Any experience with rectocele? No one EVER talks about this!

Posted by flind @flind, Mar 7, 2020

My situation: Self-diagnosed rectocele. Have appointment in 4 days to hopefully confirm or R/O. After 20 years on anti-depressants my constipation was so bad that I developed a rectocele. I hope to find out soon how large it is and how to treat it... Have been doing Kegels. Have had no other pelvic issues of any kind - ever (lucky, I know). Am post-menopausal, age 62. After ~4 months I successfully tapered off Venlafaxine down to zero (was NOT easy and that Mayo group was VERY helpful to me). One of the first things I noticed in tapering/ending AD's was being able to poop again! Hallelujah! But 20 years of constipation had taken its toll. Caution The Following is not for the faint of heart/squeamish (but this is a topic no one is talking about and I KNOW I can't be "the only one"...): I am getting too old for the physical contortionism necessary to extract poop from my rectum, not to mention sick of it. I go for annual gyno exam EVERY YEAR. Every visit I have complained about severe constipation. Lately I have even described how difficult it is to completely eliminate and having to use my fingers to get the poop out. Why has NO ONE ever said "rectocele"????? It took me several hours of sleuthing online to even find a word for it. And when I did it seemed like a fairly common physical ailment for women - and yet - there is very little out there about this condition. Most of the sites that mention rectocele do so 'in passing' while discussing pelvic prolapses. I in no way mean to belittle THAT horrible state of affairs... it's just not my personal issue and I want to know more about my personal issue. But everytime I try to find more info I end up reading stories about OTHER pelvic issues because if rectocele is mentioned at all it is in conjunction with these others. Please... has anyone else had this as their main or single issue who would be willing to share diagnosis, procedures, outcomes, what to expect/avoid? If so I would be truly grateful!

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Profile picture for nobm56 @nobm56

I am unable to have a bowel movement on my own, have a rectocele, had stool in my vagina, and an inability to digest food. What other type of specialist should I see, what other tests can be done, and any ideas on other possible medical causes for my condition besides SIBO and chronic constipation? How can I better advocate for myself when no one has been able to help me regarding this condition? Any Diet or treatment suggestions, and how to manage this pain would be appreciated.

Here is my story:

Diagnosed with sibo & chronic constipation 3 years ago
Suffering from:
• Abdominal pain
• Nausea
• Vomiting
• Exhaustion and fatigue
• Chest pain
• Shortness of breath
• Rib pain
• Cold all the time
• Foul-smelling gas
• Muscle spasms
• 30 lb. weight loss
• No appetite
• Bloating
• Rectocele
• Stool in the vagina
• Fatty stools
• Malnutrition
• Inability to have a bm on my own
Present day:
• No regular bm since Jan 19 after MR enterography & drinking barium
• Diagnosed with fecal impaction
• Have tried:
• Magnesium citrate
• Miriax 3x daily
• 2 colon prep
• enema
• went to Er with no help
• As no one was able to help me decided to do colon hydrotherapy on my own
• did 8 colonics in 3 weeks, felt better
• Went off all supplements and motility meds for 2 weeks in preparation for another breath test
• no bm in 5 days after the last colonic
• Had one small bm on Sunday covered in fat and floating
• I restarted all my constipation meds that night.
• The following morning had diarrhea 4 x which had a layer of grease floating and bubbles on top and felt better
• Have not had a bm since even with meds.
• Can’t eat, sick stomach, can’t do anything, hopeless, no one can help me

Have had:
• 29 tests and procedures
• 3 gastroenterologists
• 2 functional medicine doctors
• 2 nutritionists
• 5 diets
• 5 physical therapists
• Acupuncturist
• Colon hydrotherapy
• Meditation
• Colon massage

Prescriptions tried:
• Linzess
• Motegrity
• Amitiza
• Sutab colonoscopy prep (2 X)
• 8 rounds of antibiotics (xifaxin 3 rounds, doxycycline, ciproflaxin, neomycin, Bactrim, tried augmentin but too strong)

every supplement imaginable including herbal antibiotics

• Mirilax
• Stool softener
• Magnesium citrate
• Digestive enzymes
• Probiotics
• Prebiotics
• Cod liver oil
• electrolytes

I've researched other probable causes and found that issues regarding your pancreas, liver and other organs involved in digestion could be compromised.

