Can rectal prolapse cause stool deformity?

Written by Chen Tian Jing
Colorectal Surgery
Updated on January 23, 2025
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Rectal prolapse primarily refers to the excessive relaxation of the rectal mucosa. It may manifest as relaxation of the rectal mucosa due to the prolapse, and may also result in rectal prolapse. Patients with rectal prolapse may experience deformed stools, mainly because the prolapse overly crowds the anal opening, preventing feces from being normally expelled from the body. When feces are expelled through the anus, the local mucosal compression can cause the stools to appear in thin strips or in a flattened shape. Patients with rectal mucosal prolapse are advised to undergo examinations as soon as possible and actively receive treatment. Options include traditional Chinese medicine retention enemas, combined with oral qi-boosting medications. If the prolapse recurs, or has resulted in rectal prolapse, surgical treatment is recommended.

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Written by Chen Tian Jing
Colorectal Surgery
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What tests should be done for rectal prolapse?

Rectal prolapse primarily refers to excessive laxity of the rectal mucosa within the anal canal. This lax mucosa accumulates at the anal opening, forming a clinical symptom. Patients may experience significant local swelling and a feeling of falling down. In severe cases or when the prolapse overly obstructs the anal opening, it might lead to difficulties in defecation and constipation. To diagnose rectal prolapse, an initial assessment typically involves a digital rectal examination and an anoscopy to simply and initially screen for the presence of mucosal prolapse. Further, a defecography might be required to ascertain the severity of the rectal prolapse. For mild rectal prolapse, topical medications can be used to alleviate symptoms. In cases of moderate or severe rectal prolapse, surgery is necessary to excise the lax mucosal loop.

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Written by Chen Tian Jing
Colorectal Surgery
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What are the symptoms of rectal prolapse?

Rectal prolapse is a common clinical disease in proctology, primarily affecting children, postpartum women, and the elderly. Symptoms of rectal prolapse include varying degrees of bloating and a feeling of falling at the anus. Sometimes, due to the accumulation of mucosa at the anal opening, normal defecation is impeded, leading to constipation and difficulty in bowel movement. To examine and diagnose rectal prolapse, an anoscopy is necessary. Under anoscopy, the relaxed mucosa that accumulates can be seen at the mirror opening. Treatment for rectal prolapse in children may involve the use of traditional Chinese medicine retention enemas, which can gradually alleviate the prolapse as the body's condition improves. For postpartum women or the elderly, treatment may also involve traditional Chinese medicine retention enemas in combination with surgical excision. The primary surgical procedure used is a Hemorrhoidal mucosal circular stapling operation.

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Written by Deng Heng
Colorectal Surgery
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Can people with rectal prolapse eat beef?

Rectal prolapse mainly occurs when the rectal mucosa prolapses out of the anus during defecation. If the symptoms are severe, the rectal mucosa can also protrude out of the anus during prolonged standing or exertion. As for whether beef can be eaten, because beef is generally spicy and many cooking methods are spicy, spicy foods can affect bowel movements, causing congestion and swelling of the anal mucosa. Therefore, it is best to avoid spicy beef. Furthermore, beef tends to cause "internal heat" in the body, which can lead to constipation. It is recommended that patients with rectal prolapse eat more vegetables and fruits to maintain smooth bowel movements. Thus, if one really wants to eat beef, it's best to either not make it spicy or to eat it in moderation.

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Written by Deng Heng
Colorectal Surgery
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Postoperative Care for Rectal Prolapse Surgery

Post-Rectal Prolapse Surgery Precautions: 1. Rest in bed, which helps improve the recovery rate. Due to gravity, many patients with rectal prolapse experience prolapse when standing or walking. Although the surgery fixes the prolapsed mucosa, the firmness of the fixation takes time to establish. Therefore, it is recommended to rest in bed with limited activity for one week after the surgery to solidify the therapeutic effects. 2. Take oral antibiotics for 7 to 10 days after surgery. 3. Abstain from food for the first two days after surgery, and consume semi-liquid or liquid foods in reduced quantities on the third day. 4. Refrain from defecating for 4 to 5 days after surgery. 5. Do not strain during the first bowel movement after surgery. (Please use medications under the guidance of a professional physician)

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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.