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Prolapsed Hemorrhoids

When the rectum falls downwards and turns inside out, this condition is referred to as rectal prolapse. At first, the rectum will stay inside the body, but as the condition gets worse, it could protrude outside through the anus. Weakening of the anal muscles may cause leakage of mucus or stool.

When an individual experiences abnormal protrusion of rectal mucosa through the anus suffers from what’s called incomplete rectal prolapsed.  An overlap of diagnosis with chronic prolapsed hemorrhoids is common, especially if part of the prolapse is hemorrhoids and part of the rectal tissue is rectal mucosa.

There are two types of rectal prolapse; incomplete and complete

Incomplete rectal prolapse only involves the rectal mucosa., whereas  complete rectal prolapse involves both the rectal mucosa and the rectal wall, also referred to as procidentia.

Procidentia is a condition where the rectum turns inside out, extending as far as eight inches beyond the anus.  Experts speculate that this may be the cause of a weak musculature of the pelvic floor and canal, but this is purely speculation and is still being studied and researched. 

Another possibility is a herniation of the cul-de-sac, also known as a displacement of the rectum from protected place in the hollow of the sacrum. 
In some mammals, such as horses, procidentia is a common and most natural occurrence each time the animal has a bowel movement, but this is most unnatural in humans. 

Rectal prolapse can affect people of any age.  Elderly patients suffering from rectal prolapse tend to have a medical history of chronic constipation or laxative abuse.  They also may suffer from lax pelvic floor muscles or reduced anal sphincter tone. 

Many adults who are diagnosed with partial mucosal prolapse can associate the condition with third degree hemorrhoids.  Some women may be injured during delivery, resulting in partial or complete mucosal prolapse.  This also may be the result of other pelvic operations. 

Children in the pediatric age group who being potty trained may also have some of these issues.  Infants have undeveloped resting anal tone and they lack a normal sacral curve. 

Some of the symptoms a child with rectal prolapse are diarrhea, whooping cough and malnutrition.  Rectal prolapse in children may also be a sign of Cystic Fibrosis. 

The rectal wall will protrude and turn inside out forming concentric rings when a complete rectal prolapse occurs.  When an incomplete prolapse occurs, only the rectal mucosa will protrude.  In the beginning, prolapse of the rectum will occur only during bowel movements.  Later, it may accompany sneezing, coughing or any exertion.  A very small number of individuals have been reported to develop gangrene from this condition.

Tags: bleeding, chronic constipation, chronic diarrhea, external hemorrhoids, hemorrhoids, internal hemorrhoids, pain, protruding veins, treatment options

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