Ayurvedic Treatment for Rectal Prolapse works by correcting the Vata which is deranged and directed in the upward direction. Rectal prolapse is a very common condition nowadays, especially in elderly people. Prolapse is a condition where a body part falls from its normal position. Rectal prolapse is when the rectum drops down or slides out of the anus.
There are three types of prolapse:
External prolapse: The entire rectum sticks out of the anus.
Mucosal prolapse: Part of the rectal lining pokes out of the anus.
Internal prolapse: Drop started but not yet sticking out of the anus.
It causes severe pain and discomfort & the patient will not be able to sit properly in chronic cases. Pain, swelling, wounds and other complications may be present, too. Most cases of rectal prolapse respond well to treatment but surgery is needed for a permanent cure.
Signs and symptoms of Rectal Prolapse
- Feeling a bulge outside the anus
- A red mass outside the anal opening
- Pain in the anus or rectum
- Bleeding from the rectum
- Leaking blood, faeces, or mucus from the anus
Causes of Rectal Prolapse
- Long-term history of diarrhoea or constipation
- Habit of straining
- Old age, with weakened muscles and ligaments in the rectal area
- Previous injury to the hip or anus
- Nerve damage that affects the muscles’ tonicity & elasticity, caused by conditions like pregnancy, vaginal childbirth complications, anal sphincter paralysis, or injury to the spine.
- Neurological problems, such as spinal cord disease or spinal cord transection
Pathophysiology of Rectal Prolapse
The pathophysiology of rectal prolapse is not completely understood or agreed upon. There are two theories postulated, almost of the same idea.
The first theory postulates that rectal prolapse is a sliding hernia through a defect in the pelvic fascia. The second theory says that rectal prolapse starts as a circumferential internal intussusception of the rectum beginning near the anus. With time and straining, this progresses to full-thickness rectal prolapse, though some patients never progress beyond this stage.
Diagnosis of Rectal Prolapse
- Clinical examination including anorectal examination
- Anal electromyography
- Anal manometry
- Anal ultrasound
- Pudendal nerve terminal motor latency test
- Proctography
- Colonoscopy
- Proctosigmoidoscopy
- MRI
Treatments of Rectal Prolapse
In earlier stages, taking stool softeners and replacing the rectum by hand may suffice. However, eventually, surgical correction is necessary.
The two most common types of surgery:
- Abdominal: This type of surgery can be done either with a large incision or using laparoscopy, which uses small cuts and a camera attached to an instrument so the surgeon can see what needs to be done and if any additional issues need to be fixed.
- Perineal: Also called rectal repair, this approach may be used if the patient is older or have other medical problems. It involves the inner lining of the rectum or the portion protruding out of the anus.
Prognosis of Rectal Prolapse
- The prognosis for elderly patients presenting with rectal prolapse is variable and depends on the nature of any underlying or associated problems and the age and general well-being of the patient.
- Spontaneous resolution usually occurs in children but a minority of children who experience rectal prolapse continue to experience it in their adult lives.
Complications of Rectal Prolapse
- Rectal damage like ulceration or bleeding
- Permanent prolapse that cannot be replaced by hand
- Strangulation
- Gangrene
Ayurvedic Concept of Rectal Prolapse
Gudabhramsa
Ayurvedic Nidana of Rectal Prolapse
Atisara – diarrhoea
Excessive pravaahana or straining when done by a person with a dry, weak & emaciated body.
Ayurvedic Purvaaroopa of Rectal Prolapse
Not mentioned
Ayurvedic Samprapti of Rectal Prolapse
Not mentioned
Ayurvedic Lakshana of Rectal Prolapse
Prolapsed rectum through the anus
Ayurvedic Divisions of Rectal Prolapse
Not mentioned
Ayurvedic Prognosis of Rectal Prolapse
Yaapya
Ayurvedic Chikithsa of Rectal Prolapse
Samana
Snehana
Swedana
Goshphanabandha(with a hole in the middle, for letting the Vaayu out)
Sodhana
Not advised
Commonly used Ayurvedic medicines for Rectal Prolapse
Gandharavahastadi kashayam
Dusparsakadi Kashayam
Shunteebaladi Kashayam
Dhanwantharam Kashayam
Unduru tailam
Balaswagandhadi Tailam
Brands available
AVS Kottakal
AVP Coimbatore
SNA oushadhasala
Vaidyaratnam oushadhasala
Home remedies for Rectal Prolapse
No home remedy is proven to cure rectal prolapse.
