Rectal Prolapse: Symptoms, Causes, and Treatment Options - Surgery

More Info

---

Rectal prolapse is a condition where part of the rectum protrudes through the anus. It can be a concerning issue, especially when symptoms arise. Based on your description, it seems you are experiencing a soft, protruding mass during bowel movements, which you initially could push back inside but now cannot. This can indeed be alarming, and while it may feel like hemorrhoids, it could also indicate rectal prolapse.


Symptoms of Rectal Prolapse
The symptoms of rectal prolapse can vary but typically include:
- A visible bulge or mass that protrudes from the anus, especially during bowel movements.

- A feeling of fullness or pressure in the rectal area.

- Mild discomfort or itching, as you mentioned.

- Difficulty in pushing the mass back inside, which can indicate worsening of the condition.

- Changes in bowel habits, such as constipation or fecal incontinence.


Causes of Rectal Prolapse
Several factors can contribute to rectal prolapse, including:
- Weakness of pelvic floor muscles: This can occur due to aging, childbirth, or chronic straining during bowel movements.

- Chronic constipation or diarrhea: Both can lead to increased pressure in the rectal area.

- Neurological conditions: Certain conditions can affect the nerves that control bowel function.

- Previous surgeries: Pelvic surgeries can sometimes lead to weakening of the rectal support structures.


Treatment Options
1. Conservative Management:
- Dietary Changes: Increasing fiber intake can help prevent constipation and reduce straining during bowel movements.

- Medications: Over-the-counter stool softeners or laxatives may be recommended to ease bowel movements.

- Pelvic Floor Exercises: Strengthening the pelvic floor muscles can help support the rectum.

2. Topical Treatments: While you mentioned using a topical cream, it’s important to note that while these can relieve itching, they may not address the underlying issue.
3. Surgical Options: If conservative measures fail and the prolapse persists or worsens, surgical intervention may be necessary. Surgical options can include:
- Rectopexy: This procedure involves securing the rectum to the surrounding tissues to prevent it from prolapsing.

- Resection: In some cases, a portion of the rectum may be removed.


When to Seek Medical Attention
Given your symptoms, it is crucial to consult a healthcare professional. While it may feel uncomfortable to discuss such issues, a doctor can provide a proper diagnosis and treatment plan. Delaying treatment could lead to complications, such as worsening prolapse or bowel obstruction.


Conclusion
In summary, while your symptoms could suggest rectal prolapse, it is essential to have a thorough evaluation by a healthcare provider. They can perform a physical examination and possibly recommend imaging studies if needed. Remember, conditions like these are common, and healthcare providers are accustomed to discussing and treating them. Seeking help is the best way to ensure your health and well-being.