A Simple Guide to Rectal Prolapse, (Updated) diagnosis, Treatment and Related Conditions

By Kenneth Kee

This book describes Rectal Prolapse, Diagnosis, Treatment and Related Conditions

Rectal Prolapse Update
Constipation stays as the main cause of rectal prolapse.

Cystic fibrosis is no longer a frequent cause for rectal prolapse due to the implementation of newborn screening.

Patients with social stress or abnormal behavior may be at risk for repeat rectal prolapse.

Drink more water and do more walking especially after food to help the digestion.

Take more fruits, vegetables and fibers that will help to improve the bowel movement,

Rectal prolapse is a medical disorder that happens when part or the entire wall of the rectum slides out of place, occasionally protruding out of the anus
Rectal prolapse happens when the rectum descends (falls and passes through) the anal opening.

In children aged between infancy and age 4, rectal prolapse is normally a self-limiting disorder, responding to conservative treatment.

In some patients, prolapse may remain indefinitely, requiring surgical intervention.

The largest incidence of rectal prolapse has been observed in the first year of life.

Children presenting after age 4 normally have a chronic disorder predisposing them to have developed rectal prolapse.

Rectal prolapse happens when part or the total rectum slides out of place and protrudes out of the anus, turning the rectum inside out.

The rectum is the final segment of the large intestine before the anus (the opening through which stool passes out of the body).

There are 3 types of rectal prolapse.

1. Partial prolapse (also called mucosal prolapse).

The lining (mucous membrane) of the rectum glides out of place and normally protrudes out of the anus

This can happen when the patient strains to have a bowel movement.

Partial prolapse is most frequent in children who are less than 2 years of age.

2. Complete prolapse.

The whole wall of the rectum moves out of place and normally protrudes out of the anus.

Initially, this may happen only during intestinal movements.

Finally, it may happen when the patient stands or walks.

Occasionally, the prolapsed tissue may remain outside of the body all the time.

3. Internal prolapse (intussusception)

One part of the wall of the large intestine (colon) or rectum may pass into or over another portion, like the folding parts of a telescope.

The rectum does not stick out of the anus.

Intussusception is most frequent in children and rarely affects adults.

In children, the precise cause is normally not known.

In adults, it is normally related to another intestinal disorder, such as a growth of tissue in the wall of the intestines (such as a polyp or tumor).

In severe cases of rectal prolapse, a part of the large intestine drops from its normal position as the tissues that maintain it in place stretch.

Rectal prolapse is most frequent in children and older adults, particularly women.

Rectal prolapse is an uncomfortable disorder that normally requires surgery to fix.

Occasionally, the treatment of the rectal prolapse can be done at home.

The rectum can be pushed back inside the intestine manually.

A soft, warm, wet cloth is required to apply gentle pressure to the mass to push it back through the anal opening.

The person should lie on one side in a knee-chest position before pressure is applied.

This position permits gravity to help keep the rectum back into position.

Conservative treatment of rectal prolapse involves:
1. Stool softeners and laxatives,
2. Avoidance of prolonged straining, and
3. Treatment of any predisposing underlying disorders.

Prolapse in children is likely to go away on its own.

Immediate surgery of the rectal prolapse is rarely required.

TABLE OF CONTENT
Introduction
Chapter 1 Rectal Prolapse
Chapter 2 Cause
Chapter 3

• Language: English
• Publisher: Kenneth Kee
• Release date: Apr 9, 2021
• ISBN: 9781005060695

Kenneth Kee

Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"

Book preview

A

Simple

Guide

To

Rectal Prolapse,

(Updated)

Diagnosis,

Treatment

And

Related Conditions

By

Dr Kenneth Kee

M.B.,B.S. (Singapore)

Ph.D (Healthcare Administration)

Copyright Kenneth Kee 2021 Smashwords Edition

Published by Kenneth Kee at Smashwords.com

Dedication

This book is dedicated

To my wife Dorothy

And my children

Carolyn, Grace

And Kelvin

This book describes Rectal Prolapse, Diagnosis, Treatment and Related Conditions or in vernacular terms

(What You need to treat Rectal Prolapse)

This eBook is licensed for the personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.

If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.

Thank you for respecting the hard work of this author.

