1.What is the difference between external and internal prolapse of the rectum?
Internal prolapse and external prolapse are determined according to the location of the rectal mucosal tissue after defecation. If the rectal mucosal tissue comes out of the anus after defecation, it is called external prolapse; after defecation, the rectal mucosa cannot come out of the anus and prolapse in the rectal cavity, it is called internal prolapse. Patients with internal prolapse mostly have the feeling of bowel irregularity, and when proctoscopy is performed, loose mucosa can be seen piling up in the intestinal cavity. It is soft to the touch and can move up and down when pushed. The mucous membrane of internal prolapse also has partial prolapse, full circumferential prolapse and the difference between light and heavy. Because internal prolapse is relatively rare, so the grading method of rectal prolapse is mainly divided into first, second and third degree of external prolapse.
2, why are children prone to rectal prolapse?
According to Chinese medicine, the occurrence of this disease is related to the lack of qi and blood in children and the lack of middle qi. Children are delicate and prone to prolonged diarrhea and dysentery, resulting in lack of qi and blood, deficiency of qi and deficiency of the lower trap, and loss of solidity, resulting in prolapse. Modern medicine believes that because the pelvic support tissue is not fully developed during childhood, the rectum cannot assume full support, as well as the bending of the sacrum in children has not yet formed, affecting the formation of the angle between the rectum and the anal canal, the rectum is vertical and easy to move, if long diarrhea, long diarrhea leads to weakness, malnutrition, can form a prolapse of the rectum.
3.Why is elimination of hemorrhoid injection the main means of treatment of rectal prolapse in China?
The history of injection therapy for rectal prolapse has been decades, and the injectable drugs used are 95% alcohol, 50% glucose, 5% sodium cod liver oil, 5% polycarbonate oil, etc. Currently, this method has been eliminated in foreign countries and is rarely introduced in foreign monographs, even without mentioning this therapy. The Chinese Academy of Traditional Chinese Medicine Guang’anmen Hospital uses the elimination of hemorrhoid spirit in the perirectal gap injection, has achieved satisfactory results, and has the advantages of less patient pain, simple operation, short course of treatment, low cost of treatment, so the elimination of hemorrhoid spirit injection has become the main means of treatment of rectal prolapse in China.
4.How should patients cooperate with physicians after rectal prolapse in order to consolidate the curative effect?
①Orally take antibiotics such as cotrimoxazole and gentamicin tablets to prevent infection.
②Controlled defecation should be carried out for 5-7 days after surgery. At the first bowel movement, if it is difficult to pass, use 1000 ml of warm saline enema and prohibit the effort to struggle during stool.
③Promote the contraction of the anal sphincter by strengthening the sphincter contraction exercise, generally do contraction anal exercise 3 to 5 times a day, and each time should not be less than 30 times.
④Always pay attention to strengthening nutrition and eating a diet with less residue to reduce the local pollution and stimulation of feces.
⑤ Avoid labor such as carrying water and carrying burdens, and prevent coughing and catching colds, which may increase abdominal pressure and affect the healing effect.
(6) Actively treat chronic diseases such as habitual constipation, chronic bronchitis, diarrhea, dysentery and other diseases.
(7) internal use of tonic pill, ten whole tonic pill, to lift trapped lifting.
5.Why can abdominal and anal lifting exercise prevent prolapse?
Prolapse is common in middle-aged and elderly people. This is because people in middle age or old age, the body’s various functions begin to degenerate, aging and relaxation and the phenomenon of prolapse, so the prevention of prolapse is particularly important for middle-aged people. So, how can we effectively prevent prolapse? The abdominal and anal exercise is a simple and easy to learn and fast method, which is introduced as follows.
Method: The two legs and two shoulders in a straight line, both hands and stick to the sides of the buttocks, both eyes looking straight ahead, the whole body is basically relaxed, and then slowly inhale, while doing abdominal and anal retraction (anus tightly closed, upward contraction, small belly and abdomen at the same time upward contraction). Exhale, the abdomen and anus to slowly relax, and avoid tight inhalation, fast out of breath. Insist on doing 10-20 minutes every morning and evening. According to this method adhere to practice for about 1 year, prolapse will have nothing to do with you. Not only that, but also to prevent pot belly, hemorrhoids leakage and other phenomena. Long-term adherence to exercise, you will regain a robust and proportionate physique.
6, how to prevent the occurrence of rectal prolapse?
①Prevent the occurrence of rectal prolapse, should pay attention to avoid long-term sustained increase in abdominal pressure activities.
② timely treatment of enteritis, dysentery, constipation, to prevent frequent squatting and defecation.
③ Maternal perineal fissures should be repaired to enhance the function of internal anal retraction.
④Wash with warm water or tap water after defecation. And use breaks between work to do anal lifting exercises, 2 to 3 times a day, relaxing and tightening the anus 20 to 30 times each time in succession to enhance anal muscle tension.
⑤ Pay attention to diet and nutrition, and avoid prolonged standing and sitting. Prolonged standing and sitting can cause local obstruction of qi and blood flow and induce rectal prolapse.
⑥It should be advocated to do exercises, play ball and run to stretch the muscles and blood, which will reduce the occurrence of rectal prolapse.