Why won't rectal prolapse heal?

Written by Deng Heng
Colorectal Surgery
Updated on May 18, 2025
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The causes of rectal prolapse are complex, and they are not fully understood at present. It is considered to be related to multiple factors: The first factor is anatomical, where underdeveloped or malnourished children, or weak elderly individuals are prone to having weak and powerless levator ani muscles and thin pelvic fascia. Other anatomical issues include a less curved or overly straight sacrum in children, surgical trauma, or damage to the muscles and nerves around the anus. The second factor is increased abdominal pressure, such as from constipation, diarrhea, prostate enlargement, chronic cough, or difficulty urinating, all of which can heighten abdominal pressure and exacerbate rectal prolapse. The third factor is diseases around the anus, such as internal hemorrhoids and rectal polyps that frequently protrude, pulling down the rectal mucosa and easily inducing rectal prolapse. Therefore, its causes are complex, and so is its recovery.

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Written by Deng Heng
Colorectal Surgery
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Can rectal prolapse cause bleeding during bowel movements?

Patients with rectal prolapse may experience bleeding during bowel movements. The primary symptom of rectal prolapse is a protrusion of a swelling through the anus. Initially, the swelling is small and only protrudes during bowel movements, retracting on its own afterwards. As the condition progresses, due to a lack of contraction strength in the levator ani and anal sphincter muscles, the prolapse occurs more frequently and increases in size, requiring manual repositioning back into the anus after defecation. If not repositioned timely, the prolapsed intestinal tract can become edematous, constricted, or even necrotic, which may result in bloody stools.

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Written by Xu Jun Hui
General Surgery
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The difference between rectal prolapse and rectal prolapse.

Rectal prolapse, also known as rectal prolapse, is characterized by partial prolapse of the rectal mucosa in the early stages and full-length prolapse of the rectum in the later stages. Early rectal prolapse is generally accompanied by a feeling of incomplete bowel movements, urgency followed by a feeling of incomplete relief, and perianal contact, with secretions leading to perianal eczema, itching, and infection in the later stages. If the prolapse cannot be reduced, entrapment can occur, causing pain. The initial treatment for rectal prolapse is to ensure smooth bowel movements and reduce factors that increase abdominal pressure to avoid causing the rectal mucosa to protrude outward. Severe rectal prolapse may require surgical treatment.

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Written by Chen Tian Jing
Colorectal Surgery
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Rectal prolapse treatment

Rectal prolapse is primarily categorized into mild rectal prolapse as well as moderate and severe rectal prolapse. Mild rectal prolapse generally occurs in the early stages of the illness or in children and can be treated conservatively. Conservative treatment mainly involves Chinese herbal retention enemas. On the other hand, moderate and severe rectal prolapse can result in the protrusion of the local mucosa outside the anus, presenting as cylindrical or cone-shaped prolapses. Treating moderate to severe hemorrhoidal prolapse requires surgical intervention. The main surgical methods include hemorrhoidal mucosectomy with stapling and local submucosal sclerosant injections. It is also important to caution postoperative patients against squatting for long periods or straining during constipation, as these actions can exacerbate symptoms of submucosal prolapse.

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Written by Deng Heng
Colorectal Surgery
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Clinical manifestations of rectal prolapse

The main symptom of rectal prolapse is a swelling that protrudes from the anus. In the early stages, the swelling is small and only protrudes during defecation, retracting on its own afterwards. As the condition progresses, the protrusion occurs more frequently and grows larger, requiring manual assistance to push it back into the anus after defecation. This is accompanied by a feeling of incomplete bowel evacuation and a feeling of heaviness. If not addressed promptly, the prolapsed intestine may become swollen, constricted, incarcerated, and even risk necrosis. As the prolapse worsens, it can cause varying degrees of anal incontinence, accompanied by the discharge of mucus, which leads to eczema and itching around the anal area.

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Written by Chen Tian Jing
Colorectal Surgery
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Can you do yoga with rectal prolapse?

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.