Prolapse of the rectum/anus

Question 1

Which geographic it is most commonly seen in?

Answer 1

children, elderly, individuals with chronic diarrhea, hemorroids

Question 2

What are the patterns of prolapse of anus?

Answer 2

Qi and blood deficiency

Damp heat

Question 3

Etiology of damp heat

Answer 3

Common: diet, too much spicy, fatty, sweet and smoking

Long term hemorroids, constipation, damp heat accumulate at rectum

Question 4

There are 3 degrees of prolapse, what happens in the 1st degree

Answer 4

• mild
• Prolapse: mucus of rectum, 3-5 cm out of anus
• does not bleed easily
• able to recover itself after BM

Question 5

2nd degree?

Answer 5

Mucus and muscle layer will protrude 5-10 cm
Does not recover by itself, will need help
Could have some bleeding due to scratching
Mild pain

Question 6

3rd degree

Answer 6

Whole rectum and sigmoid more than 10 cm

Question 7

Slow onset, start with distending and draggling sensation of rectum during defecation and returning to normal after BM. Without proper treatment recurrence may happen by overstrain and the prolapsed rectum fails to return spontaneously without the aid of hand
Swallow complexion, fatigue, SOB, palpitations, dizziness
Pale tongue with thin white coating

Answer 7

Qi and Blood deficiency

Question 8

Usually seen in acute dysentery or inflamed hemorrhoids, prolape of rectum with beating down sensation around anus, tenesmus
red and swollen anus with burning pain and itchingg
red tongue with yellow greasy coating

Answer 8

Damp heat

Question 9

Basic points for prolapse of anus

Answer 9

DU 20, DU 1, UB 25, UB 57

Question 10

which disease is prolapse of anus similar to?

Answer 10

hemorroids