Doctor insights on:
How Is Rectal Prolapse Generally Treated
Problem bulge: Prevention with stool softeners is the start. Once advanced enough it is treated surgically. Most of the time it is a bulge into the vagina (rectocele) and an outpatient vaginal surgery. A true prolapse of the rectum through the anus is rare and can be treated rectally, abdominally or vaginally. Vaginal surgery reduces the vaginal bulge and builds up the tissue b/w the anus and vagina to bolster. ...Read moreSee 1 more doctor answer
Examination: Rectal prolapse can be internal and not visible or external and visible. If external, it is usually obvious. You can see and feel a round lump of tissue the size of a base ball that you can push back in at the anus. Internal is seen on dynamic MRI or video defecography. Surgery is almost always indicated, but see you colorectal surgeon to discuss option. ...Read moreSee 1 more doctor answer
Successfully: A new or 'acute' fissure will often respond to simple measures such as softening of the stools (increased water & fiber intake, a mild laxative) and a topical anesthetic. However, a more chronic fissure may be treated with a topical medication to relax the sphincter spasm and allow healing. This works less than 2/3 of the time. When it fails, a small outpatient operation is usually successful. ...Read moreSee 1 more doctor answer
Severity determines: Occasional incontinence of stool with fecal leakage is common, but loss of bowel control particularly without warning may signal a significant infection, inflammatory problem, maldigestive concern, or neurologic disorder. Sometimes, particularly in youths, the condition is behavioral. Often, anal manometry followed by biofeedback can be curative without the need of surgery or medication. ...Read moreSee 1 more doctor answer
Depends on symptoms: Rectal prolapse is most common in older people, and treatment options take into account a person's medical fitness and suitability for operative treatment. Abdominal surgery approaches have higher risks, but lower recurrence rate. Alternatively, resection through the perineum is lower risk, but has a higher recurrence rate. ...Read moreSee 1 more doctor answer
Soak: Sitz baths (soaking in warm water) and ice can both help shrink hemorrhoids temporarily. Avoid pushing or straining when you have a bowel movement. Increase fiber and fluid intake. Don't use a donut pillow - this can actually aggravate hemorrhoids. Wipe gently and avoid irritating the hemorrhoids. Wipes can be irritating. An oily cleanser like balneol can be helpful. See doctor if no improvement. ...Read moreSee 1 more doctor answer
Itchy Butt; Caffeine: Is the most common cause of anal itching not hemorrhoids as stated win the ads. Pinworms can be another cause usually in children after playing in the dirt. But cokes, coffee, tea, chocolate, and energy drinks like red bull have lots of caffeine leading to severe itching and bleeding, even waking you from your sleep at night clawing at your bottom. Stop the caffeine! ...Read moreSee 1 more doctor answer
Yes: Laxatives cause spastic contractions of the bowel which, over time, may cause rectal prolapse. The straining associated with the attempts to empty completely worsens the problem. Normally one only has to move bowels once every 1-3 days. Laxative use and abuses is frequently misguided. ...Read more
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