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Protrusion of Rectum


Rectal prolapse


  • This is a condition in which the rectum (lower part of the colon or large intestine) may partially or fully fall and hang outside the anus.

  • In mild cases, no protrusion (hanging out) is seen.
  • Red mass of tissue hanging out the anus
  • Bleeding of the rectal tissue may occur.
  • One may feel/palpate the hanging mass of tissue (rectum)
  • There may be pain or itching.

  • Weakness or injury to the anal sphincter muscle, ligaments (support structure), or nerves that support the rectum and the anus

  • A history of symptoms, illnesses, bowel habits, family history, medications, and diet
  • Medical exam:
    1. Examination of the rectum and the anus
    2. If the prolapse is hidden, the patient is told to strain to reveal the mass.
  • Special tests:
    1. Sigmoidoscopy -- looking inside the rectum with a flexible tubelike camera.
    2. Video defecography and anal manometry are techniques that will demonstrate the degree of prolapse and the function of the muscles.


  • Your doctor may consult with a gastroenterologist (digestive disease physician).
  • Dietary instruction is helpful.
    High fiber diet -- fruits and vegetables will prevent Constipation.
  • Fluids
  • Manual approach -- one can grab the mass with a clean tissue and reinsert it into the rectum.
  • Stool-softener medications may help.
  • If the prolapse is a recurrent problem:
    1. The mass of prolapsed rectum can be injected with Phenol solution.
    2. The mass can be cauterized (burned) with electrocauterization method.
  • Variety of other procedures is available.
  • If ulcerations (sores) or necrosis (dead rectal tissue) occur, then surgery to remove that part of the rectum is recommended.

  • Contact your physician.  A high fiber diet is helpful.











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