Ayurvedic Treatment for Rectal Prolapse

Ayurvedic Treatment for Rectal Prolapse works by correcting the Vata which is deranged and directed in the upward direction. Rectal prolapse is a very common condition nowadays, especially in elderly people. Prolapse is a condition where a body part falls from its normal position. Rectal prolapse is when the rectum drops down or slides out of the anus.

There are three types of prolapse:

External prolapse: The entire rectum sticks out of the anus.

Mucosal prolapse: Part of the rectal lining pokes out of the anus.

Internal prolapse: Drop started but not yet sticking out of the anus.

It causes severe pain and discomfort & the patient will not be able to sit properly in chronic cases. Pain, swelling, wounds and other complications may be present, too. Most cases of rectal prolapse respond well to treatment but surgery is needed for a permanent cure.

Signs and symptoms of Rectal Prolapse

  • Feeling a bulge outside the anus
  • A red mass outside the anal opening
  • Pain in the anus or rectum
  • Bleeding from the rectum
  • Leaking blood, faeces, or mucus from the anus

Verursacht of Rectal Prolapse

  • Long-term history of diarrhoea or constipation
  • Habit of straining
  • Old age, with weakened muscles and ligaments in the rectal area
  • Previous injury to the hip or anus
  • Nerve damage that affects the muscles’ tonicity & elasticity, caused by conditions like pregnancy, vaginal childbirth complications, anal sphincter paralysis, or injury to the spine.
  • Neurological problems, such as spinal cord disease or spinal cord transection

Pathophysiologie of Rectal Prolapse

The pathophysiology of rectal prolapse is not completely understood or agreed upon. There are two theories postulated, almost of the same idea.

The first theory postulates that rectal prolapse is a sliding hernia through a defect in the pelvic fascia. The second theory says that rectal prolapse starts as a circumferential internal intussusception of the rectum beginning near the anus. With time and straining, this progresses to full-thickness rectal prolapse, though some patients never progress beyond this stage.

Diagnose of Rectal Prolapse 

  • Clinical examination including anorectal examination
  • Anal electromyography
  • Anal manometry
  • Anal ultrasound
  • Pudendal nerve terminal motor latency test
  • Proctography
  • Colonoscopy
  • Proctosigmoidoscopy
  • MRI

Behandlungen of Rectal Prolapse

In earlier stages, taking stool softeners and replacing the rectum by hand may suffice. However, eventually, surgical correction is necessary.

The two most common types of surgery:

  • Abdominal: This type of surgery can be done either with a large incision or using laparoscopy, which uses small cuts and a camera attached to an instrument so the surgeon can see what needs to be done and if any additional issues need to be fixed.
  • Perineal: Also called rectal repair, this approach may be used if the patient is older or have other medical problems. It involves the inner lining of the rectum or the portion protruding out of the anus.

Prognose of Rectal Prolapse

  • The prognosis for elderly patients presenting with rectal prolapse is variable and depends on the nature of any underlying or associated problems and the age and general well-being of the patient.
  • Spontaneous resolution usually occurs in children but a minority of children who experience rectal prolapse continue to experience it in their adult lives.

Komplikationen of Rectal Prolapse

  • Rectal damage like ulceration or bleeding
  • Permanent prolapse that cannot be replaced by hand
  • Strangulation
  • Gangrene

Ayurvedic Concept of Rectal Prolapse

        Gudabhramsa

Ayurvedic Nidana of Rectal Prolapse

        Atisara – diarrhoea

Excessive pravaahana or straining when done by a person with a dry, weak & emaciated body.

Ayurvedic Purvaaroopa of Rectal Prolapse

Nicht erwähnt

Ayurvedic Samprapti of Rectal Prolapse

        Nicht erwähnt

Ayurvedic Lakshana of Rectal Prolapse

        Prolapsed rectum through the anus

Ayurvedic Divisions of Rectal Prolapse

Nicht erwähnt

Ayurvedic Prognosis of Rectal Prolapse

Yaapya

Ayurvedisch Chikithsa of Rectal Prolapse

Samana

Snehana

Swedana

Goshphanabandha(with a hole in the middle, for letting the Vaayu out)

Sodhana

Not advised

Commonly used Ayurvedic medicines for Rectal Prolapse

        Chiriviwadi kashayam

Gandharavahastadi kashayam

Dusparsakadi Kashayam

Shunteebaladi Kashayam

Dhanwantharam Kashayam

Unduru tailam

Balaswagandhadi Tailam

Bala Tailam

Verfügbare Marken

AVS Kottakal

AVP Coimbatore

SNA oushadhasala

Vaidyaratnam oushadhasala

Home remedies for Rectal Prolapse

No home remedy is proven to cure rectal prolapse.

