Postoperative Care for Rectal Prolapse Surgery

Written by Deng Heng
Colorectal Surgery
Updated on March 15, 2025
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Post-Rectal Prolapse Surgery Precautions:

1. Rest in bed, which helps improve the recovery rate. Due to gravity, many patients with rectal prolapse experience prolapse when standing or walking. Although the surgery fixes the prolapsed mucosa, the firmness of the fixation takes time to establish. Therefore, it is recommended to rest in bed with limited activity for one week after the surgery to solidify the therapeutic effects.

2. Take oral antibiotics for 7 to 10 days after surgery.

3. Abstain from food for the first two days after surgery, and consume semi-liquid or liquid foods in reduced quantities on the third day.

4. Refrain from defecating for 4 to 5 days after surgery.

5. Do not strain during the first bowel movement after surgery.

(Please use medications under the guidance of a professional physician)

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Written by Chen Tian Jing
Colorectal Surgery
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Can glycerin suppositories be used for rectal prolapse?

If a patient experiences difficulty in defecation or constipation due to rectal prolapse, enemas can be used to help facilitate bowel movements. The basic principle behind the defecation difficulties caused by rectal prolapse is due to the prolapsed, lax mucosa blocking the anal opening, preventing normal excretion of stool. Alternatively, when excretion does occur, it may be impeded by the mucosal obstruction, obstructing the normal passage of feces. Therefore, besides using enemas to address difficulty in defection and bowel movement, it is more necessary to surgically remove the lax mucosa to achieve a fundamental treatment. The use of enemas alone can only provide temporary relief of symptoms and does not address the root cause of the problem. For rectal mucosal prolapse, a stapled hemorrhoidopexy can be performed to surgically remove the prolapsed mucosa.

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Written by Chen Tian Jing
Colorectal Surgery
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Will rectal prolapse cause the stool to become thinner?

Patients with rectal prolapse may experience a narrowing of their stool, which is primarily due to the relaxation of the rectal mucosa associated with rectal prolapse. The relaxed mucosa accumulates at the anus, blocking the passage of feces and thus altering the shape of the stool as it is expelled, generally resulting in thinner or flattened stools. Therefore, if it is definitively diagnosed that the change in stool shape is due to rectal prolapse, surgical treatment is recommended. The surgery involves excising or suturing the excessively relaxed rectal mucosa to allow for a smoother passage of stool and to prevent alterations in stool shape. Additionally, it is important for patients to maintain good lifestyle and bowel habits post-surgery, spend minimal time defecating, and avoid prolonged squatting or straining actions.

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Written by Chen Tian Jing
Colorectal Surgery
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Can you eat pork with rectal prolapse?

Patients with rectal prolapse can eat pork. Rectal prolapse is common in patients who have had chronic constipation or are physically weak. Therefore, to avoid constipation and excessive straining during bowel movements, it is recommended that patients with rectal prolapse maintain a diet that is light and bland. They should avoid spicy foods such as chili peppers and seafood, as well as foods that are hard in texture, to prevent stools from becoming too dry and necessitating excessive straining, which can worsen the prolapse or even lead to complete rectal prolapse. To prevent the recurrence of constipation or excessive straining during bowel movements, it is advisable to consume more liquid foods, as well as light vegetables and fruits. Moreover, if the condition frequently recurs or clearly leads to complete rectal prolapse, it is recommended that patients undergo surgical treatment as soon as possible.

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Written by Chen Tian Jing
Colorectal Surgery
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How to check for rectal prolapse?

Rectal prolapse is generally divided into internal rectal mucosal prolapse and external prolapse, also known as rectal procidentia. If it is an internal prolapse, an anoscopy combined with defecography is required to examine the degree of laxity of the local rectal mucosa. If it is an external prolapse or rectal procidentia, the patient generally presents with a prolapsed swelling when squatting, and this can be further evaluated with a digital rectal examination to assess the local tightness of the anus. If rectal prolapse occurs, surgical treatment is recommended as it tends to be quite effective. In cases of pediatric prolapse or mild prolapse, traditional Chinese medicine enemas may be used to alleviate local symptoms.

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Written by Chen Tian Jing
Colorectal Surgery
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Can people with rectal prolapse eat beef?

Patients with rectal prolapse can eat beef, but it is not recommended to consume it in excess, as eating too much beef may lead to dry stools or a high fiber content in the feces, making it difficult to expel and potentially worsening the severity of the rectal prolapse. The diet for patients with rectal prolapse should mainly be light, including liquid or easily digestible foods, and avoid spicy foods like chili peppers and seafood or foods with a hard texture. In addition to dietary considerations, patients with rectal prolapse also need treatment to relieve symptoms or cure the condition. Options include traditional Chinese medicine enemas that preserve the function or oral medications that supplement and boost vital energy, as well as surgery to remove the prolapsed rectal mucosa.