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Old 05-13-2012, 01:59 AM   #1
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mtom88 HB User
Rectal Prolapse, only 24 years old.

Dear Health Boards.

I have been struggling with constipation since my teens. In my teenage years doctors thought it would be a good idea to load me up on fiber. I followed their advice for a few years. (Taking psyllium and eating a very high fiber diet of fruits and vegatables) Now in heinsight I realize this was bad advice and could have actually made the problem worse (as Fiber can constipate you! Why did no one ever tell me that???)

For whatever reason at age 19 my issues just went away. I was being very active and running marathons at this point. At age 20 for no reason whatsoever, my bowel just decided it would shut down again. I went through months of having to use bowel preps to clean it out, the good spell was over as quickly as it came.

Since then ive treated it with taking 1.5 tsp of psyllium, and 25ml of lactulose nightlight. This keeps me going, although it has been getting progressively worse.

Last week (at age 24) after researching what is wrong with me, I heard about rectal prolapse can cause constipation. And the symptoms described what I had always felt, but never known was a problem. When I push, something covers the anal passage. I thought this was normal.

I went to the hospital and told them I had rectal prolapse. They told me I was incorrect, I demanded an exam. And surprise surprise, I have this disorder. Now originally I thought this was a blessing (as there is something wrong with me), but now I don't agree with that. As it seems like it needs surgery and the amount of complication is high.

They refered me to a colo rectal surgeon. The prolapse is internal and only visible while straining. I'm just beyond shocked now, my bowel is difficult enough to manage when it is just my bowel. When I get stressed or sad my bowel is worse (for whatever reason). The thought of surgery which could compound my problems is terrifying.

Anyone have any insight or advice?

Cheers guys

 
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Old 05-13-2012, 11:18 AM   #2
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Re: Rectal Prolapse, only 24 years old.

fibre doesn't cause constipation unless you're not drinking sufficient amounts of water so that it stays soft enough to pass through your colon easily. I suspect when you were doing marathons etc, you were probably drinking a lot more fluid?? sports drinks? water? because you felt thirstier. You shouldn't have to strain to go to the toilet, it means you either don't have enough fibre in your diet or you have enough fibre but are not drinking enough water to go with it and most people just do not drink enough water every day to stay hydrated, but this is just one of the reasons that you need to do that. I don't have any advice about the surgery but to keep your colon moving you really need to get into the habit of drinking lots of water every day and then you shouldn't have to strain to go.

 
Old 05-13-2012, 08:05 PM   #3
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Re: Rectal Prolapse, only 24 years old.

I've struggled all my life with constipation too. I eat lots of fiber and drink lots of water and it still happens. I know these things help but sometimes they don't always do it. After my hysterectomy I finally found out I too had a rectal prolapse. Had no idea what was happening to me. It's one of those things that people don't talk about. I found the key is to be regular every day. If I miss a day it's horrible. So a few years ago after my hysterectomy I started using Miralax. This really helped me to get regular and I was able to slowly over the year use less and less of it until I was able to stop it completely. Kind of helped retrain my bowels as it were. I always eat a high fiber cereal in the morning and drink lots of water thru the day so I have been able to control the situation without surgery. Just my story that seems to have worked for me. I hope you figure a plan out too. Good luck.
Mart

 
Old 05-15-2012, 08:49 PM   #4
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Re: Rectal Prolapse, only 24 years old.

I was diagnosed with an Internal Rectal Prolapse last year. Before my dianosis, I would nearly pass out on the toilet, the pain was so horrenderous!! I am glad to hear you have a good Colon/Rectal Specialist, most other doctors can't diagnose this problem without a test called a defecating proctogram. My Colon/Rectal Specialist advised 25-30 grams of fiber daily, fruits, veggies, whole grains, etc. He also advised Citrucel 2-3 times daily. And whatever you do, please don't strain on the toilet, this will make it worse! For me, the key was to not ever let myself get constipated! Try to do your business in 2-3 minutes and get it over with.

So far the fiber, water and Citrucel are working and as I have avoided the surgery, which would be a colon resection.

There is something else to consider, in some cases, the condition is treated for Pelvic Floor Dysfunction by a Physiotherapist, who will work to re-train those sphincter muscles which are contracting rather than relaxing. There are some old threads on this forum that are worth searching for, there is a lot of good information.

Good luck and hope you feel better soon.

 
Old 05-15-2012, 10:06 PM   #5
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Re: Rectal Prolapse, only 24 years old.

Quote:
Originally Posted by mtom88 View Post
Dear Health Boards.

I have been struggling with constipation since my teens. In my teenage years doctors thought it would be a good idea to load me up on fiber. I followed their advice for a few years. (Taking psyllium and eating a very high fiber diet of fruits and vegatables) Now in heinsight I realize this was bad advice and could have actually made the problem worse (as Fiber can constipate you! Why did no one ever tell me that???)

For whatever reason at age 19 my issues just went away. I was being very active and running marathons at this point. At age 20 for no reason whatsoever, my bowel just decided it would shut down again. I went through months of having to use bowel preps to clean it out, the good spell was over as quickly as it came.

Since then ive treated it with taking 1.5 tsp of psyllium, and 25ml of lactulose nightlight. This keeps me going, although it has been getting progressively worse.

Last week (at age 24) after researching what is wrong with me, I heard about rectal prolapse can cause constipation. And the symptoms described what I had always felt, but never known was a problem. When I push, something covers the anal passage. I thought this was normal.

I went to the hospital and told them I had rectal prolapse. They told me I was incorrect, I demanded an exam. And surprise surprise, I have this disorder. Now originally I thought this was a blessing (as there is something wrong with me), but now I don't agree with that. As it seems like it needs surgery and the amount of complication is high.

They refered me to a colo rectal surgeon. The prolapse is internal and only visible while straining. I'm just beyond shocked now, my bowel is difficult enough to manage when it is just my bowel. When I get stressed or sad my bowel is worse (for whatever reason). The thought of surgery which could compound my problems is terrifying.

Anyone have any insight or advice?

Cheers guys
The reason you got constipated with the increase of fiber is because you didn't drink enough water. When you increase fiber to 25-35 grams a day,it needs to be increased slowly over a two week period and make sure you drink at least 64 oz, a day of water,take either Metamucil or Citrucell in the morning and in the evening( drink at least 1 8 oz. glass of water before taking the Metamucil or Citrucell and 1 8 oz. glass after taking it,to keep it from constipating you !) Having a set time schedule everyday for sitting on the toilet to have a bowel movement( for at least 30 minutes) keeps you from getting constipated. I have found taking slow deep breaths continuously while sitting on the toilet to have a bowel movement makes it so much easier to go with no pain and no straining to go. I can always tell how much fiber and water I took in the day before by how long it takes me to have a bowel movement 2-5 minutes versus 30 minutes an how often I move my bowels in one day. If I eat a lot of fiber and drink lots of water then I will have 2-3 bowel movements in one day without having to strain or spend a whole lot of time on the toilet trying to go. This is from someone who has had chronic constipation problems all of her life. I know the pain from trying to force a bowel movement when you haven't gone for more 3 days or longer in a row. I hope you will try this routine to help you move your bowels on a regular basis.

 
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