The rectum — the bottom-most part of the large intestine — is kept in place by muscles and ligaments. Age, long-term constipation, and the stress of childbirth are a few of the factors that can weaken these attachments, sometimes resulting in rectal prolapse or the rectum slipping out through the anus. Rectal prolapse usually happens gradually and can protrude during bowel movements and reenter the body. If the issue is left untreated, the rectum will protrude more frequently and may remain outside the body. Doctors may choose to treat symptoms, but most cases of rectal prolapse require treatment.
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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