Folklore remedies
Cissampelos pareira
Malathangi
Laghu padha
लघु पाठा
Excellent edible leaf.
Can hold our lower organs from prolapse, mala.. Hill.. Tangi.. Hold
Diet for Rectal Prolapse
- To be avoided
Heavy meals and difficult to digest foods – cause indigestion.
Junk foods- cause disturbance in digestion and reduces the bioavailability of the medicine
Carbonated drinks – makes the stomach more acidic and disturbed digestion
Refrigerated and frozen foods – causes weak and sluggish digestion by weakening Agni (digestive fire)
Milk and milk products – increase kapha, obstruct channels and obesity
Curd – causes vidaaha and thereby many other diseases
- To be added
Light meals and easily digestible foods
Green gram, soups, sesame oil
Freshly cooked and warm food processed with minimal spices.
Behaviour:
Protect yourself from extreme hot & cold climates.
Better to avoid exposure to excessive sunlight wind rain or dust.
Maintain a regular food and sleep schedule.
Avoid holding or forcing the urges like urine, faeces, cough, sneeze etc.
Avoid a sedentary lifestyle. Be active.
Yoga for Rectal Prolapse
Regular stretching and mild cardio exercises are advised. Also, specific yogacharya including naadisuddhi pranayama, bhujangaasana, pavanamuktasana is recommended.
Regular exercise helps improve the bioavailability of the medicine and food ingested and leads to positive health.
Yoga can maintain harmony within the body and with the surrounding system.
Pavanamuktasana
Nadisudhi pranayama
Bhujangasana
Simple exercises for lungs and heart health
All the exercises and physical exertions must be decided and done under the supervision of a medical expert only.
Research articles of Rectal Prolapse
https://pubmed.ncbi.nlm.nih.gov/24352613/
- PMID: 29336759
A retrospective study to review pediatric robotic rectopexy experience from 2012 to 2015 was done at a single institution. Four pediatric patients underwent a robotic rectopexy for rectal prolapse from 2012 to 2015. Three patients were male and one was female. The mean age was 15.5 years. Three patients were completed robotically, and one patient required conversion to an open procedure. The average postoperative length of stay was 3.25 days. There were no episodes of recurrent prolapse. The study concluded that Robotic rectopexy provided a safe, reliable, and short-term resolution of rectal prolapse in pediatric patients.
- PMID: 32424455
A study aimed to compare ventral mesh rectopexy (VMR) and pelvic organ prolapse suspension surgery (POPS) in the management of patients presenting with rectal prolapse was done. The study was a prospective cohort trial in which 120 female patients with complete rectal prolapse were included, 60 patients had had VMR and the other 60 had had POPS as surgical management for complete rectal prolapse. The patients were assessed 6 months postoperatively. There was no significant statistical difference regarding hospital stay and postoperative pain. Operative time was significantly shorter in POPS in comparison with VMR. VMR showed slight improvement regarding constipation and continence scores; however, this was statistically significant. VMR showed fewer complications compared to POPS. The study concluded that POPS is comparable to VMR in the management of rectal prolapse and in improving the ODS symptoms. Thus, POPS can be used as an easier, faster option to treat rectal prolapse in selected patients.
*These statements have not been evaluated by the Food and Drug Administration, United States. This product is not intended to diagnose, treat, cure or prevent any disease. Please consult your GP before the intake. All the Ayurveda Supplements mentioned here are in the Indian Market with GMP Certification from India
Writer:
Dr. Rajesh Nair, the co-founder and chief consultant of Ayurvedaforall.Com, is a graduate of prestigious Vaidyaratnam Ayurveda College (affiliated with the University of Calicut), Kerala, India. Additionally, he holds a Postgraduate Diploma in Yoga Therapy from Annamalai University.
Dr. Nair offers consultation at two busy clinics in and around Haripad, Alleppey, Kerala, the southern state famous worldwide for authentic ayurvedic treatment and physicians. While offering consultation on all aspects of ayurvedic treatments Dr. Nair has a special interest in Panchkarma, Yoga, and Massage.
Through Ayurvedaforall Dr. Nair offers online consultation to patients worldwide and has served hundreds of patients over the last 20 years. In addition to his Ayurvedic practice, he is the chief editor of ayurveda-amai.org, the online portal of Ayurveda Medical Association of India, and the state committee member of Ayurveda Medical Association of India.
Dr. Nair is a regular speaker at Ayurveda-related conferences and has visited Germany to propagate Ayurveda. You can write directly to him-
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