Please help with any path to wellness that I haven't tried for my condition and how to better advocate for myself.

Jump to this post

I would definitely ask your gastro doc to order one.

REPLY
Profile picture for susanh824 @susanh824

There definitely could be an issue with your pancreas. You mood two tests: a stool fat test and a fecal elastase. What you are describing sounds like E.P.I. (Exocrine Pancreatic Insufficiency). At least one of your gastroenterologists should have ordered these.

Jump to this post

Malabsorption

REPLY
Profile picture for nobm56 @nobm56

I am unable to have a bowel movement on my own, have a rectocele, had stool in my vagina, and an inability to digest food. What other type of specialist should I see, what other tests can be done, and any ideas on other possible medical causes for my condition besides SIBO and chronic constipation? How can I better advocate for myself when no one has been able to help me regarding this condition? Any Diet or treatment suggestions, and how to manage this pain would be appreciated.

Here is my story:

Diagnosed with sibo & chronic constipation 3 years ago
Suffering from:
• Abdominal pain
• Nausea
• Vomiting
• Exhaustion and fatigue
• Chest pain
• Shortness of breath
• Rib pain
• Cold all the time
• Foul-smelling gas
• Muscle spasms
• 30 lb. weight loss
• No appetite
• Bloating
• Rectocele
• Stool in the vagina
• Fatty stools
• Malnutrition
• Inability to have a bm on my own
Present day:
• No regular bm since Jan 19 after MR enterography & drinking barium
• Diagnosed with fecal impaction
• Have tried:
• Magnesium citrate
• Miriax 3x daily
• 2 colon prep
• enema
• went to Er with no help
• As no one was able to help me decided to do colon hydrotherapy on my own
• did 8 colonics in 3 weeks, felt better
• Went off all supplements and motility meds for 2 weeks in preparation for another breath test
• no bm in 5 days after the last colonic
• Had one small bm on Sunday covered in fat and floating
• I restarted all my constipation meds that night.
• The following morning had diarrhea 4 x which had a layer of grease floating and bubbles on top and felt better
• Have not had a bm since even with meds.
• Can’t eat, sick stomach, can’t do anything, hopeless, no one can help me

Have had:
• 29 tests and procedures
• 3 gastroenterologists
• 2 functional medicine doctors
• 2 nutritionists
• 5 diets
• 5 physical therapists
• Acupuncturist
• Colon hydrotherapy
• Meditation
• Colon massage

Prescriptions tried:
• Linzess
• Motegrity
• Amitiza
• Sutab colonoscopy prep (2 X)
• 8 rounds of antibiotics (xifaxin 3 rounds, doxycycline, ciproflaxin, neomycin, Bactrim, tried augmentin but too strong)

every supplement imaginable including herbal antibiotics

• Mirilax
• Stool softener
• Magnesium citrate
• Digestive enzymes
• Probiotics
• Prebiotics
• Cod liver oil
• electrolytes

I've researched other probable causes and found that issues regarding your pancreas, liver and other organs involved in digestion could be compromised.

Please help with any path to wellness that I haven't tried for my condition and how to better advocate for myself.

Jump to this post

Update. My specialist at U Of M ordered eight tests! Two x-rays of my bowel, two stool test, a pelvic MRI, gastric emptying study, colonoscopy, and possibly another endoscopy. I will keep you updated.

REPLY

I have had three prolapse surgeries, uterine prolapse in 2011, vaginal prolapse in 2018 and rectocele repair 5 weeks ago. The rectocele repair was due to urinary incontinence/pelvic floor prolapse.I have also had chronic constipation issues but that was not part of my discussion with urogynocologist who did my rectocele repair. Three weeks into recovery I developed a UTI caused by gardnerella vaginalis and am currently on my third antibiotic…Leviflaxen. I’ve have the “ urgency to pee” 24/7 and have had to cancel pretty much everything on my calendar for the past two weeks and am up and down all night long. Has anyone else had experience with this type of UTI after surgery? Seems like I should’ve been put on some type of antibiotic for this just prior to surgery to prevent this from happening.

