The rectum (the last part of the large intestine) has muscles and ligaments keeping it in place. Factors such as age, long-term constipation, and the stress of childbirth may weaken these attachments, allowing the rectum to slip out through the anus. Rectal prolapse usually happens gradually. The prolapse may occur with a bowel movement and then go back into place. Patients may describe the feeling as ‘something falling out.’ If the condition is left untreated, the rectum starts to protrude more frequently and eventually protrusion can become permanent. Treatment may involve temporarily easing the symptoms but, in most cases, surgery is necessary.
Typically when you have a bowel movement, it should not be difficult or painful. Having pain is abnormal and indicates some underlying problem. There are many different causes of pain while having a bowel movement such as food poisoning, injury or infections. It can also be a sign of rectal prolapse. As the pain may be due to a severe medical condition, this should be ruled out by a medical professional. If you are suffering from a partial rectal prolapse, it may respond to conservative treatment. Using a stool softener may reduce pain while having a bowel movement. Use of a bulking agent such as psyllium or methylcellulose can also help reduce straining and discomfort.
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