How to treat prolapse of the anus? Prolapse of the anus, also known as rectal prolapse, can cause great pain and embarrassment when it protrudes and cannot be retracted into the anus. So, how can we get rid of such embarrassment? How to treat prolapse of the anus? The treatment of anal prolapse is divided into three major categories: traditional Chinese medicine therapy, Western medicine therapy, and conservative therapy. Patients should choose the appropriate treatment method according to their actual situation.
1. How to treat prolapse of the anus: Traditional Chinese medicine treatment often focuses on qi deficiency and downward collapse. Long-term diarrhea, prolonged bed rest due to illness which harms qi, and constipation can all lead to anal prolapse. Treatment involves tonifying the middle energizer and lifting the downward collapse. Medicines include honey-fried Astragalus, Codonopsis pilosula, Atractylodes macrocephala, Cimicifuga, Bupleurum, Angelica sinensis, Tangerine Peel. Add Rhubarb for constipation; add Forsythia and Gardenia for heat; add Rehmannia and Radix Ophiopogonis for yin deficiency. Acupuncture at Baihui and Changqiang points can also be used, adding Zusanli for long-term disease.
2. How to treat prolapse of the anus: Conservative therapy If anal prolapse is secondary to diseases such as constipation or diarrhea, these primary diseases should be actively treated. Once the primary disease is cured, the anal prolapse will mostly heal. During treatment, squatting defecation should be avoided, and standing, lateral recumbent, or supine defecation should be adopted. For infants, straightening the legs while urinating or defecating can be done; older children can sit on a high basin to defecate, placing the chamber pot on a high chair. If this can be persisted for 1-2 months, most anal prolapses can heal. If changing the defecation method does not cure the prolapse, manual reduction can be performed. Folded gauze can be used to form a thick pad to press the anus, and adhesive tape can be used to tighten and stick the buttocks firmly, allowing the child to lie in bed for 1-2 weeks and maintain supine defecation, which mostly leads to healing.
3. How to treat prolapse of the anus: Western medical therapy
1) Injection treatment inside and outside the rectum (also called double-layer injection surgery): Inject the diluted Chinese medicine hemorrhoid injection solution with an equal amount of 0.5% lidocaine into the submucosal layer of the rectum or around the rectum, producing local fibrosis, making the separated rectal mucosa adhere and fix to the muscle layer, and causing fibrosis between the outer wall of the rectum and surrounding tissues, achieving the purpose of curing rectal prolapse.
2) Anal sphincteroplasty is suitable for patients with poor anal sphincter function or no anal sphincter function rectal prolapse. It can be directly performed after injection inside and outside the rectum or tightening of the rectal mucosa.
3) Rectal mucosal tightening surgery: This method can only serve as auxiliary treatment for injection treatment inside and outside the rectum for rectal prolapse, and its efficacy is not good when used alone. Rectal mucosal tightening surgery can be performed after injection inside and outside the rectum.