Prolapsed rectum: living with it versus surgery

Posted by ejoy @ejoy, Apr 24, 2023

In December of 2018 I had a full hysterectomy at the recommendation of my GYN. That is another story but important to this post. In 2019 I started having a bulge protrude from my rectum and I thought it was a hemorrhoid. I started self treatment to no avail. I finally saw a GI doctor and was told I had a prolapsed rectum. I had multiple tests performed on my bladder and rectum (just awful) which were all normal. They could not see any link between the hysterectomy and my current issue. (This was the same healthcare system so I am guessing it was in their best interest not to find a link.)

So my question is does any other member have this condition and what is / was your solution? The surgery sounds horrible, the doctor said it is sometimes not 100% effective. 95% of the time it will retract when urinating or having a bowel movement. My greatest frustration is when taking long walks or hiking it and any fecal matter starts coming out.

I am 68 yo and don’t know whether to live with it and only do surgery if it becomes 0% retractable, which could mean being at an advanced age and not healing as well, or do the surgery now while in good health and healing would be easier.

Interested in more discussions like this? Go to the Digestive Health Support Group.

@bani

I had fecal incontinence supposedly due to dyssynergic sphincter. I had biofeedback therapy which didn't help. I then worked with a medical dietician, recommended by my gastroenterologist. Through diet (especially an increase in fiber and switching to low fodmap foods), Metamucil daily(3 tsps), and a low dose of magnesium citrate (150mgs. daily) it cleared up completely. I am now working, with the help of the same dietician to reduce and/or eliminate the mag citrate and just rely on an increased fiber intake. So far that is working well and I do not have the awful fecal leakage.

Jump to this post

I posted the original question and I am having difficulty determine who you are asking a question too. But I do not have fecal leakage except under certain conditions and it is a very small amount. I have no issues with constipation or diarrhea. I eat a plant based, whole food diet.

Why would you want to stop taking magnesium citrate? Most of the population is deficient in key nutrients, magnesium being one. If the citrate form causes loose stools try switching to magnesium glycinate.

REPLY
@texasmimi

I’m having tests next week for diagnostic purposes for prolapse or te to eke. I await more replies as well.

Jump to this post

Texasmimi, how did your testing go? I thought those test were pretty horrible.

REPLY

The MRI indicated a large anterior rectocele.Sphincter control was excellent so no issues there. I have a urogyno visit in August to determine how to proceed.

REPLY
@texasmimi

The MRI indicated a large anterior rectocele.Sphincter control was excellent so no issues there. I have a urogyno visit in August to determine how to proceed.

Jump to this post

Texasmimi, I hope all goes well.

REPLY
@ejoy

I posted the original question and I am having difficulty determine who you are asking a question too. But I do not have fecal leakage except under certain conditions and it is a very small amount. I have no issues with constipation or diarrhea. I eat a plant based, whole food diet.

Why would you want to stop taking magnesium citrate? Most of the population is deficient in key nutrients, magnesium being one. If the citrate form causes loose stools try switching to magnesium glycinate.

Jump to this post

I got the impression from your post that you did have a leakage problem. I have only taken magnesium citrate for the past 6 months and would like to stop taking it because I generally try to take only those supplements and medications that are determined to be medically necessary by my MD or by his medical dietician. I also eat a whole food diet and am trying to increase the fiber content with as much as possible derived from food.

REPLY
@ejoy

Texasmimi, I hope all goes well.

Jump to this post

I think August is just an evaluation and discussion. Then I determine what to do.

REPLY

Hi everyone,
I have a sphincter muscle that does not work, I have been on maralax for about 10 years, I take it
every morning. My doctor wanted me to take the cologuard test, which I did came back positive, so now
I have to have a colonoscopy next week. I am afraid for sure they will find something, I have not been right
for many, many years.
Has anyone had a sphincter muscle that is paralyzed?
Marcia115

