Rectal

Rectal's disease overview

What is

rectal prolapse?

rectal prolapse is a condition where part or the whole of the rectum walls turn down and go out through the anus, this is a common term used for centuries. To call all types of sa with different levels.

However, these types are not always the level of progression of the same pathological condition, but often have separate causes and require very different treatment measures. Rectal prolapse is a rare disease, does not cause serious complications or complicated developments but causes many troubles for patients such as secretion of anus, fecal, difficult to go.

There are two levels of rectal prolapse: incomplete prolapse (only rectal mucosa sa sa out) and completely prolapse (the entire wall of the rectum comes out of the anal tube). >

Ages can be rectal but common in children 1-3 years old (mucosal prolapse) and adults over 50 years old (often encountered both mucosal prolapse and total prolapse). Rectal prolapse accounts for 0.2 - 1% of surgical diseases.

Causes of Rectal's disease

Causes of rectal proliferation

Sudden and prolonged increase in the abdominal pressure, or have to push a lot:

Children: diarrhea, pertussis, fimosis (foreskin stenosis).
adults: constipation, urination, dysentery, chronic colitis, polyps, bladder stones, fimosis.
People who do heavy porters.

The weakness of the means of hanging the rectal anus such as:

muscle, anal lift muscles.

Penal muscle scales.

Park ligaments.
Loss of mucosa and lower mucosa.

Disability in congenital anatomy or suffering:

Loss of rectal physiological curvature, loss of angle between the anal shaft and rectal shaft.

Excessive Sigma colon.
The bag and Douglas are too deep and wide, when the abdominal pressure increases, the bag and the Douglas press the front of the rectum, gradually pushing the rectum out of the anus is sliding hernia. P>

Inadequate the best rectal anatomical structures, especially the back, does not stick to the same bone so it is easy to move, slide down and fall out.
Wide anus.

Disability or tear due to injury of the perineum, lifting muscles, anal sphincter and hip pelvic diaphragm.

underdeveloped rectal valve, reducing the barrier that makes the rectal fall down.

Forming rectal mesenteric.

Nutrition:

malnutrition and lack of weight due to incomplete eating patients.

Patients with vitamin group B.

Symptoms of Rectal's disease

Symptoms of rectal prolapse include:

Patients with a history of rectal prolapse.

urinating can not control many levels, maybe only mucus secretion.

constipation is also described as a painful (feeling that goes out without all the stool) and obstruction.

There is a feeling of being swooped down.

Patients with rectal bleeding

Diarrhea and erratic habits.

Initially, the SA block could protrude through the anal canal only when defecation, pushing and returning to the same time. In the following times, patients need to push the SA block back to the old position, which can progress into chronic prolapse. Chronic prolapse is defined as a spontaneous prolapse that makes walking, standing long, coughing and sneezing becomes difficult because it can make the block protruding out. The tissue of chronic rectal can undergo pathological changes such as thickness, ulcers and bleeding.

People at risk for Rectal's disease

In children:

Cystic disease.

There was an anal surgery at birth.

Children are malnourished.
Details or physical development problems.

Purine when defecating.

infected.

In adults:

Purine when going out due to constipation.

Hres of tissue after surgery.

Women who give birth to many risks of postpartum rectal seeds .

Pelvic floor weakness occurs naturally by age.

Prevention of Rectal's disease

Should drink plenty of water (about 2 liters of water/day), do not wait until thirsty to drink water.

Supplementing fiber in diets such as cereals, fruits, vegetables, mushrooms, celery ...

Note the fruit should eat whole pieces, do not just drink smoothie.

Prioritize foods with laxative effects such as potatoes, mosquito net, amaranth, yogurt, aloe vera, chia seeds, vegetable oil, ... P>

Need to practice the habit of going to the toilet daily, not stretching much when defecating.

Diagnostic measures for Rectal's disease

Diagnosis of rectal prolapse by the following measures:

The doctor will ask about the patient's symptoms and medical records and surgery to diagnose rectal prolapse.

Clinical examination includes rectal examination to see if the tissue is loose and evaluate the sphincter of the patient's anus.

It is necessary to test to eliminate other diseases, such as rectal laparoscopy, colonoscopy or remove with an enema to find tumors, ulcers or narrow areas Usually in the intestine.

Children may need sweat test to check cysts if SA has appeared more than once or the cause of the disease is unclear.

Rectal's disease treatments

In the early stages, treatment of rectal prolapse with stool softening drugs, bullets and other drugs. However, most patients still need surgery to treat rectal prolapse thoroughly.

The type of surgery depends on the level of rectal prolapse and other health problems. There are the following types of surgery:

Cutting perineum anus: options including Altemeier and Delorme surgery. In both methods, the doctor will remove the rectal section of the rectum. Penal removal is sometimes done with spinal anesthesia to help reduce the risk of complications and help patients recover quickly.

Cut the colon of the ghost chain and fix the rectum: the doctor will have surgery to remove the ghost chain colon, the large intestine near the rectum and the anus. After that, the doctor will fix the rectum into the bone structure at the lower part of the spinal cord and pelvis (the same bone). In many cases, doctors can conduct minimally invasive surgery, resulting in a smaller incision and the patient will be hospitalized in a shorter time than traditional surgery.

Fixed rectum: Occasionally, the doctor only performs the rectum fixed without cutting the colon. In this case, the doctor will use robotic surgery. Vinmec is the first private hospital of Vietnam to apply robots in surgery to treat many complicated gastrointestinal diseases, including rectal prolapse.

In children, rectal prolapse can be controlled by softening drugs or other drugs. If children need surgery, the doctor has special experience in minimally invasive techniques will perform surgery.

Children with rectal prolapse need to check cyst fibrosis, because rectal prolapse can be a sign of the disease.

See also:

Understanding Robot Surgery Surgery Surgery

Methods of treatment of rectal prolapse Li>

Rectal and hemorrhoids are the same?

Disclaimer

Every effort has been made to ensure that the information provided by Drugslib.com is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Drugslib.com information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Drugslib.com does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Drugslib.com's drug information does not endorse drugs, diagnose patients or recommend therapy. Drugslib.com's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners.

The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Drugslib.com does not assume any responsibility for any aspect of healthcare administered with the aid of information Drugslib.com provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.