How to Fix a Dropped Bowel: Treatment Options for Rectal Prolapse

Understanding Rectal Prolapse

Rectal prolapse occurs when the rectum slips out of its normal position and protrudes through the anus. This condition can be uncomfortable and may cause issues with bowel control. While it’s not typically a medical emergency, it’s important to address rectal prolapse to prevent further complications.

At-Home Management for Minor Cases

In some instances of very minor, early-stage rectal prolapse, initial treatment can begin at home:
• Use stool softeners to ease bowel movements
• Gently push the prolapsed tissue back into the anus by hand
• Increase fiber intake and stay hydrated to prevent constipation
• Perform Kegel exercises to strengthen pelvic floor muscles

However, it’s crucial to consult a healthcare provider for proper diagnosis and treatment recommendations, as these measures are often temporary solutions.

When Surgery Becomes Necessary

For most cases of rectal prolapse, especially those that are more severe or persistent, surgery is the primary treatment option. Surgical procedures aim to repair the prolapse and restore normal bowel function. Common surgical approaches include:
• Rectopexy: Fixing the rectum to the sacrum through abdominal surgery
• Altemeier procedure: Removing the prolapsed portion of the rectum
• Delorme procedure: Removing the inner lining of the prolapsed rectum and folding the muscle wall

Choosing the Right Surgical Approach

The selection of the most appropriate surgical technique depends on various factors:
• Severity of the prolapse
• Patient’s overall health and age
• Presence of other pelvic floor disorders
• Surgeon’s expertise and preference

Your doctor will discuss the best option for your specific case, considering potential risks and benefits.

Post-Surgery Recovery and Care

After surgical repair of rectal prolapse:
• Follow your doctor’s instructions for wound care and activity restrictions
• Maintain a high-fiber diet and stay well-hydrated
• Avoid straining during bowel movements
• Attend follow-up appointments to monitor healing and progress

Preventing Recurrence

To reduce the risk of rectal prolapse recurring after treatment:
• Manage chronic constipation through diet and lifestyle changes
• Avoid heavy lifting and straining
• Maintain a healthy weight
• Continue pelvic floor exercises as recommended by your healthcare provider