REPLY
@blinken

In 2020 (I was 77) I went to my primary doctor thinking I had hemorrhoids. I did, and had them for quite a few years. I was having some pretty profuse bleeding suddenly though. I would sit down on the toilet and blood would splash into the water! It turned out that I had a rectal prolapse and was referred to a general surgeon at our local hospital. He scheduled me for prolapse repair. I was led to believe that I should not wait to do the procedure because of the bleeding. I would advise you to do some research and find the best colo-rectal surgeon that you can to do this. It sounds like it is not an emergent situation for you yet. I had the surgery done and I found that it resulted in a recto-vaginal fistula. I now had stool coming out of my rectum and my vagina!!! The next step then, was to have a 'temporary' colostomy in order to bypass the rectum, allow the passage to clean out before attempting to repair the fistula. My primary doctor said "I hope the surgeon told you a fistula is a very difficult problem to fix". Well, he hadn't...he did say there were several options for treatment. So the colostomy surgery was scheduled. A week or so later I began to retain urine and eventually after a couple visits to the ER for catherization, had an indwelling catheter installed. I wore the urine bags until my colostomy surgery a couple weeks later. My recovery after the colostomy was lengthy but I had home health coming in which helped a great deal learning to handle the care of the incision and dealing with emptying and installing a new bag. Within a day or two I discovered that I was eliminating stool not only into the ostomy bag but through my rectum as well!!!!!! I didn't know this at first because of the nerve block-I had no sensation there and I was wearing Depends as I also had in the hospital. But when I was at home I discovered that this colostomy was not adequate and wasn't functioning as intended.
There's more to the story but what I want to impress upon you is to look online for well-credentialed specialists, even if you have to travel, as we ended up having to do. I researched to find someone who I wish I had found at the beginning. I had my colostomy reversal at UW Madison Hospital. I am able to function without the ostomy bag. It's not the same as before all this started and I have to follow a high fiber diet, drink plenty of water and keep a somewhat rigid schedule. But I am bagless!! I wish you the best of outcomes. Please do your research first.

Jump to this post

My mom went to the Dr to be treated for bleeding hemorrhoids. She neglected to tell the Dr she had colon prolapse that had occurred and maybe was too embarrassed to mention it. She was diagnosed with multiple infections and placed on antibiotics. After this I visited her at home frequently only to find her struggling to get to the restroom and clean up the mess from her bowel movements. She had become incontinent in this short period a day or so and needed to started using depends. Refusing to go sleep in a bed for fear of wetting the bed she slept in a recliner in the living room. When assisting in getter her cleaned up I noticed the prolapse and took her to an out patient clinic. They immediately found her a room at the hospital and scheduled a Dr visit. This independent mom of mine was tired an worn out from all of this. Scared and embarrassed, with thoughts of I’m not going to a nursing home. Stating I’d rather not be here. The staff infection in her leg finally healing from a cancer procedure, sinus infection getting relief, and blood cell count for polysythemia vera getting under control. Almost a week in the hospital she was ready to be transferred to a rehabilitation hospital. She has found hope that she may get to go back home and continue a routine on here own. Playing cards with friends, cooking, baking, cleaning and socializing. The hope is fading at times but returns too. We are praying God intervenes and the surgery is not needed before she is ready for it. We hope living with a colon prolapse can be enjoyable for mom and if it can’t be that surgery would give her quality of life back. The hospitals surgeon discussed two types of surgery for this condition with me. One being robotic in nature that would take 3 to 4 hours and another less invasive surgery that would be shorter in duration and done thru the bottom of the colon and would remove a portion of it. It’s time for healing and physical therapy now. There is a transition team at the therapy center she has been transferred to that evaluates Mom’s ability to return home. Daily therapy sessions are occurring and she has a 10 day plan to return home. We are also searching for home care options should it be needed. Mom is 87 years old now and we love her very much. We hope she chooses to live life to the fullest.

REPLY

I’ve had a prolapsed rectum for many years…. I too didn’t know what it was…there is a small fissure there as well from the protruding movement. Thanks to natural products, psyllium, etc My prolapse returns inside without me having to push it back in by hand most of the time. When I’m stressed I can have incontinence. I have SIBO and IBS…. Many food sensitivities. Soon I will be consulting with a surgeon about the prolapse…. But having read some of your experiences and the prognosis on the web…. Makes me hesitant to say the least. I will visit this blog again… this is my first time. This physical condition sucks.
I’m also 68…. I’ll come back and tell what the surgeon says.

REPLY

Hi ejoy, I have the same question as you…. Soon I will see a specialist… Thanks to my naturopath my prolapse returns inside most of the time…. I know what it’s like to sometimes manually take out stools…. The risks that I read about the surgery…. Well they freak me out! Incontinence only when stressed…. Not too many surprises anymore… However my life is centered on the proximity of a toilet….. when I go out… I know where all the nice ones are in town….
So I’ll be back after meeting with the specialist….. glad to have found this resource. Be well

REPLY
Please sign in or register to post a reply.