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Thread: Rectal Prolapse

  1. #1

    Default Rectal Prolapse

    I have had this condition upwards of 12 years, just did not know because the topic never came up to the doctor. I was pregnant with my third child when I started noticing the ball. Then ever since I have had to use counter pressure to get things going in the right direction.
    My question is, does this increase my danger of getting bladder or uterine prolapse? Can prolapse bring on incontinence? I have been noticing that sometimes when I sneeze I leak, but not every time. It does not seem to be related to fullness because I do not recall feeling any need to pee before or after. So sometimes I also seem to be getting more sensitive to environmental changes like water running or cold breeze making me leak. I think it has actually gotten better since I have been diapered full time. Last couple times I sneezed nothing came out.
    I have noticed a funny feeling like maybe numbness but have not been able to pinpoint where it is coming from or why. Web Md said it could be a pinched nerve, but I have no other reason to believe I have that. This feeling comes once in a while, and less than 50% of the time.

  2. #2

    Default



    Quote Originally Posted by Fascinating View Post
    I have had this condition upwards of 12 years, just did not know because the topic never came up to the doctor. I was pregnant with my third child when I started noticing the ball. Then ever since I have had to use counter pressure to get things going in the right direction.
    My question is, does this increase my danger of getting bladder or uterine prolapse? Can prolapse bring on incontinence? I have been noticing that sometimes when I sneeze I leak, but not every time. It does not seem to be related to fullness because I do not recall feeling any need to pee before or after. So sometimes I also seem to be getting more sensitive to environmental changes like water running or cold breeze making me leak. I think it has actually gotten better since I have been diapered full time. Last couple times I sneezed nothing came out.
    I have noticed a funny feeling like maybe numbness but have not been able to pinpoint where it is coming from or why. Web Md said it could be a pinched nerve, but I have no other reason to believe I have that. This feeling comes once in a while, and less than 50% of the time.
    Well, Fascinating...

    Your in-person MD is the one to defer to... perhaps you need a second opinion... but, short of having the requisite tests done... it's anyone's guess...

    Something that could bolster the pinched nerve possibility... is what's called referred pain... basically you feel something elsewhere from it's origin or source...

    This can apply to other neurological issues too... like numbness...

    However, it seems that you've got a bit of a 'laundry-list' going... I strongly recommend getting an appointment to see your doctor!

    Rectal Prolapse isn't something that I'm aware of that could go on for 12-years... without much discomfort, and any number of other issues...

    Water running...isn't an environmental change (except, I suppose for the sound it creates)...

    Uhm, yeah... I think you need a medical work-up!

    Childbirth can wreak havoc on the body... it's entirely possible, but no probability indicated thus far... that you may or may not have any greater susceptibility for any type of prolapse...

    I'll say it once more... go see your doctor! ...we can talk about how you feel... when you get back...


    -Marka

  3. #3

    Default



    Quote Originally Posted by Fascinating View Post
    I have had this condition upwards of 12 years, just did not know because the topic never came up to the doctor. I was pregnant with my third child when I started noticing the ball. Then ever since I have had to use counter pressure to get things going in the right direction.
    My question is, does this increase my danger of getting bladder or uterine prolapse? Can prolapse bring on incontinence? I have been noticing that sometimes when I sneeze I leak, but not every time. It does not seem to be related to fullness because I do not recall feeling any need to pee before or after. So sometimes I also seem to be getting more sensitive to environmental changes like water running or cold breeze making me leak. I think it has actually gotten better since I have been diapered full time. Last couple times I sneezed nothing came out.
    I have noticed a funny feeling like maybe numbness but have not been able to pinpoint where it is coming from or why. Web Md said it could be a pinched nerve, but I have no other reason to believe I have that. This feeling comes once in a while, and less than 50% of the time.
    Fascinating,

    Your proctologist (a md specialised on the rectum and anal stuff) will know best...
    The rectal prolapse can vary greatly in its severity - from just partially protruding (to almost none at all) to fully protruding (which I guess you don't have, as I don't think you would have lived happily 12 years with it).
    Basically symptoms range from constipation, rectal bleeding, mucous discharge, fecal incontinence to simply "discomfort" - or a combination of all / some.
    However the actual rectal prolapse should by itself NOT influence your urinary continence.
    I am not saying that you can have some connection - but I guess it is rare enough.

