Prolapse of Rectum or Procidentia of Rectum

Homeopathic treatment

Before delving into homeopathic treatment let us first discuss the conventional or allopathic treatment available.

In the conventional or allopathic treatment, rectal prolapse in its early stages is helped with stool softeners, suppositories unlike homeopathic treatment which usually treats the problem in the initial stages.

Stool softeners or so called laxatives may result in moderate to severe diarrhea which in turn causes great weakness and may increase the severity of the condition.

It is usually seen that when a patient is treated for diarrhea as a cause of rectal prolapse he usually ends having severe constipation which agains aggravates the condition.

For mucus in the stools and other infections various antibiotics are prescribed which can alter the population of the helpful bacteria in the intestines causing diarrhea, fever, abdominal pain and loss of appetite.

Painkillers like ibuprofen (Nurofen) or aspirin can make the symptoms worse.

Surgery: The above mentioned treatment will only and only help the patient to delay the surgery with few weeks to month and is not at all curative. Surgery is the last and only option in the conventional or allopathic treatment.

There are two basic types of surgery, abdominal and perineal. Side effects following rectal prolapse surgery are:

  • Psychological loss to the patient.
  • Incontinence of urine or infections are the severe side effects of any surgery in this area.
  • Constipation is a fairly frequent side effect which may or may not clear up on its own after surgery.
  • Chances of recurrence of rectal prolapse exist for both abdominal and perineal procedures.
  • Injuries to adjacent organs.
  • Adhesions or scar tissue formation which usually leads to more surgeries and add to the sufferings of the patient.
  • Sleep disruption, insomnia, night sweats.

Homeopathy & rectal prolapse

One of the natural health therapies widely in use today is Homeopathy. The primary purpose of this therapy is to facilitate the body to return to the natural balance or retain the mean from the deviated state.

There are specific medicines for the treatment of rectal prolapse or prolapsed rectum and the related conditions. Research shows high efficacy of the homeopathic medicines in treating rectal prolapse. The remedies treat the patient without any side effects.

Recent clinical research suggests that homeopathy affects the immune system. Homeopathic drugs also have been found to stimulate the white blood cells and to have antiviral and antibacterial effects, as seen in European Laboratory Studies by Ferley on influenza-like syndromes and by Davenas on mouse macrophages and on human basophils.

Fear to go out of home, pain, depression and embarrassment associated with prolapsed rectum leaves the patient nowhere. But homeopathic treatment has the caliber to help you get out of all these things easily.

Scared of surgery? There is a kinder alternative, homeopathic medicines! So one can save himself / herself from a painful and depressing condition and need not be absent from work.

How homeopathy works

  • Touching the root cause of rectal prolapse: After the detailed case taking the exact cause is evaluated like constipation, previous pelvis surgery, infections and so on and then an appropriate homeopathic medicine is prescribed.
  • Supportive homeopathic medicines: Ligaments and muscles that hold the rectum in place become weak resulting in rectal prolapse; these can be supported well by remedies. Layers of muscles, fibrous coverings called fasciae, and various ligaments and tendons are supported by the treatment keeping the rectum at its place.
  • Treating the various infections: Homeopathic remedies control infections and help in reducing the frequency of stools, the urging and the passage of mucus and blood in the stools and so on.
  • Action of the medicines on the various risk factors: The various risk factors like constipation, diarrhea, chronic cough, BHP (benign prostatic hypertrophy) can be effectively treated and hence reducing the severity of the condition.
  • Early diagnoses and homeopathic treatment rules out the option of surgery: Surgery can be avoided if a patient comes in the early stages (first and second degree prolapse) of the disease. The medicines help in slowing down the progress of the disease and prevent the complications like incontinence of urine, infections and so on.
  • Action of remedies after surgery: If surgery is the last option and cannot be prevented, then it is highly recommended to continue the homeopathic treatment to avoid post surgical complications.

There are 119 homeopathic medicines which give great relief in prolapse of rectum or procidentia of rectum or rectal prolapse. However, the correct choice and the resulting relief is a matter of experience and right judgment on the part of the doctor. The treatment is decided after thorough case taking of the patient. Thus remedies are tailor made unlike allopathy in which all patients receive the same surgery or drugs although trade name may be different.

