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Thread: Rectal prolapse

  1. #1

    Rectal prolapse

    Damn. I have had an endless stream of issues lately. For the past 5 weeks I have had difficulty during my BP (no results for many days, increased BP time and laxatives) and have had an assistant help me with digital stimulation. I have also sat in the commode chair longer than usual.

    I have been injured for 10 years and shower and have done manual evac daily. I sit in the chair usually about a half hour a day, rarely longer, but have to deal with longer seat time occasionally.

    For the last month I have had to seat sometimes twice a day, for an hour or so. The assistant was doing dig stim today and felt what she described as the rectum/anus coming down ln two occasions. Immediately, both times it went back up by itself.

    I have been reading a about prolapse and it certainly sounds like it could be. I have hemorroids, but very mild, and this assistant has helped me for years and this is the first time she or I have felt that. She was stimming a little fast.

    No sci experienced Docs where I live. I dont know what to do, I have had issue after issue and this is something I would much prefer not have to deal with at this point.

    Could the contipation be related to this? What measures should I take? If it happened a couple of times, could it go away or is it better to correct it now, which implies going to the US to have it checked there.

    Thanks for any thoughts or input.
    T6 complete (or so I think), SCI since September 21, 2003

  2. #2
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    Hello Paramoto, Sorry to here your haveing problems. i had problems still have some, when i started have ing pain its allmost 2 years i have been to 2 colon rectal dr. the first one treated me for fisures said no prolapes. now i felt stool was a place it should not of been the way it hurt, 2 dr sent me for a mri they pump you up with white suff and you squeeze it out and they found a perineocele they told me of all the diferent things like recta cele prolapses and any problems so mabe you can do that and find out for sure. o perinecele causes constipation.

  3. #3
    Senior Member lynnifer's Avatar
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    Yeah constipation is not good for the paralyzed at all. Probiotics! My anal sphincter is not the terse and tense little muscle it once was either almost 3 decades later.

    When and if the time comes, it'll be a colostomy whether I like it or not ... IF there's no treatment for this in the meantime (return of bowel and bladder control).

    It you have a complete prolapse, it can be massaged back in ... but your tissue is in danger of going necrotic as well.

    It's risk versus benefit. I would get in contact with the appropriate specialist (sorry a gyne did mine) and keep in contact and get it checked anusly .. I mean annually.

    Long periods of time spent on that commode are going to make it worse .. what about irrigation that takes 15 mins or less?
    Roses are red. Tacos are enjoyable. Don't blame immigrants, because you're unemployable.

    T-11 Flaccid Paraplegic due to TM July 1985 @ age 12

  4. #4
    I dont know. I will try to see my GI soon, I saw him thursday but had no indication of this problem then.

    Could it be related to enemeez plus? I sort of passed a gas immediately prior to the BP and it sounded "loose", not like the gas I usually pass. I had the enemeez in for over an hour when this happened, so I wonder if it could be the anesthetic of the enemeez contributing to the problem.

    I am also confused as to what I need to do right now. My GI is not familiar with SCI, no one here is. So, I took three softeners last night and this morning, and two senokot for a BP tonight. But, what do I do, do I stimulate or just check and remove manually?

    If I control my constipation, could it get improve or is it something that is going to get worse no matter what?

    Finally, could it be something else?
    T6 complete (or so I think), SCI since September 21, 2003

  5. #5
    Spoke to the GI that saw me thuraday, again, not too experienced with neurogenic bowels.

    He said that it was a stage 1 or phase 1 prolapse, that I should not worry about it too much unless it came out and could not push it back in. He said that it was likely due to all the laxatives I have been taking lately (took 6 sennas, 2 dulcolax pills, four softeners and two enemeez in a 24 hour period, plus at least 10 dig stims of about a minute each, some pretty aggressive). So he said to cut back on the dulcolax. I asked if I should see him today or soon, and he said it was not necessary unless I could not get it back in. He also said that the anesthetic in enemeez could have contributed to the cause.

    I dont know. I am thinking a trip to the US should be in my plans soon, maybe to see a Pysiatrist (sp) for a check up, and a proctologist. In Miami,if anyone could recommend one it would be great.

    Again, any thoughts or comments are appreciated.
    T6 complete (or so I think), SCI since September 21, 2003

  6. #6
    Do you use magic bullet or Enemeez before dig stim?
    CWO

  7. #7
    For the past few weeks I have used Enemeez, for the ten years prior it has been manual removal daily, aided only by 200 mg of stool softener.
    T6 complete (or so I think), SCI since September 21, 2003

  8. #8
    Senior Member lynnifer's Avatar
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    At a seminar on aging with spinal cord injury, I learned that the more you rely on medications for your bowel program, the worse it will get because these things will eventually stop working ... could a diet change help?

    And probiotics have been a life changer for me.
    Roses are red. Tacos are enjoyable. Don't blame immigrants, because you're unemployable.

    T-11 Flaccid Paraplegic due to TM July 1985 @ age 12

  9. #9
    I will take the opportunity to follow up on two threads about a couple of scary episodes, like this one.

    My GI examined me along with my assistant description. His conclusion is that I was swollen from so many weeks of aggressive struggle to go to the bathroom and the general area was swollen, including some hemorrhoids. His conclusion is that it was not related to prolapse. Thank God!!
    T6 complete (or so I think), SCI since September 21, 2003

  10. #10
    Senior Member lynnifer's Avatar
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    Good deal. When I had my prolapse, I had the worst AD ever, so that was another sign ...
    Roses are red. Tacos are enjoyable. Don't blame immigrants, because you're unemployable.

    T-11 Flaccid Paraplegic due to TM July 1985 @ age 12

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