    Now urinary incontinence (to which the symptoms you describe (leaking when sneezing) counts) can have a LOT of different causes.
    From weak pelvic floor muscles (which is rather common, especially in women after child birth) to a good number of other underlying issues.
    In that case you should consult with an urologist.

    Mind you that your GP MD usually has very little to none at all knowledge of incontinence issues... so consulting a specialist is your best option.

    Also keep in mind that a lot of forms of incontinence (unfortunately not all) can today be very successfully treated.
    Treatment ranges from simple Kegel Excercises to medication, to surgery... but this is up to the doc to figure out.

    Also the incontinece you describe (leaking when sneezing / laughing, cold breeze,...) does NOT sound like the result of a pinched nerve... (which itself is a very general / broad "obeservation").
    The numbness can / can not be related.

    Important thing to consider though is the fact that NO ONE Will be able to give you any diagnosis over the internet - not on various Forums or in any other type of online conversation.
    To determine the underlying problem you NEED to see a specialist.

  4. #4

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    Hey fascinating,

    Thought i would put my 2 cents in considering I currently doing some obstetric and gynaecology as part of my training right now. Im happy to give you some more general information about prolapses but i think the best thing is to see a gynaecologist to get assessed. I wouldn't bother seeing a proctologist as they only really deal with bowel/rectum. Gynaecologist will deal with the problems of vaginal prolapses (which is what causes rectal/bladder prolapses and is where the repair is generally needed to be performed). So my advise ... go and see them and let them examine you as they will be able to tell you if there is a problem and recommend the best form of treatment.

    Now, a couple of points i wanted to mention before i got onto some of the general information of prolapses. 1) pelvic floor exercises do nothing to "cure/treat" any kind of prolapse. Contrary to what many people think the pelvic floor will not make a prolapsed disappear. This is because the reason why people have a prolapse is due to a problem with the support of the organs in the pelvis. If you have a good pelvic floor you can "suck" the prolapse back in using those muscles but when you expose your pelvis to intrabdominal pressure the prolapse will just go back out again. The main reason why it doesn't treat prolapses is that your pelvic floor cannot be contracted all the time. The muscles there are only able to produce a short burst of contraction before they fatigue and need to rest. This is why they can "suck" a prolapse back in but not cure it. That being said, the pelvic floor can be strengthen to help with any stress incontinence. Stress incontinence is when you cough/sneeze/laugh and this causes you to leak urine. The reason why pelvic floor exercises help with this is that when you cough/sneeze/laugh your pelvic floor automatically contracts to try and counter the abdominal pressure. So doing legal exercises will definitely help with this. Be aware that if you have any kind of urge incontinence then pelvic floor exercise won't do all that much for you. Urge incontinence is where you suddenly get the urge to to go and you need to go "right now". They usually describe it as "keyhole" incontinence. By that they mean that when you go to put your key in the door you get this sudden and strong urge to pee and you try to rush through the door and go to the bathroom. It is caused by problems with the bladder itself and that is why pelvic floor exercises don't to all that much for this eosrts of things. I know it sounds like I'm against pelvic floor exercises but that is definitely not the case. I think that they work very will to treat and manage certain conditions but not everything in the pelvis can be fixed with simple exercises. I will say however, that even though you can't/might not be able to be treated by pelvic floor exercises that they are still a good idea to do them anyways (including for all males as well). This is because doing these kinds of exercises will make you more aware of what is happening down below. This means you would have a better idea sensation wise as to what is going on and this may be a good idea for you.