Introduction

I have been writing medical articles for my blog: http://kennethkee.blogspot.com (A Simple Guide to Medical Disorder) for the benefit of my patients since 2007.

My purpose in writing these simple guides was for the health education of my patients.

Health Education was also my dissertation for my Ph.D (Healthcare Administration).

I then wrote an autobiography account of my journey as a medical student to family doctor on my other blog: http://afamilydoctorstale.blogspot.com.

This autobiography account A Family Doctor’s Tale was combined with my early A Simple Guide to Medical Disorders into a new Wordpress Blog A Family Doctor’s Tale on http://kenkee481.wordpress.com.

From which many free articles from the blog was taken and put together into 800 eBooks.

Some people have complained that the simple guides are too simple.

For their information they are made simple in order to educate the patients.

The later books go into more details of medical disorders.

The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.

Since 2013, I have tried to improve my spelling and writing.

As I tried to bring the patient the latest information about a disorder or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.

My diagnosis and treatment capability has improved tremendously from my continued education.

Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.

I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.

I also find repetition definitely help me and maybe some readers to remember the facts in the books more easily.

I apologize if these repetitions are irritating to some readers.

Chapter 1

Rectal prolapse

Just 1 week ago my sister in law consulted a doctor about a protrusion in the anus and bleeding in the feces when she passed motion for a few months,

She was told that she had a rectal prolapse and surgery to remove the rectal prolapse.

She decided to consult me about her medical problem.

I examined her and found that there is a small protrusion from the anus which looked more like a prolapsed hemorrhoid rather than a rectal prolapse.

There were 3 small protrusions from the anus rather than a whole mucosal lining of the rectum that show concentric rings of mucosa protruding through the anus.

There was some blood on the protrusions that are typical of bleeding swollen blood vessels that are typically hemorrhoids or piles.

Hemorrhoids are swollen blood vessels that are present normally at the three o’clock, seven o’clock and eleven o’clock of the anal openings.

The protrusions in the anus of my sister-in-law appeared typically in these 3 areas.

The appearance of the protruded swelling was not typical of rectal prolapse,

I reassured her because hemorrhoids are easier to treat than rectal prolapse.

I applied local anesthesia and pushed back her protrusion.

After this I inserted a suppository that will help to shrink the hemorrhoids.

She was told to avoid straining at her bowel movements and avoid constipation.

In all cases of bowel movement the squatting position to pass motions is the best where passing feces is concerned.

Constipation stays as the main cause of rectal prolapse.

Cystic fibrosis is no longer a frequent cause for rectal prolapse due to the implementation of newborn screening.

Patients with social stress or abnormal behavior may be at risk for repeat rectal prolapse.

Drink more water and do more walking especially after food to help the digestion.

Take more fruits, vegetables and fibers that will help to improve the bowel movement,

What is rectal prolapse?

Rectal prolapse is a medical disorder that happens when part or the entire wall of the rectum slides out of place, occasionally protruding out of the anus

Rectal prolapse happens when the rectum descends (falls and passes through) the anal opening.

In children aged between infancy and age 4, rectal prolapse is normally a self-limiting disorder, responding to conservative treatment.

In some patients, prolapse may remain indefinitely, requiring surgical intervention.

The largest incidence of rectal prolapse has been observed in the first year of life.

Children presenting after age 4 normally have a chronic disorder predisposing them to have developed rectal prolapse.

Rectal prolapse happens when part or the total rectum slides out of place and protrudes out of the anus, turning the rectum inside out.

The rectum is the final segment of the large intestine before the anus (the opening through which stool passes out of the body).

There are 3 types of rectal prolapse.

1. Partial prolapse (also called mucosal prolapse).

The lining (mucous membrane) of the rectum glides out of place and normally protrudes out of the anus

This can happen when the patient strains to have a bowel movement.

Partial prolapse is most frequent in children who are less than 2 years of age.

2. Complete prolapse.

The whole wall of the rectum moves out of place and normally protrudes out of the anus.

Initially, this may happen only during intestinal movements.

Finally, it may happen when the patient stands or walks.

Occasionally, the prolapsed tissue may remain outside of the body all the time.

3. Internal prolapse (intussusception)

One part of the wall of the large intestine (colon) or rectum may pass into or over another portion, like the folding parts of a telescope.

The rectum does not stick out of the anus.

Intussusception is most frequent in children and rarely affects