Rectal Prolapse

Rectal prolapse is a condition in which the rectum (the final part of the large intestine) protrudes outside the anus. It may occur partially or completely, and is more common in elderly adults, women after childbirth, or people with chronic constipation. If left untreated, rectal prolapse can worsen over time and interfere with daily activities and bowel function.

Treatments

Conservative Management – High-fiber diet, stool softeners, and pelvic floor exercises for mild cases.
Medications – To relieve constipation and regulate bowel movements.
Minimally Invasive Surgery – Laparoscopic or robotic-assisted rectopexy to reposition and secure the rectum.
Perineal Procedures – Removal of prolapsed rectum through the perineum, often in elderly or high-risk patients.

Symptoms and Causes

Symptoms:

Sensation of a lump or bulge coming out of the anus
Mucus discharge or bleeding
Difficulty controlling bowel movements (incontinence)
Discomfort or pain during bowel movements
Constipation or straining

Causes:

Chronic constipation or long-term straining
Weakness of pelvic floor muscles
Nerve damage affecting rectal control
Previous pelvic or rectal surgery
Aging-related weakening of muscles and tissues

Prevention

Eat a fiber-rich diet to prevent constipation
Drink plenty of water daily
Avoid prolonged straining during bowel movements
Practice pelvic floor strengthening exercises
Seek medical advice for chronic constipation or rectal discomfort