Rectal prolapse occurs when the rectum (the last section of the large intestine) falls from its normal position within the pelvic area. (The word "prolapse" means a falling down or slipping of a body part from its usual position.)
The term "rectal prolapse" can describe three types of prolapse:
·         the entire rectum extends out of the anus
·         only a portion of the rectal lining is pushed through the anus
·         the rectum starts to drop down but does not extend out the anus (internal prolapse)

Rectal prolapse is common in older adults with a long-term history of constipation or a weakness in the pelvic floor muscles. It is more common in women than in men and even more common in women over the age of 50 (postmenopausal women) but occurs in younger people too. Rectal prolapse can also occur in infants – which could be a sign of cystic fibrosis – and in older children.
Causes-Rectal prolapse can occur as a result of many conditions, including:
·         Chronic constipation or chronic diarrhea.
·         Long-term history of straining during bowel movements.
·         Older age. Muscles and ligaments in the rectum and anus naturally weaken with age. Other nearby structures in the pelvis area also loosen with age, which adds to the general weakness in that area of the body.
·         Weakening of the anal sphincter. This is the specific muscle that controls the release of stool from the rectum.
·         Prior injury to the anal or pelvic areas.
·         Damage to nerves. If the nerves that control the ability of the rectum and anus muscles to contract are damaged, rectal prolapse can result. Nerve damage can be caused by pregnancy, difficult vaginal childbirth, anal sphincter paralysis, spinal injury, back injury/back surgery, and/or other surgeries of the pelvic area.
·         Other diseases, conditions, and infections. Rectal prolapse can be a consequence of diabetes, cystic fibrosis, chronic obstructive pulmonary disease, hysterectomy, and infections in the intestines caused by parasites – such as pinworms and whipworms – and diseases resulting from poor nutrition or from difficulty digesting foods.

Symptoms--The symptoms of rectal prolapse include the feeling of a bulge or the appearance of reddish-colored mass that extends outside the anus. At first, this can occur during or after bowel movements and is a temporary condition. However, over time – due to an ordinary amount of standing and walking – the end of the rectum may extend out of the anal canal and needs to be pushed back up into the anus by hand.
Other symptoms of rectal prolapse include pain in the anus and rectum and rectal bleeding from the inner lining of the rectum. These are rarely life threatening symptoms. Fecal incontinence is another symptom. Fecal incontinence refers to leakage of mucus, blood or stool from the anus. This occurs as a result of the rectum stretching the anal muscle. Symptoms change as the rectal prolapse itself progresses.
Even though it is a surgical condition, Homoeopathic medicines can do wonders in this condition , cure without knife  
PODOPHYLLUM 1000-Podophyllum is one of the top Homoeopathic remedy for prolapse of rectum which occurs while passing stool.  The rectum may get prolapsed either before or during the passing of stools. There may be a sore pain in the anus. Podophyllum may be prescribed in children with complaints of prolapse of the rectum. The patient have a history of chronic constipation.  There is  weakness in the abdomen and anus. There may be a constant anxiety due to the pain in the anus. The prolapsed part of the rectum may remain protruded for a long time, particularly in children.

BELLADONNA 1000-Belladonna is another top remedy for prolapse of rectum. It is prescribed when tympanities in abdomen and diarrhoea followed by rectal prolapse is present.

ALOE SOCOTRINA 30-Aloes is prescribed for prolapse with diarrhoea. There is bleeding and tenesmus in the rectum.

IGNATIA 200-Ignatia is another effective remedy for prolapse of rectum that occurs even with soft stool. Ignatia may be prescribed when the parts protrude with soft stools and remain intact with hard stools. The pain may be sharp and shooting in nature. The pain radiates upwards and may get worse after passing stools. The pain subsides considerably when the patient is in a sitting posture. There may be a tight, constrictive feeling around the opening of the anus. Ignatia may be given when there is a constant pressure as if some sharp instrument was protruding from the rectum into the anus. All complaints get aggravated in the mornings, after eating food, and on getting warmth. The patient feels better by changing the posture and when he is in a sitting posture.

RUTA GRAVEOLENS 30-Ruta graveolens is another top remedy for prolapse of rectum that occurs after straining or after delivery as a complication. The stools may be constipated and can be passed only with great straining and difficulty. Sitting is the worst position because it makes the pain get worse. The pain sensation is as if the rectum and anus are being pricked with sticks. Some part of the rectum comes down the anus each time when the stools are passed. Ruta may be given when there is protrusion of the rectum during an attempt to bend or stoop forward. Winter is the worst time for the patients as the pains become unbearable.

SEPIA 30- Sepia is an effective remedy for prolapse of rectum. There is prolapse with weight like a ball in the rectum. The stool is passed mixed with blood. There is a feeling of fullness in rectum ,  constant oozing from the abdomen and  pain shoots up the rectum and vagina.

AESCULUS HIPPO. 30-Aesculus hippo. Is prescribed for prolapse of rectum that occurs due to chronic  suffering of piles.  The sensation of pain is that of the rectum being filled with sticks. There may be an intense burning pain in the anus which radiates up to the back.  Aesculius is also suitable for women who suffer from prolapsed rectum during the menopausal   or post-menopausal period. There may be a sensation of swelling in the anus and passing stools is very painful and difficult.Another leading symptom for Aesulus  is a constant backache , which is unbearable for the patient.

HYDRASTIS CANADENSIS 30-Hydrastis can. s a wonderful remedy for prolapse of rectum in children.The child may be constipated and cries while passing stools on account of pain. There may be much swelling in the anus and rectum with congestion. The complaints may be associated with fissures in the anus. This gives rise to much burning in the anus during the passing of stools. The pain lasts for a long time after passing stools.

MURIATIC ACID 30-Muriatic acid is prescribed for prolapse of rectum while urinating. The anal region is sensitive to touch , and also there is itching   in anal region

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