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.