How Do You Know if Your Butt Hole Looks Normal?

Overview

What is rectal prolapse?

Rectal prolapse occurs when the rectum (the last section of the big intestine) falls from its normal position inside the pelvic area and sticks out through the anus. (The discussion "prolapse" means a falling downward or slipping of a body part from its usual position.)

The term "rectal prolapse" tin describe iii types of prolapse:

The entire rectum extends out of the anus.
Merely a portion of the rectal lining is pushed through the anus.
The rectum starts to drop down but does non extend out the anus (internal prolapse).

Rectal prolapse is mutual in older adults who have a long-term history of constipation or a weakness in the pelvic floor muscles. It is more mutual in women than in men, and even more common in women over the age of l (postmenopausal women), but occurs in younger people too. Rectal prolapse can too occur in infants – which could be a sign of cystic fibrosis – and in older children.

Is rectal prolapse just another name for hemorrhoids?

No. Rectal prolapse results from a slippage of the attachments of the concluding portion of the large intestine. Hemorrhoids are bloated blood vessels that develop in the anus and lower rectum. Hemorrhoids tin produce anal itching and pain, discomfort and bright carmine blood on toilet tissue. Early on rectal prolapse can look like internal hemorrhoids that have slipped out of the anus (i.east., prolapsed), making it difficult to tell these ii conditions apart.

Symptoms and Causes

What causes rectal prolapse?

Rectal prolapse tin occur equally a result of many conditions, including:

Chronic (long-term) constipation or chronic diarrhea
Long-term history of straining during bowel movements
Older historic period: Muscles and ligaments in the rectum and anus naturally weaken with age. Other nearby structures in the pelvis area also loosen with age, which adds to the general weakness in that area of the trunk.
Weakening of the anal sphincter: This is the specific musculus that controls the release of stool from the rectum.
Earlier injury to the anal or pelvic areas
Damage to nerves: If the nerves that control the ability of the rectum and anus muscles to contract (compress) are damaged, rectal prolapse can result. Nerve damage tin exist caused by pregnancy, difficult vaginal childbirth, anal sphincter paralysis, spinal injury, back injury/back surgery and/or other surgeries of the pelvic area.
Other diseases, weather condition and infections: Rectal prolapse can be a consequence of diabetes, cystic fibrosis, chronic obstructive pulmonary affliction, hysterectomy, and infections in the intestines caused by parasites – such as pinworms and whipworms – and diseases resulting from poor nutrition or from difficulty digesting foods.

What are the symptoms of rectal prolapse?

The symptoms of rectal prolapse include the feeling of a bulge or the appearance of ruby-colored mass that extends exterior the anus. At outset, this tin occur during or afterward bowel movements and is a temporary condition. Withal, over time – because of an ordinary corporeality of standing and walking – the end of the rectum may even extend out of the anal culvert spontaneously, and may need to be pushed back upward into the anus past hand.

Other symptoms of rectal prolapse include pain in the anus and rectum and bleeding from the inner lining of the rectum. These are rarely life-threatening symptoms.

Fecal incontinence is some other symptom. Fecal incontinence refers to leakage of mucus, blood or stool from the anus. This occurs every bit a issue of the rectum stretching the anal muscle. Symptoms change as the rectal prolapse itself progresses.

Diagnosis and Tests

How is rectal prolapse diagnosed?

First, your doctor will take your medical history and will perform a rectal examination. You may be asked to "strain" while sitting on a commode to mimic an actual bowel motion. Beingness able to see the prolapse helps your doc ostend the diagnosis and plan handling.

Other conditions, such every bit urinary incontinence, bladder prolapse and vaginal/uterine prolapse, could be present forth with rectal prolapse. Because of the multifariousness of potential bug, urologists, urogynecologists and other specialists often team together to share evaluations and make joint treatment decisions. In this style, surgeries to repair whatever combination of these problems tin can be done at the same time.

