as either rectal prolapse (where the rectum itself protrudes) or anal prolapse (which is often referred to as hemorrhoids or anal cushions). The presence of a "meatball" or lump near the anus that you described could be indicative of rectal prolapse. Prolapse can indeed change in size and may sometimes bleed, especially if there is friction or irritation during bowel movements.

3. Treatment and Management: Treatment for rectal prolapse often depends on the severity of the condition. In mild cases, conservative management may include dietary changes to ensure softer stools (to reduce straining), pelvic floor exercises, and proper hygiene practices. If prolapse is significant or recurrent, surgical options may be considered.
For fissures, topical treatments such as nitroglycerin ointment or calcium channel blockers can help promote healing by increasing blood flow to the area. Additionally, ensuring that your bowel movements are regular and soft can prevent further irritation.
4. Follow-Up Care: It’s essential to have regular follow-ups with your healthcare provider to monitor your symptoms. If you notice any changes, such as increased pain, bleeding, or changes in bowel habits, you should seek medical advice promptly.
In summary, while maintaining proper hygiene is important, it should be done gently to avoid irritation. Understanding the nature of your prolapse and fissures will help you manage your symptoms effectively. If you have further concerns or if your symptoms persist, please consult your healthcare provider for a tailored treatment plan.