Rectal Prolapse: Symptoms and When to Seek Help - Surgery

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Rectal prolapse is a condition where part of the rectum protrudes through the anus, which can cause discomfort and a sensation that something is falling out. This condition can occur in varying degrees, from a partial prolapse that may only occur during bowel movements to a complete prolapse where the rectum is fully outside the body.

Symptoms of Rectal Prolapse:
1. Protrusion: The most noticeable symptom is the appearance of a bulge or protrusion from the anus, which may feel like a "falling out" sensation.

2. Discomfort: Patients often report discomfort or a feeling of fullness in the rectal area.

3. Bowel Function: While many individuals with rectal prolapse can still have normal bowel movements, some may experience changes in bowel habits, such as constipation or fecal incontinence.

4. Mucous Discharge: Some may notice mucus discharge from the rectum.

5. Bleeding: Although you mentioned that you do not have blood, it is important to note that some individuals may experience bleeding, especially if the prolapse is severe or if there is irritation.


When to Seek Help:
Given your symptoms, it is advisable to seek medical attention, especially since you have noticed a protrusion and discomfort. While you can still have normal bowel movements, the presence of a bulge is a sign that should not be ignored. Here are some guidelines on when to seek help:
- Persistent Symptoms: If the protrusion does not resolve or worsens over time.

- Increased Discomfort: If the discomfort escalates or becomes painful.

- Changes in Bowel Habits: If you experience significant changes in your bowel habits, such as constipation or incontinence.

- Signs of Complications: If you notice any bleeding, severe pain, or signs of infection (such as fever or increased redness around the area).


Which Specialist to See:
For rectal prolapse, the most appropriate specialist to consult is a colorectal surgeon. These specialists are trained to handle conditions related to the colon, rectum, and anus. They can provide a thorough evaluation, which may include a physical examination and possibly imaging studies to assess the severity of the prolapse.


Diagnosis and Treatment:
Upon visiting a colorectal surgeon, they will likely perform a physical examination to confirm the diagnosis. Depending on the severity of the prolapse, treatment options may vary:
1. Conservative Management: For mild cases, dietary changes, pelvic floor exercises, and lifestyle modifications may be recommended.

2. Surgical Options: In more severe cases, surgical intervention may be necessary to repair the prolapse. There are various surgical techniques available, and the choice of procedure will depend on individual circumstances.


Conclusion:
In summary, the sensation of something falling out of the anus, along with the presence of a bulge, is indicative of rectal prolapse. While you are currently able to have normal bowel movements, it is important to seek medical advice to prevent potential complications. A colorectal surgeon will be able to provide the appropriate evaluation and treatment options tailored to your condition. Don’t hesitate to reach out to a healthcare provider for further assistance.