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Treatment Of Erectile Dysfunction
Skin Care Treatment
Treatment of Migraine Treatment
Treatment of Neurological Problems
Weight Management Treatment
Piles Treatment (Non Surgical)
Sexually Transmitted Disease (Std) Treatment
Cysts Removal Procedure
Treatment Of Pregnancy Problems
Well Woman Healthcheck
Thyroid Problems Treatment
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Hi sir am 30 old got married 2 years back we have 1 baby 1year old. Now am unable to spend long time in sex am loosing my stamina too early is there any problem in me. Please help me.
Sir my health is in bad condition in another way I can say that I have fever all time what I have to do pls. Tell me.
I am a 18 yr old boy. Every year I suffer from diseases i.e I suffered from TB last year, before that a year ago I was suffering from pneumonia & before that was suffering from sinus. Because of that my body has became weak. And it has started from my childhood that I fell ill every year with such diseases please help me giving guidelines about my diet or anything else. Is my diet the reason or the atmosphere in which I live? thanking you.
I seem to be having headaches while using the Computer or while reading a book but I don't seem to be stressing my eye to clearly see the target.
My hair got so thin in the region of forehead only and the hair at the back even after I plate my hair the hair is thick .Only in the front region my hair is thin. I don't have any dandruff and ia m totally healthy.
Rectal prolapse means complete rectal prolapse where the rectal walls have prolapsed to a degree where they protrude out of the anus and are visible outside the body.
The different types of prolapse are as-Internal prolapse (internal intussusception). A full thickness or a partial rectal wall is affected but the prolapsed tissue does not pass out of the anus.
- External Prolapse- If they protrude from the anus and are visible externally. Full thickness, circumferential, true intussusception of the rectal wall which protrudes from the anus and is visible externally.
- Full-thickness rectal prolapse- A full thickness of the rectal wall protrudes through the anus.
- Mucosal prolapse- Protrusion of only the rectal mucosa (not the entire wall) from the anus.
- Circumferential- Where the whole circumference of the rectal wall prolapse.
- Segmental- Where only parts of the circumference of the rectal wall prolapse.
Grades of Prolapse
Grade I: Non-relaxation of the sphincter mechanism
Grade II: Mild intussusception
Grade III: Moderate intussusception
Grade IV: Severe intussusception
Grade V: Rectal prolapse
- Pelvic floor dysfunction
- Parasitic infections such as Amoebiasis, schistosomiasis
- Cystic fibrosis
- Pertussis (whooping cough)
- Neurologic disorders - Previous lower back or pelvic trauma/lumbar disk disease, cauda equina syndrome, spinal tumors, multiple sclerosis
- Disordered defecation (stool withholding)
- Previous surgery
- Benign prostatic hypertrophy
- Chronic obstructive pulmonary disease (COPD)
Symptoms of Rectal Prolapse
History of a protruding mass- Initially, the mass protrudes from the anus only after a bowel movement and usually retracts when the patient stands up. As the disease process progresses, the mass protrudes more often, especially with straining and valsalva maneuvers such as sneezing or coughing.
- Degrees of fecal incontinence which may simply present as a mucous discharge
- Fecal leakage
- A sensation of obstructed defecation (tenesmus)
- Pelvic pain
- A feeling of bearing down
- Rectal bleeding
- Constipation(20%-50% of patients) also described as tenesmus (a sensation of incomplete evacuation of stool) and obstructed defecation
- Erratic bowel habits
Signs of Rectal Prolapse
- Sulcus noted between anal canal and rectum
- Solitary rectal ulcer (10%-25%)
- Decreased anal sphincter tone
- Protruding rectal mucosa
- Thick concentric mucosal ring
How will you Diagnose?
- Proctoscopy/ sigmoidoscopy/ colonoscopy
- Colonic transit studies
- Anorectal manometry
- Anal electromyography/Pudendal nerve testing
- Conservative- Dietary adjustments, including increasing dietary fiber may be beneficial to reduce constipation.
- Surgery- Surgical approaches in rectal prolapse can be either perineal or abdominal.
A perineal approach refers to surgical access to the rectum and sigmoid colon via an incision around the anus and perineum. Abdominal approach (trans-abdominal approach) involves the surgeon cutting into the abdomen and gaining surgical access to the pelvic cavity.
- Laparoscopic procedures
- Perineal procedures
- Perineal rectosigmoidectomy
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