Can conservative therapy cure rectal prolapse?

  A young couple came to the clinic with their 2-year-old son in their arms in a hurry, saying that the child had a swelling prolapsing after a bowel movement and that they did not know what was going on. After a detailed history and examination, the infant was found to have a rectal prolapse, and the two parents eagerly asked me if this condition could be cured. In fact, their concern is somewhat universal. Generally speaking, adults with rectal prolapse must undergo surgery in order to be cured, because adult rectal prolapse is often accompanied by muscular prolapse and often relaxation of the anal sphincter group, and medication can only relieve symptoms, but cannot fundamentally cure rectal prolapse. The situation of pediatric patients is different from that of adults. First of all, the causes of prolapse are different, because the sacral bend has not yet formed in children, and the rectum is vertical to the anus, due to the lack of effective support of the rectum by the sacrum, when the abdominal pressure continues to increase (such as constipation, long-term cough, etc.), prolapse is likely to occur; secondly, even if children suffer from rectal prolapse, generally the mucous membrane is ectopia, the whole layer of the rectum does not prolapse out of the anus, and the anal sphincter muscle is not particularly damaged, and the anal sphincter muscle group The contraction force is basically the same as that of young children of the same age, so the condition of rectal prolapse in young children is relatively light compared to that of adults. Therefore, many experts agree that infants and children within 3 years of age with rectal prolapse can be treated without surgery and have a high probability of self-healing. However, according to my clinical observation, infants and children suffering from the disease, although it can be self-healing, but must pay attention to the following points: 1, to keep the stool smooth, told the child to eat more vegetables, fruits, because constipation is easy to aggravate the disease, usually drink more water, vegetable juice, pediatric honey, if necessary, use drugs to regulate constipation.  2, immediately after the stool with warm water bath, keep the local clean, if the prolapse can not be immediately back on their own, need to be gently massaged by parents to reset.  3, individual children with blood in the stool, may be related to the rectal mucosal surface inflammation, external washing reset, need to use some special ointment to relieve local inflammatory stimulation.  4, local hot compress, hot water bottle wrapped towel, external anal compress, increase local blood circulation, improve resistance.  5, Chinese herbal fumigation, to play the role of astringent and solid astringent: pomegranate peel, umeboshi, five times, alum, hedgehog, bitter ginseng 15 grams each, water decoction sitz bath, once a day, 5-10min each time. 6, balanced nutrition, strong body: must ensure that the infant balanced nutrition, the normal range of trace elements, to ensure a good diet digestive function, only a healthy and strong body can be conducive to recovery, yellow muscle thin, pelvic floor lack of Fatty tissue support is not conducive to the self-healing of the disease.  In short, as long as the care is careful and timely, with age, most of the self-recovery, parents do not need to be overly anxious.