What should I do if I have an anterior rectal protrusion?

Many women because of defecation difficulties to the anorectal department to see the doctor, the doctor gave the diagnosis of: rectal protrusion, which makes many patients feel puzzled, rectal protrusion is a what disease? Female rectum and vagina adjacent to the rectum anterior protrusion, also known as rectal bulge, refers to the rectum to the vagina before the back wall bulge, defecation feces will enter this bulging bag, resulting in defecation, defecation, defecation incomplete feeling, discharge force, anal swelling and other symptoms, belong to the exit of the obstruction of constipation of a kind. Clinical manifestations 1. Difficulty in defecation: Difficulty in defecation is the main symptom of anterior rectal protrusion. A few patients need to put pressure in the perianal and vaginal area to assist defecation, and even put their fingers into the rectum to dig out the fecal matter. 2. Incomplete bowel movement: there is always a feeling of incomplete bowel movement after each bowel movement, and the more forceful it is, the deeper the anterior rectal protrusion becomes, resulting in a vicious circle. 3. Long interval between defecation: only when there are enough feces produced can effective stimulation be produced and the feeling of defecation be felt. Due to the decrease of the effective defecation pressure in the rectum, the feces cannot be discharged directly, and must wait until there is a lot more feces in the rectum to be discharged. 4. Falling sensation: Due to the accumulation of fecal matter in the rectum, the patient has a falling sensation in the anus. Individuals have a feeling of swelling in the perineum and vagina, and a feeling of anal obstruction. 5. Abdominal distension: while the rectal protrusion is difficult to defecate, sometimes the exhaust will also be affected, and the gas in the intestines is not discharged smoothly, which will cause abdominal distension. Examination methods 1. Rectal palpation: Rectal palpation can touch the anterior rectal wall at the upper end of the anal canal, there is a round or ovoid protruding into the vagina of the weak area. It is more obvious when defecation is exerted. 2. Excretory contrast: the anterior wall of the rectum can be seen protruding forward, making it difficult for barium to pass through the anal canal. The morphology of anterior protrusion is mostly pouch-shaped, gooseneck-shaped or mound-shaped, with smooth edges. If the depth of anterior protrusion is more than 2cm, there is barium embedded in the pouch; if combined with anterior puborectal muscle lesion, it is mostly gooseneck-shaped or pouch-shaped. Treatment 1.Conservative treatment: do not advocate the use of harsh laxatives and enemas, but emphasize “more”. (1) Eat more fiber-rich foods; (2) drink more water, the total amount of 2000-3000ml per day; (3) more exercise, increase physical activity; (4) more massage of the abdomen, stimulate gastrointestinal peristalsis; through the above treatments, the symptoms of the general patients have improved to varying degrees, after 3 months of formal non-surgical treatment, symptoms do not improve, the efficacy of those who do not have a clear consideration of surgical treatment. 2. Surgical treatment: there are two types of surgery: transrectal and transvaginal. The specific surgical method will be decided by the doctor according to the condition. Care Eat more vegetables, fruits and foods rich in crude fiber, drink more water, insist on taking 2 spoons of honey and 150~200ml of boiled water as tea before going to bed every day, and drink 1 cup of lightly salted water on an empty stomach in the morning, make a reasonable diet plan, establish a good dietary habit, maintain the nutrition of the diet, and choose the food that is light, high in protein, high in calories, high in vitamins, and easy to be digested, such as lean meat, green vegetables, fish, and eggs, etc., and less spicy and stimulating food. Stimulating food.