Concluded Case

rectal prolapse

14 yr old boy having difficulty in defecation since last 2 to 4 yrs.pain burning bleeding. suggest advice by the doctor to the mothers about diet and habits

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A case of rectal prolapse usually pt present with history difficulty to passing stool and constipation. Due to constant straining during defaecation the muscles of pelvis and the perineum which form a sling which holds rectum in position becomes weakened and loose so rectum slags down as prolapse rectum this types of lession may be associated with disease like Hirschprung disease. Treatment A without intervention. first duty to make reposition if the prolapsed part. If left unattended may lead to complication due to more swelling. Laxative with high fiber diet to make stool soft and bulk. Exerscises of the pelvic muscles B. With intervention Theirsch operation by putting a circular ring arround anus by prolene Rectopexy. By oblitering the pouch of Douglous and by fixing the rectum with sacrum. Signoidectomy.

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Rectal prolapse... Caused /Triggered by ** Chronic (long-term) constipation or chronic diarrhea. ** Long-term history of straining during bowel movements ** Older age: Muscles and ligaments in the rectum and anus naturally weaken with age. Other nearby structures in the pelvis area also loosen with age, which adds to the general weakness in that area of the body.Weakening of the anal sphincter: This is the specific muscle that controls the release of stool from the rectum.Earlier injury to the anal or pelvic areas ** Damage to nerves:

Thank you doctor
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A case of rectal prolapse usually pt present with history difficulty to passing stool and constipation. Due to constant straining during defaecation the muscles of pelvis and the perineum which form a sling which holds rectum in position becomes weakened and loose so rectum slags down as prolapse rectum this types of lession may be associated with disease like Hirschprung disease. Treatment A without intervention. first duty to make reposition if the prolapsed part. If left unattended may lead to complication due to more swelling. Laxative with high fiber diet to make stool soft and bulk. Exerscises of the pelvic muscles B. With intervention Theirsch operation by putting a circular ring arround anus by prolene Rectopexy. By oblitering the pouch of Douglous and by fixing the rectum with sacrum. Signoidectomy.

Thank you doctor
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RECTAL PROLAPSE? Avoid constipation Use Commode for defecation, Fibrous diets: eg.Carrots, Beats, Green leafy vegetables,fresh fruits ( Mangos, Apples , Pineapple etc), Germinating grams & Mung Dal, Milk with honey. Soframycin oint to apply locally, Deworming. CBC,ESR,CRP. If anemic then treat Anemia ? ? Lastly Surgical repair of prolapse by Surgeon.

Needs counselling calmness symphony music lime juice pineapple with black pepper sprouts kalijeeri alkaline diet no sugar no nonveg diet no eggs no mushrooms no fried foods no processed or fermented foods and beverages....no vyasan pomegranat e muskmelon walnuts blue berries sunshine ginger walk cherries berries apricots carrots... dates.... cold pressed coconut oil massage and in naval.. beetroot coriander juice figs salad.sulpha if tolerant....sit on ground....no green chillies...ithas to go away..under strict supervision of Doctor

Sitz bath, reposetionig, protein rich diet, laxative

THIS IS THE HAEMORRHOID RECTAL PROLAPSED ?? REFER TO GENERAL SURGEON FOR BETTER DIAGNOSIS

Hemorrhoids. Ref to Surgeon.

Rectal prolapse Reduce by soaked lignocaine gel gauze Need to evaluate by cect whole abdomen Refer to paediatric surgeon

Hing and honey one tbsp at 12.30 at night...if any worm will come out dead.. but only one day not to be habituated

Dx:Rectal prolapse Treatment: surgery(Rectopexy) . High fibre diet and plenty of fluids

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