Endorectal prolapse constipation

  Rectal prolapse constipation, is the rectal mucosa relaxation, prolapse, defecation formed when the set and blockage of the anal canal caused by defecation difficulties, anal swelling blockage and other symptoms, belong to the functional export obstruction constipation disease, most elderly constipation accompanied by anal outlet obstruction, which is also often heard the elderly hand-assisted defecation reason.  Clinical symptoms Mainly rectal emptying disorders, defecation difficulties, incomplete defecation, anal swelling and obstruction, the more forceful the obstruction, patients often need to finger help fecal discharge. There is limited pain in the lower abdomen or sacral area during defecation, and occasionally there are bloody stools and mucus stools. Most patients have a long history of constipation and have difficulty in defecating, sometimes for several hours a day, which often delays the diagnosis because it is not easily detected early.  How to prevent to insist on physical exercise and strong abdominal muscle exercise to improve the human body qi and blood deficiency and lack of qi, which is very important for consolidating the effectiveness and prevention of rectal prolapse is of practical significance. Specific preventive measures are: 1, actively remove various triggering factors, such as cough, sedentary standing, diarrhea, long-term cough, enteritis and other diseases, infants and children should pay particular attention.  2, usually pay attention to increase nutrition, regularize life, do not squat for a long time, develop the habit of regular defecation, prevent dry stool, after the stool and before bedtime can use hot water sitz bath, stimulate the contraction of the anal sphincter, to prevent rectal prolapse constipation has a positive effect.  3, patients with habitual constipation or defecation difficulties, in addition to eating more food containing fiber, do not force too hard when defecating.  4, women should take sufficient rest after childbirth and delivery to protect the normal function of the anal sphincter. If there is uterine prolapse and visceral prolapse, they should be treated promptly.  Our special treatment 1. For mild rectal prolapse, if the patient feels difficulty in defecation, he/she should be treated with Chinese medicine orally; 2. For heavy rectal prolapse, he/she should be treated with Chinese medicine Zizyphus clearing enema, and if he/she complains of incomplete defecation and anal swelling and blockage, he/she should be treated with anal intracavitary therapy instrument, and the probe should be directly applied to the prolapsed mucous membrane to restore the prolapsed mucous membrane to the normal state.  3. If the prolapse of rectum is serious and accompanied by serious defecation difficulty, and the symptoms are not relieved by oral enema of Chinese medicine and physical therapy, injection therapy, commonly known as “injection”, is used to inject suitable concentration of sclerosing agent under the rectal mucosa, so that the prolapsed mucosal adhesions are fixed in the muscle layer and improve the prolapse.  4. rectal mucosal prolapse or combined with painful embedded hemorrhoid nucleus prolapse, and with severe constipation, the use of mucosal resection anastomosis treatment (PPH, TST), direct removal of prolapsed lesions mucosa, so as to achieve the purpose of treatment.