Can you do yoga with rectal prolapse?

Written by Chen Tian Jing
Colorectal Surgery
Updated on September 04, 2024
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Patients with rectal prolapse can engage in moderate exercise, but it is not recommended to perform exercises that involve significant abdominal strength or squatting movements. This is because excessive abdominal pressure or overexertion can increase intra-abdominal pressure, compressing the mucosa and tissue around the anus, thereby worsening the prolapse. If squatting exercises are performed over a long period, it could further aggravate the degree of rectal mucosal prolapse. Hence, patients with rectal prolapse may opt for gentler exercises like yoga, ensuring that the movements and methods do not exacerbate the condition of the rectal mucosa. Patients with rectal prolapse should seek surgical treatment as soon as possible, where the prolapsed mucosa is completely excised for recovery.

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Written by Chen Tian Jing
Colorectal Surgery
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What are the symptoms of rectal prolapse?

Rectal prolapse is a common clinical disease in proctology, primarily affecting children, postpartum women, and the elderly. Symptoms of rectal prolapse include varying degrees of bloating and a feeling of falling at the anus. Sometimes, due to the accumulation of mucosa at the anal opening, normal defecation is impeded, leading to constipation and difficulty in bowel movement. To examine and diagnose rectal prolapse, an anoscopy is necessary. Under anoscopy, the relaxed mucosa that accumulates can be seen at the mirror opening. Treatment for rectal prolapse in children may involve the use of traditional Chinese medicine retention enemas, which can gradually alleviate the prolapse as the body's condition improves. For postpartum women or the elderly, treatment may also involve traditional Chinese medicine retention enemas in combination with surgical excision. The primary surgical procedure used is a Hemorrhoidal mucosal circular stapling operation.

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Colorectal Surgery
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What tests should be done for rectal prolapse?

Rectal prolapse primarily refers to excessive laxity of the rectal mucosa within the anal canal. This lax mucosa accumulates at the anal opening, forming a clinical symptom. Patients may experience significant local swelling and a feeling of falling down. In severe cases or when the prolapse overly obstructs the anal opening, it might lead to difficulties in defecation and constipation. To diagnose rectal prolapse, an initial assessment typically involves a digital rectal examination and an anoscopy to simply and initially screen for the presence of mucosal prolapse. Further, a defecography might be required to ascertain the severity of the rectal prolapse. For mild rectal prolapse, topical medications can be used to alleviate symptoms. In cases of moderate or severe rectal prolapse, surgery is necessary to excise the lax mucosal loop.

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Can rectal prolapse cause rectal bleeding?

If it is a recurrent case of rectal prolapse, as the prolapsed mucosa appears at the anus and rubs against it repeatedly when the patient walks or moves, it can lead to mucosal rupture and bleeding. Therefore, in severe cases of rectal prolapse or when a complete prolapse occurs, there might be bleeding during defecation. The diagnosis of rectal prolapse requires an examination with an anoscope and defecography to make a definitive diagnosis. For mild rectal prolapse, one can treat it with oral medications that supplement and boost the body's vital energy, and this can be supplemented with herbal enemas. For severe cases of internal mucosal rectal prolapse or complete mucosal prolapse, it is advisable to undergo surgical removal of the excess mucosa through excision or suturing. This surgery can alleviate symptoms of discomfort and prevent other complications.

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Can you have children with rectal prolapse?

If a patient is diagnosed with rectal prolapse, they can still have children. However, childbirth can potentially worsen rectal prolapse, especially during natural delivery, where excessive straining in the pelvic and anal areas can exacerbate the condition. Therefore, if a patient already has rectal prolapse, it is advised to consider surgical removal treatment before pregnancy. If rectal prolapse occurs during pregnancy, external wash medications and hot compresses can be used to promote retraction. If rectal prolapse occurs during delivery, surgical treatment can also be carried out after childbirth. However, it is recommended that patients with severe rectal prolapse undergo cesarean delivery to avoid the excessive strain during natural childbirth, which could worsen the prolapse.

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Which department to consult for rectal prolapse?

Rectal prolapse is generally divided into internal mucosal prolapse and external prolapse. External mucosal prolapse is commonly known as rectal prolapse, which falls under the category of proctological diseases. Therefore, patients who suspect they have rectal prolapse should promptly visit a proctology department for relevant examinations and treatment. The examination and diagnosis of rectal prolapse mainly involve digital rectal examination, anoscopy, and defecography to confirm the diagnosis. Especially for internal mucosal prolapse, which cannot be seen with the naked eye, defecography is necessary for differentiation. In cases of rectal prolapse, one can generally see a ring-like protrusion outside the anus, and in severe cases, there may be conical or cylindrical prolapse. Regardless of whether it is internal mucosal prolapse or rectal prolapse, surgical treatment is necessary.