Rectal prolapse exercises and bowel management Physiotherapy home treatment for men and women to reduce the risk of prolapse worsening. Physiotherapist Michelle from www.pelvicexercises.com.au guides your rectal prolapse exercises, stool management and bowel emptying to avoid prolapse strain and reduce rectal discomfort.
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Physiotherapy exercises and techniques can help rectal prolapse treatment at home when the rectal prolapse is mild to moderate (mucosal prolapse or inner lining) and after rectal prolapse surgery to reduce the risk of recurrent prolapse. When the rectal prolapse cannot be reduced (repositioned) this condition usually requires rectal prolapse surgery.
1. Stool Consistency for Rectal Prolapse
Managing stool consistency in a priority for rectal prolapse treatment at home to avoid straining and constipation. Ideally your stool consistency on the Bristol Stool Scale should be Type 3-4 (soft and well formed).
Type 1 stool (Bristol) is hard and lumpy increasing the likelihood of constipation and straining. Osmotic laxative and/or dietary management can improve bowel emptying.
Type 7 stool (Bristol) is liquid increasing the likelihood of straining and bowel leakage. Medications including antidiarrheal and natural products such as psyllium husks (1-2 teaspoons daily) can improve stool consistency and reduce fecal incontinence.
2. Bowel Emptying and Rectal Prolapse
Avoid straining with rectal prolapse. The brace and bulge bowel technique reduces straining provided the stool consistency is correct (Type 3-4).
Position
* Sit and lean forwards
* Keep the inward curve in your lower back
* Legs apart
Technique
* 5-6 relaxed deep breaths
* Brace and make your waist wide (say 'M')
* Bulge your lower abdomen forwards (say 'OO')
* To push further say 'M' again
* Lift and squeeze your pelvic floor muscles
* Make your last wipe a wet wipe
3. Rectal Prolapse Exercises
a. Technique
Kegel exercises train the muscles that hold the rectum in position. Start these exercises lying down or sitting. Before starting reduce your prolapse internally.
Step 1
*Imagine you’re trying to stop passing gas. Squeeze the back passage (anus) and lift inwards.
*Relax these muscles.
Your buttocks should stay relaxed throughout.
Step 2
*Squeeze and draw inwards as if to stop the flow of urine. Men try to imagine you’re retracting your length just like a turtle pulling its head back into its shell. Women try to lift and squeeze inwards around the 2 pelvic openings at the front at the same time.
*Relax these muscles
Step 3
Combine steps 1 and 2 and breathe normally with rectal prolapse exercises.
b. Rectal Prolapse Exercise Guide
* Contractyour pelvic floor muscles using the correct technique
* Hold your contractions for the length of time you can manage
* Hold each exercise for up to 8-10 seconds
* Perform up to 10 exercises in a row (1 set of exercises)
* Perform 3 sets of exercises daily (up to 30 contractions)
Progress the strength of your exercises with rectal prolapse exercises when standing.
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References
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Credit: St Bartholomew's Hospital Archives & Museum, Wellcome Images.
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Music
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Disclaimer
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