How is rectal prolapse graded?

Written by Chen Tian Jing
Colorectal Surgery
Updated on September 25, 2024
00:00
00:00

Rectal prolapse is generally graded into three degrees: first degree rectal prolapse, second degree rectal prolapse, and third degree rectal prolapse. First degree rectal prolapse is a relatively minor condition where the rectal mucosa protrudes but can retract back on its own. Second degree rectal prolapse is a moderate condition where the protruding mucosa extends approximately 5-10 centimeters, generally forming a conical shape, and requires the patient to manually reposition it. Third degree rectal prolapse indicates a severe condition, with the prolapsed mucosa typically extending beyond 10 centimeters. It may protrude with each incident and could also occur when the patient strains the abdomen or squats. The treatment of second and third degree rectal prolapse generally requires surgical intervention.

Other Voices

doctor image
home-news-image
Written by Chen Tian Jing
Colorectal Surgery
1min 3sec home-news-image

Can you eat pork with rectal prolapse?

Patients with rectal prolapse can eat pork. Rectal prolapse is common in patients who have had chronic constipation or are physically weak. Therefore, to avoid constipation and excessive straining during bowel movements, it is recommended that patients with rectal prolapse maintain a diet that is light and bland. They should avoid spicy foods such as chili peppers and seafood, as well as foods that are hard in texture, to prevent stools from becoming too dry and necessitating excessive straining, which can worsen the prolapse or even lead to complete rectal prolapse. To prevent the recurrence of constipation or excessive straining during bowel movements, it is advisable to consume more liquid foods, as well as light vegetables and fruits. Moreover, if the condition frequently recurs or clearly leads to complete rectal prolapse, it is recommended that patients undergo surgical treatment as soon as possible.

doctor image
home-news-image
Written by Chen Tian Jing
Colorectal Surgery
54sec home-news-image

Can you eat black fish with rectal prolapse?

Patients with rectal prolapse are advised not to consume seafood, lamb, and other stimulating foods for long periods or in excessive amounts. Overconsumption of lamb, seafood, or spicy and stimulating foods can easily lead to dry stools. When stools are dry, patients will involuntarily strain during bowel movements, which can worsen the rectal prolapse. In addition to needing a light and liquid diet, patients with rectal prolapse require prompt treatment to prevent the condition from worsening and delaying the disease. The primary treatment method is surgical removal combined with local sclerosing agent injection therapy. After surgery, it is important for patients to avoid squatting or excessive physical exercise for up to six months to prevent episodes of rectal prolapse.

doctor image
home-news-image
Written by Chen Tian Jing
Colorectal Surgery
51sec home-news-image

Can you do yoga with rectal prolapse?

Patients with rectal prolapse can engage in moderate exercise, but it is not recommended to perform exercises that involve significant abdominal strength or squatting movements. This is because excessive abdominal pressure or overexertion can increase intra-abdominal pressure, compressing the mucosa and tissue around the anus, thereby worsening the prolapse. If squatting exercises are performed over a long period, it could further aggravate the degree of rectal mucosal prolapse. Hence, patients with rectal prolapse may opt for gentler exercises like yoga, ensuring that the movements and methods do not exacerbate the condition of the rectal mucosa. Patients with rectal prolapse should seek surgical treatment as soon as possible, where the prolapsed mucosa is completely excised for recovery.

doctor image
home-news-image
Written by Chen Tian Jing
Colorectal Surgery
59sec home-news-image

Will rectal prolapse cause the stool to become thinner?

Patients with rectal prolapse may experience a narrowing of their stool, which is primarily due to the relaxation of the rectal mucosa associated with rectal prolapse. The relaxed mucosa accumulates at the anus, blocking the passage of feces and thus altering the shape of the stool as it is expelled, generally resulting in thinner or flattened stools. Therefore, if it is definitively diagnosed that the change in stool shape is due to rectal prolapse, surgical treatment is recommended. The surgery involves excising or suturing the excessively relaxed rectal mucosa to allow for a smoother passage of stool and to prevent alterations in stool shape. Additionally, it is important for patients to maintain good lifestyle and bowel habits post-surgery, spend minimal time defecating, and avoid prolonged squatting or straining actions.

doctor image
home-news-image
Written by Chen Tian Jing
Colorectal Surgery
1min 3sec home-news-image

Rectal prolapse treatment

Rectal prolapse is primarily categorized into mild rectal prolapse as well as moderate and severe rectal prolapse. Mild rectal prolapse generally occurs in the early stages of the illness or in children and can be treated conservatively. Conservative treatment mainly involves Chinese herbal retention enemas. On the other hand, moderate and severe rectal prolapse can result in the protrusion of the local mucosa outside the anus, presenting as cylindrical or cone-shaped prolapses. Treating moderate to severe hemorrhoidal prolapse requires surgical intervention. The main surgical methods include hemorrhoidal mucosectomy with stapling and local submucosal sclerosant injections. It is also important to caution postoperative patients against squatting for long periods or straining during constipation, as these actions can exacerbate symptoms of submucosal prolapse.