What are the reasons for rectal prolapse?

Patient's question:

Baby's rectal prolapse, slightly dry stools, no other obvious symptoms for 15 days, the cause is unclear, only once. Previous treatment history and effectiveness: There has been no treatment yet. What assistance is needed: What are some good methods to prevent such cases...

Doctor's answer:

The rectum and anus are aligned vertically, with relatively loose surrounding ligaments and weaker muscles (especially in malnourished individuals or those with digestive diseases such as tuberculosis). Around the age of two, children typically begin using a toilet to defecate. At this time, the abdominal pressure exerted on the perineal area is greater, and the stool is also much harder. If constipation occurs, straining and holding breath may be necessary, leading to shorter toilet times, frequent nausea and vomiting, or other conditions that increase abdominal pressure, such as phimosis, urethral or bladder stones, all of which can easily cause rectal prolapse. Initially, rectal prolapse may only occur during straining during defecation and can retract on its own afterward. Later, manual assistance may be needed to return it, and it may reappear even during non-defecation periods (e.g., during crying). If it is not returned for a long time, it can lead to edema, bleeding, ulcers, and symptoms such as a sense of fullness, pain, tenesmus, and the discharge of purulent or bloody mucus. Most cases of rectal prolapse in children can heal on their own before the age of five.
Simple Home Remedies for Pediatric Rectal Prolapse
1. For rectal prolapse caused by malnutrition or physical weakness, provide sufficient nutritious foods such as eggs, shrimp, crabs, seafood, lean meat, beans, grains, vegetables, and fruits to enhance nutrition, strengthen the tone of the perianal muscles, and improve the condition.
2. For rectal prolapse caused by constipation, nausea, vomiting, or coughing, treating these underlying conditions will naturally resolve the prolapse.
3. Manual massage can be used to reposition the prolapsed rectum. If there is swelling or pain around the anus, a warm Sitz bath can be applied to promote local blood circulation and help the prolapse return to its normal position.
4. Herbal treatment: Grind dried tannic acid (wubeizi) into a fine powder, roll it into a tube on paper, place it in the toilet, and light it. Have the child sit over it to allow the smoke to the anus, which can help the rectum retract on its own. Alternatively, a decoction of tannic acid can be used for a sitz bath. Finally, apply a small amount of white alum powder to the anus to prevent recurrence.

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