Rectal prolapse is a prolapse of the rectum or rectoanal mucosa. The lower part of the rectal wall, that is, under the rectal mucosa, is called mucosal prolapse or incomplete prolapse, and the whole rectal wall is called complete prolapse. If the downward migration of the rectal wall in the rectal cavity of the anal canal is called internal prolapse; downward migration to the outside of the anus is called external prolapse. It is mostly caused by Qi deficiency or damp-heat infusion. It is more common in the elderly and children. At the beginning, the anus prolapses only when defecating and can retract on its own; when the disease is prolonged, it prolapses longer and needs to be retracted by hand. The prolapse is caused by walking, exertion, coughing and exertion, and the anus becomes swollen and uncomfortable. If the prolapse is not retracted for a long time, the area becomes purple and red, and the swelling and pain increase, or even ulcerates. What are the clinical manifestations of prolapse? 1.Prolapse This is the main symptom of anorectal prolapse, the rectal mucosa prolapses during early defecation, and then resets itself; with the development of the disease, the body resistance gradually decreases, requiring a long period of treatment failure, the whole or part of the sigmoid rectum protrudes, even coughing, weight-bearing, journey, squatting will appear, and it is not easy to reset, and needs to be pushed back by hand or bed rest before it can be reset. 2.Bleeding Generally there is no bleeding symptom, occasionally when the stool is dry, there is blood dripping from the mucous membrane when rubbing, blood in stool or blood when swabbing with hand paper, but the amount of bleeding is small. 3.Moist Some patients often have mucus overflowing from the anus due to the relaxation of the anal sphincter and weak contraction, resulting in a sense of moist. Or because of its prolapse and not reset in time, the rectal mucosa is congested, edematous or eroded, and the mucus stimulates the perianal skin and causes scratching. 4.Incarceration Anorectal prolapse fails to reset in time, a little longer, local venous reflux is obstructed, so inflammation and swelling, leading to incarceration. Then, the mucosal red gradually becomes dark red, and even superficial mucosal erosion, necrosis or the emergence of intestinal strangulation necrosis prolapse, due to the contraction of the anal sphincter. The patient’s symptoms then develop from local to generalized, with a rise in body temperature, loss of appetite, difficulty in urinating, knots in the stool, increased pain and swelling, restlessness, and even intestinal obstruction. Causes of prolapse? 1, sick and weak malnutrition or long diarrhea and dysentery, so that the fat in the sciatic rectal fossa is absorbed, the rectum lost support; this case in addition to the treatment of prolapse, it is more important to regulate the body, enhance physical fitness. Otherwise, even if the prolapse is treated, there is a possibility that it will recur. 2, congenital deficiencies incomplete development, rectal lack of support of the surrounding soft tissue and sacral curvature; this situation is mostly seen in infants and young children aged two or three, because the pelvic tissue structure of infants and young children is not well developed, coupled with the weakness of the intestinal function, often diarrhea, constipation, which causes prolapse. This kind of prolapse usually does not need treatment, with the growth of age, can be self-healing. 3, qi and blood decline aging organism weak, women give birth many times, pelvic muscle relaxation, not easy to fix, resulting in prolapse; mostly seen in the middle-aged and elderly, is caused by the degeneration of body functions. In addition to the necessary medical treatment to cure prolapse. Also need to do more moderate exercise plus with, such as anal exercise, taijiquan, slow walking, etc. 4.Increased abdominal pressure Due to long-term diarrhea, constipation, prostate enlargement, bladder stones, chronic cough and other diseases that increase abdominal pressure, the submucosal tissue of the rectum relaxes and the mucosa separates from the muscle layer, resulting in prolapse; while actively treating prolapse, the key is to cure the original pathogen. 5, internal hemorrhoids III stage rectal polyps, anorectal tumors and other conditions, often prolapse resulting in relaxation of the anal canal sphincter and traction of the rectal mucosa downward. Internal hemorrhoids and polyps will come out of the anal opening in the middle and late stages, and many patients will confuse these diseases and will treat prolapse as internal hemorrhoids and buy hemorrhoid medication on their own, which instead delays the condition and causes great pain. The many discomforts of prolapse in life? 1, the initial stage of prolapse has constipation, irregular bowel movements, always feel rectal full bloating and defecation is not clean. During defecation, there is a swelling that comes out, but it can be retracted by itself. 2.After gradual aggravation of prolapse, in addition to prolapse caused by forceful defecation, prolapse can be caused by coughing and walking with slight abdominal pressure, which often cannot be retracted by itself, and the prolapsed mass must be held into the anus by hand. Due to the frequent prolapse and discharge of mucus will often contaminate underwear. 3, prolapse leads to damage to the intestinal mucosa ulcers, can also cause bleeding and diarrhea. If the prolapsed mass cannot be retracted, inflammation and swelling will easily occur, and pain will occur, further aggravating constipation. 4, prolapse in the rectum repeatedly descending and retracting, causing mucosal congestion and edema, often by the anal outflow of large amounts of mucus and bloody things. Patients often feel pelvic and lumbosacral swelling and dragging, dull pain in the perineum and posterior femur, etc. How is prolapse treated? The treatment of rectal prolapse varies according to age and severity, mainly to eliminate the triggering factors of rectal prolapse; rectal prolapse in young children is mainly treated by conservative treatment; mucosal prolapse in adults is mostly treated by sclerotherapy injection; complete rectal prolapse in adults is mainly treated by surgery.