REPLY
Profile picture for nobm56 @nobm56

I am unable to have a bowel movement on my own, have a rectocele, had stool in my vagina, and an inability to digest food. What other type of specialist should I see, what other tests can be done, and any ideas on other possible medical causes for my condition besides SIBO and chronic constipation? How can I better advocate for myself when no one has been able to help me regarding this condition? Any Diet or treatment suggestions, and how to manage this pain would be appreciated.

Here is my story:

Diagnosed with sibo & chronic constipation 3 years ago
Suffering from:
• Abdominal pain
• Nausea
• Vomiting
• Exhaustion and fatigue
• Chest pain
• Shortness of breath
• Rib pain
• Cold all the time
• Foul-smelling gas
• Muscle spasms
• 30 lb. weight loss
• No appetite
• Bloating
• Rectocele
• Stool in the vagina
• Fatty stools
• Malnutrition
• Inability to have a bm on my own
Present day:
• No regular bm since Jan 19 after MR enterography & drinking barium
• Diagnosed with fecal impaction
• Have tried:
• Magnesium citrate
• Miriax 3x daily
• 2 colon prep
• enema
• went to Er with no help
• As no one was able to help me decided to do colon hydrotherapy on my own
• did 8 colonics in 3 weeks, felt better
• Went off all supplements and motility meds for 2 weeks in preparation for another breath test
• no bm in 5 days after the last colonic
• Had one small bm on Sunday covered in fat and floating
• I restarted all my constipation meds that night.
• The following morning had diarrhea 4 x which had a layer of grease floating and bubbles on top and felt better
• Have not had a bm since even with meds.
• Can’t eat, sick stomach, can’t do anything, hopeless, no one can help me

Have had:
• 29 tests and procedures
• 3 gastroenterologists
• 2 functional medicine doctors
• 2 nutritionists
• 5 diets
• 5 physical therapists
• Acupuncturist
• Colon hydrotherapy
• Meditation
• Colon massage

Prescriptions tried:
• Linzess
• Motegrity
• Amitiza
• Sutab colonoscopy prep (2 X)
• 8 rounds of antibiotics (xifaxin 3 rounds, doxycycline, ciproflaxin, neomycin, Bactrim, tried augmentin but too strong)

every supplement imaginable including herbal antibiotics

• Mirilax
• Stool softener
• Magnesium citrate
• Digestive enzymes
• Probiotics
• Prebiotics
• Cod liver oil
• electrolytes

I've researched other probable causes and found that issues regarding your pancreas, liver and other organs involved in digestion could be compromised.

Please help with any path to wellness that I haven't tried for my condition and how to better advocate for myself.

Jump to this post

bile salts needed? bile is needed for digestive system to work--if low on it, there is taurine and enzymes with ox bile. see dr Berg on you tube. (liver specialist).

REPLY

I had rectocele repair surgery 6 weeks ago for UTI issues due to my bladder not being able to completely empty. Three weeks after surgery I got a UTI and haven’t been able to get rid of it…have taken Cephlex, Flagyl and Leviflaxen, still have symptom…vey difficult to sleep at night with burning and pee urgency. It gets worse starting early afternoon and I am constantly making trip to the bathroom. I also ache and have to use a heating pad starting in the afternoon. I am starting to wonder if something is amiss with the surgery but the urogynecologist who did my surgery seems to have washed her hands of me…she did ask me to come back in a week after being off antibiotics to get another urine sample. In the meantime I have an appt with a Urolgy PA next week. I am scared I have some type of chronic issue now!

