Talking about posterior uterine tilt

  Clinical manifestations: The normal uterus is tilted forward between the bladder and the rectum. If the uterus is underdeveloped, improperly maintained during labor and delivery, pelvic inflammatory disease and other reasons can cause the uterus to tilt down to the back and press on the anterior rectal wall, the clinical manifestations are: poor defecation, thin flat stool strips, residual stool feeling after defecation, lower abdomen and perineum pain, radiating to the lower extremities, and lumbosacral swelling.  Diagnostic methods: Finger palpation can palpate a round, smooth, hard mass pressing on the anterior rectal wall, and hard stool can often be found in the intestinal cavity above it, while the rectum below it is empty. Gynecological vaginal internal examination can be palpated with a posterior tilt of the uterus and a curved obtuse angle between the uterine body and the cervix.  Treatment: 1, postural adjustment: suitable for the posterior tilting of the uterus position light, that is, take the knee chest for deep breathing exercises, 2 times a day, 30 minutes each time.  2, posterior tilt of the uterus comprehensive therapy: suitable for the posterior tilt of the uterus compression of the rectum. Posterior tilt of the uterus compressing the rectum is the same as a huge swelling growing in the rectum, which leads to the incidence of constipation and hemorrhoids greatly exceeds the incidence of other uterine positions. The use of the knee-chest position with balloon inflation to reduce the rectal curvature of the uterus and stimulate the defecation reflex has some efficacy.  Operation steps: make the patient take the knee-chest position, head low and buttocks high, the uterus position naturally tilted forward, daily practice, each time 10 – 20 minutes. At the same time, take a tube balloon (such as condoms), coated with paraffin oil gently into the anus, gradually inflate, squeeze the uterus forward, and then lightly pull the balloon, stimulate the rectum of the anal canal, the sense of bowel movement, and then let the patient to defecate.  Key points of operation: the balloon should be of firm and uniform texture, the inflation should be uniform, and the amount of inflation should be appropriate to the extent that the patient can tolerate.