    2) Urinary incontinence with any nerve problems. Unless you have had a recent trauma to the pelvis then it is very unlikely that a nerve problem would be a cause for any urinary incontinence. Most of the time it is due to problems with support of the urethra (the opening of the bladder to the outside). So that means that your numbness might be a separate issue. Either way, these two things need to be fully investigated. It would be important for this sort of thing to be discuss with the specialist how many children you have had and how they were delivered. Vaginal births can cause a lot of problems including tearing in the pelvis as well as laxity of muscles/supports in the pelvis. So they will definitely be asking you about all of that sort of things.

    Now ... onto prolapses. In short prolapses can occur in the front of the vagina causing the bladder to prolapse into the vagina, can occur behind the vagina causing the rectum to prolapse into the vagina or it can occur higher up in the uterus causing the uterus to prolapse downwards into the vagina. And of course you can have any combination of the above as well. All prolapses can vary widely from only present in the vagina to fully protruding out of the vagina. Be aware that unless a prolapse is reasonably sized that surgery is not something a specialist will do (or will think about it very seriously before offering it) and this is because small prolapses even when repaired have a high chance of not being fixed even with surgery. This is because the smaller the prolapse the less there is to attach and put back. Rectal prolapses cause things like constipation, difficulty voiding, the need to insert a finger into the vagina and push the rectum before being able to defecate. Obviously the worse the prolapse there then the more severe the symptoms. Uterine prolapses is when the uterus prolapses down into the vagina and can range from a heavy feeling to a mass protruding. Bladder prolapses tend to cause problems urinating at all, so difficulty emptying the bladder, frequency (needing to go many times), feeling like you need to pee again after already having just gone to the bathroom and usually recurrent urinary tract infections (this is due to urine being retained in the bladder which is stagnant and thus allows for bacteria to grow and develop).

    So that is a bit of a rough guide to prolapses and things. Whilst it is a good idea to have some knowledge about prolapses you will need to see a gynaecologist in order for them to be able to figure out what is going on. When you are there be expected to be asked all about your pregnancies. They will also have to do an internal examination so i will just forewarn you so you won't get surprised by that when you go. But definitely go and see someone to get an answer to your problem.

  5. #5

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    Thanks so much! I have only mild symptoms. I have to use the finger counter pressure and if that does not work due to constipation I give myself an enema. That might be about 1-2 times a month.
    I have been doing the kegels like crazy for years. Now it is a habit. I have not had urges that were very strong unless I am not going for more than 3 hours. That does happen regularly at my job, but I have my solution. Now I wear pull-ups while I work.
    F.L.

  6. #6

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    If you are using a finger to help clear your bowel then that means that you have symptoms from your prolapse. I would suggest going to see someone about it because they will be able to repair that without too much of a problem. In they gynaecological world if a patient has a prolapse but no symptoms then it generally isn't worth fixing. This is usually because when symptoms start the prolapse is usually significant. So the fact that you have symptoms of it means that you probably would be a reasonable candidate for surgery. But like i said, go and discuss it with a gynaecologist.

    Its good that you are doing kegels, as like i said before they are good for providing awareness of the pelvic floor. But they won't do much for your prolapse. They should help prevent you from having any problems with leaking though so i would suggest to keep on going with them

  7. #7

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    And, some of us have had bowel issues pre-prolapse for decades. In a medical discussion - we can sort of be explicit using medical terms&concepts.

    The cycle is that "something" breaks our normal bowel actions. so we get a large enough mass in there that it's simply not moving til either an enema or finger wave breaks it up- or we push hard enough to eventually build a prolapse even male/even no babies. If you've had bowel troubles- and had babies- and long term straining- yeah- a prolapse "can" result.

    I'd at some point accepted that if I wanted to avoid damages, making my enema bag part of as needed+ scheduled could keep me ok. and it did so til cancer. Humour being- the enemas kept me alive AFTER the cancer had almost blocked my guts. Doc said had I not been an enema user- i might have died weeks to months earlier. So that's a case proof:>

  8. #8

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    Thanks. I use enemas about once or twice a month. The rest of the time I am ok. O get plenty of fluids and fiber and also my cycle tends to soften stools at certain times. I do get the bulge a lot, but it has stopped feeling like a ball. Maybe I am just used to it.
    F.L.

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