Doctors tin use several tests to diagnose rectal prolapse and other pelvic floor problems, and to assistance determine the best treatment for y'all. Tests used to evaluate and make treatment decisions include:

Anal electromyography (EMG): This test determines if nerve damage is the reason why the anal sphincters are not working properly. It besides examines the coordination between the rectum and anal muscles.
Anal manometry: This examination studies the strength of the anal sphincter muscles. A curt, thin tube, inserted up into the anus and rectum, is used to measure the sphincter tightness.
Anal ultrasound: This test helps evaluate the shape and structure of the anal sphincter muscles and surrounding tissue. In this test, a small probe is inserted up into the anus and rectum to accept images of the sphincters.
Pudendal nerve terminal motor latency examination: This examination measures the part of the pudendal nerves, which are involved in bowel control.
Proctography (likewise called defecography ): This exam is done in the radiology department. In this test, an 10-ray video is taken that shows how well the rectum is functioning. The video shows how much stool the rectum tin agree, how well the rectum holds the stool, and how well the rectum releases the stool.
Colonoscopy : This is an exam of the colon or large bowel. A flexible tube with a photographic camera is passed through the anus upwards to where the large intestine joins the pocket-size intestine. This helps provide visual clues as to the source of the trouble.
Proctosigmoidoscopy: This examination allows the lining of the lower portion of the colon to exist viewed, looking for any abnormalities such as inflammation, tumor or scar tissue. To perform this examination, a flexible tube with a camera attached to the end is inserted into the rectum up to the sigmoid colon.
Magnetic resonance imaging (MRI) : This test is done in the radiology department. Information technology is sometimes used to evaluate the pelvic organs.

Management and Handling

How is rectal prolapse treated?

In some cases of very modest, early on prolapse, treatment can begin at home with the utilise of stool softeners and past pushing the fallen tissue dorsum up into the anus by hand. However, surgery is usually necessary to repair the prolapse.

There are several surgical approaches. The surgeon'southward choice depends on patient's age, other existing health problems, the extent of the prolapse, results of the exam and other tests and the surgeon'due south preference and experience with certain techniques.

Abdominal and rectal (also called perineal) surgery are the 2 near common approaches to rectal prolapse repair.

Abdominal repair approaches

Abdominal process refers to making an incision in the abdominal muscles to view and operate in the abdominal cavity. Information technology is usually performed under general anesthesia and is the approach most often used in healthy adults.

The 2 almost common types of abdominal repair are rectopexy (fixation [reattachment] of the rectum) and resection (removal of a segment of intestine) followed by rectopexy. Resection is preferred for patients who accept severe constipation. Rectopexy can also be performed laparoscopically through small keyhole incisions, or robotically, making recovery much easier for patients.

Rectal (perineal) repair approaches

Rectal procedures are often used in older patients and in patients who have more medical bug. Spinal anesthesia or an epidural (anesthesia that blocks pain in a sure office of the body) may exist used instead of general anesthesia in these patients. The two most common rectal approaches are the Altemeier and Delorme procedures:

Altemeier procedure: In this procedure -- also chosen a perineal proctosigmoidectomy -- the portion of the rectum extending out of the anus is cut off (amputated) and the two ends are sewn back together. The remaining structures that help support the rectum are stitched back together in an endeavour to provide better support.
Delorme procedure: In this procedure, merely the inner lining of the fallen rectum is removed. The outer layer is then folded and stitched and the cut edges of the inner lining are stitched together so that rectum is now within the anal canal.

What are the risks/complications that may occur after rectal prolapse surgery?

As with any surgery, anesthesia complications, bleeding and infection are always risks. Other risks and complications from surgeries to repair rectal prolapse include:

Lack of healing where the two ends of bowel reconnect. This tin can happen in a surgery in which a segment of the bowel is removed and the two ends of the remaining bowel are reconnected.
Intra-abdominal or rectal bleeding
Urinary retentivity (inability to laissez passer urine)
Medical complications of surgery: eye attack, pneumonia, deep venous thrombosis (claret clots)
Return of the rectal prolapse
Worsening or evolution fecal incontinence
Worsening or development of constipation

Afterward surgery, constipation and straining should be avoided. Fiber, fluids, stool softeners and mild laxatives can exist used.

Outlook / Prognosis

How successful is rectal prolapse surgery?

Success can vary depending on the status of supporting tissues and the age and wellness of the patient. Abdominal procedures are associated with a lower risk of the prolapse coming back, compared with perineal procedures. However, in most patients, surgery fixes the prolapse.

How long is recovery from rectal prolapse surgery?

The average length of hospital stay is ii to 3 days, only this varies depending on a patient's other health weather condition. Complete recovery tin usually be expected in a month; notwithstanding, patients should avoid straining and heavy lifting for at least 6 months. In fact, the best risk for preventing prolapse from returning is to make a lifetime effort to avoid straining and any activities that increase intestinal pressure.

leroytais1937.blogspot.com

Source: https://my.clevelandclinic.org/health/diseases/14615-rectal-prolapse