Some parents are very nervous when they observe a mucous membrane like lump coming out of the anus or outside the anus during a bowel movement, but it can return on its own after the bowel movement, and they are afraid that their baby is “prolapsed”, so they go to the hospital. The professional name for what parents fear is “prolapse” is rectal prolapse, where the anal canal, rectal mucosa or the entire rectum or even the sigmoid colon prolapse outside the anus. The difference between men and women is not obvious. 1.Why do babies have prolapse? There are many causes of pediatric rectal prolapse, which are related to systemic and anorectal local factors. In infants, the bend of the sacrum has not yet formed, the rectum is vertical, and when the intra-abdominal pressure increases, the rectum lacks the support of the sacrum, so it is easy to slide down. The rectum is also prone to prolapse from the anal opening due to malnutrition in children, reduced fat in the sciorectal fossa, incomplete development of pelvic support tissues, and weak muscle contraction. In addition, a long-term increase in intra-abdominal pressure or a sudden increase can contribute to rectal prolapse. For example, long-term constipation, diarrhea, long-term chronic cough, encopresis, etc. There are also a small number of children is due to certain lumbosacral diseases (spinal cord spinal membrane bulge) or surgery, accidents caused by muscle and nerve function damage around the rectum, and rectal prolapse occurs. 2, the swelling around the anus when the baby stools must be prolapsed rectum? The most intuitive manifestation of rectal prolapse is that a light red lump comes out of the anus during stool, and the lump often retracts on its own after stooling. The prolapsed mass can be seen as a fold of the intestinal mucosa. Many children have dilated perianal blood vessels during defecation, which are bluish-purple in color and also appear to have a swelling, but no mucosal prolapse. In addition, some larger and lower rectal polyps may also prolapse outside the anus during defecation. Generally, babies with rectal polyps have more symptoms of blood in the stool. There are also some older babies who will have hemorrhoids due to long-term constipation, diarrhea or love of spicy food, and will also have blood in the stool and internal hemorrhoids prolapse. 3.What is the effect of having rectal prolapse on the baby? Some parents notice the phenomenon of “prolapse” when their baby has a bowel movement, but they think it is not painful and will be fine after the bowel movement, so it will not affect their baby. Therefore, they do not seek medical attention in time. In fact, for the baby, because of the repeated prolapse of the mass from the anus, there will be the symptoms of anal drop and incomplete defecation, so it leads to prolonged stool time, more often, and more serious rectal prolapse. It can also be combined with irritating symptoms such as frequent urination, increased perianal discharge, perianal eczema and other mental manifestations such as irritability, which causes low self-esteem in the affected children and seriously affects their physical and mental health. In addition, as the degree of rectal prolapse worsens, some children will have anal prolapse lumps even without defecation, and complications such as bleeding, erosion and even necrosis occur with repeated friction of the prolapsed mucosa. 4.Does rectal prolapse need surgery? Rectal prolapse in children is a self-limiting disease, and most of them can heal themselves before the age of 5. If the disease is longer, more serious, conservative treatment does not work, or before the age of 5 years is not self-healing, can be treated with sclerotherapy injection. Only a few older children with more serious rectal prolapse by conservative, injection treatment is not effective before considering surgery. 5.What are the methods of conservative treatment? First of all, we should actively treat the triggering factors, such as constipation, diarrhea, chronic cough, encopresis, malnutrition and so on. During the treatment period, avoid squatting for a long time, or put the stool. The prolapsed intestinal tube should be returned in time after each bowel movement, and the anal canal should be washed externally. If the prolapse is heavy, it can be returned and then externally tied with a fixed band. Conservative treatment is mainly based on Chinese medicine, according to the physical condition of the child, you can choose oral Chinese medicine or external fumigation. Acupuncture treatment for rectal prolapse also has some effect. 6.What should parents pay attention to when their baby has rectal prolapse? First of all, you should take your baby to the hospital for examination, except for other diseases, and follow the doctor’s advice. If the baby is still small and the prolapse is not heavy, you only need to clean the baby’s anus after defecation. Pay attention to adjusting your baby’s diet, balance nutrition, change malnutrition, avoid constipation and diarrhea, don’t let your baby take too long to defecate, especially don’t develop the bad habit of watching TV, reading books and telling stories while defecating. For small babies do not put the stool frequently. Children who have prolapse try not to squat to defecate and can sit in a high bowl to defecate. Some parents are afraid that their babies will have trouble defecating after going to kindergarten and are anxious to give them injections or surgical treatment. As long as you communicate well with the kindergarten teacher, do a good job with the baby’s psychological work, coupled with conservative treatment, most babies can happily enjoy kindergarten life.