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What is prolapse of rectum

A prolapse occurs when an organ falls or sinks out of its normal anatomical place. The pelvic organs normally have tissue (muscle, ligaments and so on) holding them in place. Certain factors, however, may cause those tissues to weaken, leading to prolapse of the organs.

Rectal prolapse is protrusion of rectal tissue through the anus to the exterior of the body. It is also called as procidentia of rectum.

The rectum is the last out of six divisions of the large intestine; the anus is the opening from the rectum through which stool exits the body. A complete rectal prolapse occurs when the rectum protrudes through the anus. If rectal prolapse is present, but the rectum does not protrude through the anus, it is called occult rectal prolapse, or rectal intussusception. In females, a rectocele occurs when the rectum protrudes into the posterior (back) wall of the vagina.

It occurs mainly in the elderly and in young children. Complete prolapse in adults is most common in elderly females. In children, rectal prolapse occurs most often in patients younger than 3 years, and especially in the first year of life. Females are affected more often than males, accounting for 80% to 90% of reported cases.

Types

  • Full thickness rectal prolapse describes the entire rectum protruding through the anus.
  • Mucosal prolapse describes only the rectal mucosa (not the entire wall) prolapsing.
  • Internal intussusception wherein the rectum collapses but does not exit the anus.

Causes

Rectal prolapse is caused by weakening of the ligaments and muscles that hold the rectum in place. In most people with a prolapsed rectum, the anal sphincter muscle is weak. However, rectal prolapse is usually associated with the following conditions:

  • Increased intra abdominal pressure, like constipation, diarrhea, benign prostatic hypertrophy, pregnancy, severe or chronic cough (like chronic obstructive pulmonary disease, cystic fibrosis, whooping cough).
  • Previous surgery.
  • Pelvic floor dysfunction.
  • Parasitic infections, like amoebiasis, schistosomiasis.
  • Neurological disease, like previous lower back or pelvic trauma, lumbar disc disease, cauda equina syndrome, spinal tumors, multiple sclerosis.
  • Psychiatric diseases.

In children prolapse of rectum may be associated with cystic fibrosis, Ehlers-Danlos syndrome, Hirschsprung's disease, congenital megacolon, malnutrition and polyps.

How to diagnose

Physical examination is most often used to diagnose rectal prolapse. The patient is asked to strain as if defecating; this increase in intra-abdominal pressure will maximize the degree of prolapse and aid in diagnosis. Other tests are:

  • Videodefecogram : This x-ray test is taken while the patient is having a bowel movement to help determine whether the prolapse is internal and if surgery is necessary.
  • Anorectal manometry test : Measures how well the muscles around the rectum are functioning.
  • Colonoscopy : Determines if the rest of the colon is normal.

Signs & symptoms

The first sign of rectal prolapse is often the unexpected release of mucus, stool, or blood from the anus.

Other symptoms include:

  • A feeling of having full bowels and an urgent need to have a bowel movement.
  • Passage of many very small stools.
  • The feeling of not being able to empty the bowels completely.
  • An inability to control bowel movements (fecal incontinence) that becomes worse over time.
  • Anal pain, itching, irritation, and bleeding.
  • Bright red tissue that protrudes from the anus.

Patient may notice tissue slipping out of the anus during a bowel movement. As the condition becomes worse, tissue may slide out of the anus when you stand and then may remain outside the anus all the time.

Complications

  • Fecal incontinence may become worse, and permanent damage can occur to the circular muscle that controls the anus (anal sphincter).
  • The rectum can become damaged from the tissues rubbing together, which can result in a sore (ulcer) that may bleed.
  • Normal blood flow to tissue in the rectum may be cut off, causing the tissue to die (gangrene).
  • If a prolapsed rectum swells, it may prevent the passage of stools.
  • Rarely, a loop of the large intestine is pinched off (strangulated), causing blockage of the intestine (bowel obstruction).

Self care at home

Home treatment for children

If your child has a rectal prolapse, you can help prevent the prolapse from coming back.

