Prolapse of rectum/anus

Question 1

How does the 1st degree of prolapse of the rectum look like?

Answer 1

Mild
Prolapse mucus of rectum, 3-5 cm of anus
Does not bleed easily
Recover by itself, altered bowel movement

Question 2

How does the II degree of prolapse of anus look like?

Answer 2

Mucus and muscle layer will be protruding 5-10cm
Does not recover by itself, will need help
Could have some bleeding due to scratching
mild paiin

Question 3

III Degree of Prolapse of anus

Answer 3

Whole rectum and segmoid more than 10 cm

Question 4

What are the basic points you would use?

Answer 4

Du20, Du 1, UB 25, UB 57

Question 5

What are the main manifestation of Qi and Blood Deficiency

Answer 5

Slow onset, start with distending and draggling sensation of rectum during defecation and returning to normal after bowel movement.
Sustained without proper treatment, recurrence may happen by overstrain and the prolapsed rectum fails to return spontaneously without the aid of hand
Pulse: Soft and Thin
Tongue:: Sallow complexion, fatigue, SOB, palpitation, dizziness

Question 6

Main manifestation of Damp heat

Answer 6

Usually seen in acute dysentery or inflammated hemorrhoids, prolapse of rectum with bearing down sensation around anus, tenesmus
Red and swollen anus with burning pain and itching
Tongue: red tongue with yellow greasy coating
Pulse: Soft or slippery

Question 7

How would bowel movement be presented?

Answer 7

Abnormal bowel movement
Constipation or diarrhea - 50 - 70% is constipation
Tennenmus - urgency to go, but there is no bowel movement
Bleeding

Question 8

What local symptoms would be present?

Answer 8

Bearing down sensation/distending sensation around anus
Itching due to mucus irritation, bacteria
Frequent Urination

Question 9

How would abdominal pain be present?

Answer 9

In lower abdomen, particularly in the left side
Bearing down sensation, can radiate in lower back even both legs, pain
Overall a heavy sensation in groin

Question 10

Psychotically symptoms

Answer 10

Children and kids will combine with slow mental development

Adults: neurothemia, schizophrenia

Question 11

Which meridians would you use to treat?

Answer 11

Du, UB, Foot Taiyang

Question 12

How would you educate your patient?

Answer 12

Treat and prevent Chronic diarrhea
Cough, sneeze, asthma can trigger prolapse
exercise abdominal prolapse during remission
Kegel exercise 20x/ 2-3x each day
Treat earlier, prevent infection, swelling

Question 13

What are the 2 patterns

Answer 13

Damp heat

MJ jiao sinking of Qi