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

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Rectal prolapse is a condition where a part of the rectum protrudes through the anus, and it can often be confused with hemorrhoids or other anal conditions. Based on your description, it seems you are experiencing a soft, protruding mass from the anus that you were previously able to push back inside but now cannot. This is a common symptom of rectal prolapse, and while it may not be painful, it can cause discomfort and itching.


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

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

- Mild discomfort or itching around the anus.

- Difficulty in pushing the mass back inside, as you mentioned.

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


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

- Chronic constipation or diarrhea: Both conditions can put excessive strain on the rectal area.

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

- Previous surgeries: Surgical procedures in the pelvic area can sometimes lead to weakness in the supporting structures.


Treatment Options
1. Conservative Management: If the prolapse is mild, conservative measures may be recommended. This includes:
- Dietary changes to ensure regular bowel movements and avoid straining.

- Use of stool softeners or laxatives if constipation is an issue.

- Pelvic floor exercises to strengthen the muscles supporting the rectum.

2. Medications: Over-the-counter creams or ointments may help relieve itching, but they will not treat the underlying prolapse. If you suspect hemorrhoids, topical treatments may provide temporary relief.

3. Surgical Intervention: If conservative treatments do not alleviate the symptoms or if the prolapse is significant, surgical options may be necessary. There are various surgical techniques available, including:
- Rectopexy: This procedure involves attaching 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 See a Doctor
It is essential to consult a healthcare professional for an accurate diagnosis and appropriate treatment. While it can be uncomfortable to discuss anal conditions, healthcare providers are trained to handle such issues sensitively and professionally. Ignoring the symptoms may lead to complications, such as worsening of the prolapse or issues with bowel function.


Conclusion
Based on your symptoms, it is possible that you are experiencing rectal prolapse rather than hemorrhoids. While it may not seem severe now, it is crucial to seek medical advice to prevent potential complications and to explore treatment options. A healthcare provider can conduct a thorough examination and provide you with the best course of action tailored to your condition. Don't hesitate to reach out for help; your health and comfort are important.