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Doctor insights on: How Is Rectal Prolapse Generally Treated

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How is rectal prolapse generally treated?

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 more

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Dr. Scott Beard
164 doctors shared insights

Rectal Prolapse (Definition)

A condition in which part of the rectum slips and ...Read more


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How is rectal prolapse diagnosed?

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 more

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How is an anal fissure generally treated?

How is an anal fissure generally treated?

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 more

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How is incontinence generally treated?

How is incontinence generally treated?

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 more

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How is prolapse treated?

How is  prolapse treated?

Surgery or peas art: Kegels or pelvic floor may help if prolapse is mild. ...Read more

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How is bowel incontinence typically treated?

How is bowel incontinence typically treated?

Disrupted or weak: Anal sphincter but also diarrhea or ibs unfortunately people wait until the muscle gets to far gone to do much with. Sphincter repair, biofeedback and neuroma dilation r therapies now, but slings are in govt trials right now. ...Read more

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How is rectal tenesmus treated?

How is rectal tenesmus treated?

By ruling out: The numerous causes of tenesmus, including diet, fluids, rectal masses or tumors or inflammation, infection. See your primary doctor and get a full physical and history and then they can go from there with additional testing or referrals. ...Read more

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How is a fissure generally diagnosed?

How is a fissure generally diagnosed?

Clinical ; exam: The most common description is if one is "passing shards of glass". Usually a physician can identify telltale signs of an anal fissure on a gentle but close exam. ...Read more

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What is the cure for rectal prolapse?

Operation - usually: Rectal prolapse is a disabling problem that can be corrected with surgery. There are a number of options available. I am a big proponent of laparoscopic ventral mesh rectopexy for prolapse. ...Read more

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How is a fistula generally treated?

How is a fistula generally treated?

Depends on the cause: Fistulae caused by crohn's disease can be treated with medications such as remcade. Others often require surgery or occasionally can be treated by injection with fibrin glue. ...Read more

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What is treatment for rectal prolapse?

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 more

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How are hemorrhoids generally treated?

How are hemorrhoids generally treated?

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 more

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How is incontinence generally evaluated?

Interview: Then exam, if substantial and no response to initial management (diet and kegels) then urodynamic testing and surgery may be done. ...Read more

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How is pruritus ani generally treated?

How is pruritus ani generally treated?

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 more

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How common is vaginal prolapse?

Vaginal prolapse: The incidence of symptomatic pelvic organ prolapse is about 8 %. There is an 11-19% lifetime risk of surgery to correct pelvic organ prolapse. ...Read more

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How likely is rectal prolapse caused by laxative abuse?

How likely is rectal prolapse caused by laxative abuse?

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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How is anal cancer treated?

How is anal cancer treated?

Chemo + tradiation: Usually with a surgical biopsy followed by chemotherapy and radiation therapy. In general, the prognosis is pretty good and surgery is used only for treatment failures. ...Read more

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