  • Push the prolapse back into place as soon as it occurs. Wear disposable latex gloves and use lubricating jelly. Apply an ice pack to help decrease swelling.
  • Have the child use a small toilet that is placed on the floor. This will help support the child's buttocks so that he or she will not have to strain while having a bowel movement.

Home treatment for adults

Protruding tissue often can be pushed back into place. Stand with your chest tucked as closely to your thighs as you can. Using a wet, gloved finger or a soft, warm, wet cloth, gently reinsert any tissue that comes out of the anus. If the rectal tissue cannot be inserted easily into the anus, see your doctor.

Other measures include

  • Drink plenty of water. And eat fruits, vegetables, and other foods that contain fiber. A high-fiber diet can help prevent constipation and reduce the need to strain during a bowel movement. Changes in diet are very important to improve or reverse a prolapse of the lining of the rectum (partial prolapse), which does not always protrude from the anus.
  • Do Kegel exercises to help strengthen the muscles of the pelvic area. Although these exercises usually are used to help prevent urinary incontinence and prolapse of the uterus, they also can strengthen muscles in the pelvic area and may improve symptoms of rectal prolapse in both men and women.
  • Do not strain while having a bowel movement.
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Dr. Rohit Jain

He is a consultant homeopathy doctor with more than 18 years of clinical experience.

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Comments:

I am suffering from rectal prolapse without pain and bleeding start during delivery since20 years old. But docter advice surgery iam not ready to surgery so please treatment to memtkm

S. Kaur
Jul 30, 2017 7:03 pm Reply

I had major surgery in 2006 for rectal prolapse. My condition was back in two years and it has gotten worse. I now have feces incontinence and my life is shell. I refuse to have surgery again. Is there a.away I can co troll this true diet and exercise. I am divorced as nd age 69. I won't date because of this situation.

Sharon
Jun 9, 2017 1:47 am Reply

Morning I need advice. I am having terrible bowel problems. I cant seem to have a normal bowel movement at all. I have to push down on the inside of my vagina with my finger to have a movement. Only if i do that will i be able to have one. It takes too long and i end up feeling so miserable. There is also a lot of blood and mucus. Even if i take stool softeners, i have to push inside first. I had a colonoscopy, doctor said i have a mocousal prolapse with proctitis. He wanted to do a PPH procedure but i said no because it has staples. What can i do without surgery? Thank You Taz

Taz
May 12, 2017 1:26 pm Reply

Hello doctor, My son is 2 years old , having rectal prolapse during defaecation since a week . Before 2 months ago he had same problem once . One week before I went to surgeon and he gave luxatives 2 times in a day . But then also I have observed that daily it happens after defaecation . Please suggest me what to do ? I usually believe in homeopathy treatment for my son .

Mousumi
Feb 24, 2017 3:23 pm Reply

I believe I have rectal prolapse. Tissue remains outside the rectum. even if I try to push it back it comes out again. I have no pain, some mild discomfort, occasional itching which can be addressed by trying to push prolapse back with moist tissue. Stools are loose and I am never constipated. I am under, rather than overweight. I do not want surgery.

Julia Preece
Jan 3, 2017 3:12 pm Reply Sounds like me. Have you had any success with homeopathy and which ones? Lisa Baum
Oct 31, 2017 3:16 am

Sir hello . My child age 3 years having problems of rectal polyps in higher sites ...his stool was bleedy with bright red color..alopathic doctors suggested Colonoacopy and Sigmoidoscopy but I visited homeopathic doctor for mesicines ....Dr suggested following medicines 1) Hemamelis 2) Aloe 3) Millefolium and 4) phosphorous ...we have been using these medicines for 3 weeks and now the condition of stool is better than previous one ...but some times my child passes stool normally and just after that he again passes stool with small bloody lumps...but very small ...please guide us or suggest any medicines to cure my innocent son ...I will be very thankful to you

Munir
Nov 15, 2016 11:21 pm Reply

I have prolapsed disc in tail bone region. And numbness in buttocks region and loss of sensation during urination and defeaction. Can homeopathy cure this?

Amit Sharma
Oct 29, 2016 9:59 pm Reply

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