After natural labor rectum bulges symptom?

summary

Rectocele is a special type of outlet obstructive constipation. It is because the anterior wall of rectum, rectovaginal septum and posterior wall of vagina are weak and protrude forward into the vaginal vault, which changes the direction of intra-abdominal pressure during defecation, resulting in the functional obstruction of rectum and anal canal during defecation, which leads to defecation difficulty and constipation. Outlet obstructive constipation, also known as functional outlet obstructive constipation, refers to the functional obstruction of the anorectal canal that only appears in the process of defecation, which causes defecation difficulty and constipation. It is a common disease in clinic. The main manifestation is that the patient has obvious defecation intention, but the feces are difficult to discharge from the anorectal canal. Sometimes, manual defecation is needed, Most of the patients were accompanied with relaxation and structural abnormality of the whole pelvic floor structure and viscera. After that natural labor rectum bulges symptom?

After natural labor rectum bulges symptom?

The main symptoms were difficult defecation, laborious defecation, anal obstruction, and poor emptying due to inability to defecate; A few patients had hematochezia or anorectal pain; Some patients need to press around the anus to discharge their stool, or put their fingers into the vagina to block the front wall of the rectum from protruding, or even put their fingers into the rectum to pick out the feces. Patients with large rectocele sometimes use their fingers to return the protruding rectum to the position where they can defecate. It can be used as an important diagnostic basis to use finger pressure on the posterior wall of vagina to help rectal emptying. It is reported that 20% - 75% of patients with rectocele need manual defecation. According to this chief complaint, it can be predicted that defecation will return to normal after operation. Khubkhandani suggested that constipation caused by rectocele may have the following characteristics: 1; ② During defecation, there was a continuous pressure drop in the anus; ③ There is a feeling of anal drop; ④ Defecation needs enema; ⑤ Pressure should be applied around the rectum to defecate; ⑥ It is necessary to insert fingers into vagina or rectum to defecate; ⑦ The toilet paper roll or paper roll was inserted into the rectum to induce defecation; ⑧ There is a feeling of depression or hernia in the anus.

The possibility of this disease should be considered in middle-aged and elderly women who have a history of birth injury or chronic constipation, have difficulty in defecation due to defecation intention, accompanied by anal drop and feeling of unclean defecation, or need manual defecation. It is a special symptom of rectocele to press the posterior wall of vagina with finger. Defecography: when defecating, the anterior and inferior wall of rectum protrudes forward in a bag shape, with a depth of more than 6 mm, or there is a gas-liquid plane, which can be diagnosed.

The compression and expansion of the posterior wall of vagina can lead to the relaxation of rectovaginal septum, such as the rupture of the cross fiber of puborectalis muscle, which makes the rectovaginal septum weak. However, the degree of tissue weakness is not related to the number of vaginal delivery, but to the size of the fetus, the stage of labor, perineal tear, vulvotomy and the type of perineal tissue.

matters needing attention

Long term forced defecation, eating less cellulose, long-term neglect of defecation will make feces dry, difficult to discharge, leading to chronic constipation. The long-term defecation force produces heavy pressure on the anterior wall of rectum and posterior wall of vagina; With the increase of age, the rectum and perineum tissues are prone to develop rectocele due to long-term continuous trauma and high pressure.