REPLY
Profile picture for nobm56 @nobm56

I am unable to have a bowel movement on my own, have a rectocele, had stool in my vagina, and an inability to digest food. What other type of specialist should I see, what other tests can be done, and any ideas on other possible medical causes for my condition besides SIBO and chronic constipation? How can I better advocate for myself when no one has been able to help me regarding this condition? Any Diet or treatment suggestions, and how to manage this pain would be appreciated.

Here is my story:

Diagnosed with sibo & chronic constipation 3 years ago
Suffering from:
• Abdominal pain
• Nausea
• Vomiting
• Exhaustion and fatigue
• Chest pain
• Shortness of breath
• Rib pain
• Cold all the time
• Foul-smelling gas
• Muscle spasms
• 30 lb. weight loss
• No appetite
• Bloating
• Rectocele
• Stool in the vagina
• Fatty stools
• Malnutrition
• Inability to have a bm on my own
Present day:
• No regular bm since Jan 19 after MR enterography & drinking barium
• Diagnosed with fecal impaction
• Have tried:
• Magnesium citrate
• Miriax 3x daily
• 2 colon prep
• enema
• went to Er with no help
• As no one was able to help me decided to do colon hydrotherapy on my own
• did 8 colonics in 3 weeks, felt better
• Went off all supplements and motility meds for 2 weeks in preparation for another breath test
• no bm in 5 days after the last colonic
• Had one small bm on Sunday covered in fat and floating
• I restarted all my constipation meds that night.
• The following morning had diarrhea 4 x which had a layer of grease floating and bubbles on top and felt better
• Have not had a bm since even with meds.
• Can’t eat, sick stomach, can’t do anything, hopeless, no one can help me

Have had:
• 29 tests and procedures
• 3 gastroenterologists
• 2 functional medicine doctors
• 2 nutritionists
• 5 diets
• 5 physical therapists
• Acupuncturist
• Colon hydrotherapy
• Meditation
• Colon massage

Prescriptions tried:
• Linzess
• Motegrity
• Amitiza
• Sutab colonoscopy prep (2 X)
• 8 rounds of antibiotics (xifaxin 3 rounds, doxycycline, ciproflaxin, neomycin, Bactrim, tried augmentin but too strong)

every supplement imaginable including herbal antibiotics

• Mirilax
• Stool softener
• Magnesium citrate
• Digestive enzymes
• Probiotics
• Prebiotics
• Cod liver oil
• electrolytes

I've researched other probable causes and found that issues regarding your pancreas, liver and other organs involved in digestion could be compromised.

Please help with any path to wellness that I haven't tried for my condition and how to better advocate for myself.

Jump to this post

Have you had a pancreatic enzyme insufficiency PEI done?

REPLY
Profile picture for susangourdlady @susangourdlady

Have you had a pancreatic enzyme insufficiency PEI done?

Jump to this post

I have not yet, Susan. I did just get a MRCP which is an MRI of my pancreas and other organs. I haven't heard back from the doctor yet however they did find some issues. I also had two x-rays and I'm having a Stool analysis done. I'll keep you updated. Thanks for checking in on me. I really appreciate it.

REPLY
Profile picture for nobm56 @nobm56

I have not yet, Susan. I did just get a MRCP which is an MRI of my pancreas and other organs. I haven't heard back from the doctor yet however they did find some issues. I also had two x-rays and I'm having a Stool analysis done. I'll keep you updated. Thanks for checking in on me. I really appreciate it.

Jump to this post

Please let us know the results of your fecal elastase test. That is what doctors use to diagnose EPI, which I suspect you have.

REPLY
Profile picture for susanh824 @susanh824

Please let us know the results of your fecal elastase test. That is what doctors use to diagnose EPI, which I suspect you have.

Jump to this post

Thank you for mentioning this…I thought the same as well, but hesitated to say anything. As someone with severe EPI I have been told that this is rare, However I suspect that many have been misdiagnosed with IBS-D as I was for 30 years.
EPI is no joke and the medication is very costly.
Anyone that has the symptoms mentioned above should request testing for EPI, it could save them years of suffering. There is hope with medication and working with registered dietitian with experience concerning EPI.

REPLY
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