Folklore remedies

Cissampelos pareira

Malathangi

Laghu padha

लघु पाठा

Excellent edible leaf.

Can hold our lower organs from prolapse, mala.. Hill.. Tangi.. Hold

Diet for Rectal Prolapse

  • Zu vermeiden sind

Schwere Mahlzeiten und schwer verdauliche Lebensmittel - verursachen Verdauungsstörungen.

Junk Food - stört die Verdauung und verringert die Bioverfügbarkeit des Medikaments

Kohlensäurehaltige Getränke - erhöhen den Säuregehalt des Magens und stören die Verdauung

Gekühlte und gefrorene Lebensmittel - verursachen eine schwache und träge Verdauung durch Schwächung von Agni (Verdauungsfeuer)

Milk and milk products – increase kapha, obstruct channels and obesity

Quark - verursacht Vidaaha und damit viele andere Krankheiten

  • Noch zu ergänzen

Leichte Mahlzeiten und leicht verdauliche Lebensmittel

Green gram, soups, sesame oil

Freshly cooked and warm food processed with minimal spices.

Verhaltensweisen:

Protect yourself from extreme hot & cold climates.

Vermeiden Sie übermäßige Sonneneinstrahlung, Wind, Regen oder Staub.

Halten Sie einen regelmäßigen Essens- und Schlafplan ein.

Vermeiden Sie es, Triebe wie Urin, Stuhlgang, Husten, Niesen usw. zurückzuhalten oder zu erzwingen.

Avoid a sedentary lifestyle. Be active.

Yoga for Rectal Prolapse

Regelmäßige Dehnübungen und leichte Kardioübungen werden empfohlen. Außerdem wird spezifisches Yogacharya einschließlich Naadisuddhi Pranayama, Bhujangaasana, Pavanamuktasana empfohlen.

Regular exercise helps improve the bioavailability of the medicine and food ingested and leads to positive health.

Yoga kann die Harmonie im Körper und mit dem umgebenden System aufrechterhalten.

Pavanamuktasana

https://youtu.be/EK1ov1cP4UE

Nadisudhi Pranayama

https://youtu.be/RUFzLVf5wL4

Bhujangasana

https://youtu.be/fOdrW7nf9gw

Einfache Übungen für die Gesundheit von Lunge und Herz

https://youtu.be/j8ICrvYCVto

Alle Übungen und körperlichen Anstrengungen dürfen nur unter der Aufsicht eines medizinischen Experten durchgeführt werden.

Research articles of Rectal Prolapse

https://pubmed.ncbi.nlm.nih.gov/24352613/

  • PMID: 29336759

 

A retrospective study to review pediatric robotic rectopexy experience from 2012 to 2015 was done at a single institution. Four pediatric patients underwent a robotic rectopexy for rectal prolapse from 2012 to 2015. Three patients were male and one was female. The mean age was 15.5 years. Three patients were completed robotically, and one patient required conversion to an open procedure. The average postoperative length of stay was 3.25 days. There were no episodes of recurrent prolapse. The study concluded that Robotic rectopexy provided a safe, reliable, and short-term resolution of rectal prolapse in pediatric patients.

  • PMID: 32424455

A study aimed to compare ventral mesh rectopexy (VMR) and pelvic organ prolapse suspension surgery (POPS) in the management of patients presenting with rectal prolapse was done. The study was a prospective cohort trial in which 120 female patients with complete rectal prolapse were included, 60 patients had had VMR and the other 60 had had POPS as surgical management for complete rectal prolapse. The patients were assessed 6 months postoperatively. There was no significant statistical difference regarding hospital stay and postoperative pain. Operative time was significantly shorter in POPS in comparison with VMR. VMR showed slight improvement regarding constipation and continence scores; however, this was statistically significant. VMR showed fewer complications compared to POPS. The study concluded that POPS is comparable to VMR in the management of rectal prolapse and in improving the ODS symptoms. Thus, POPS can be used as an easier, faster option to treat rectal prolapse in selected patients.

*These statements have not been evaluated by the Food and Drug Administration, United States. This product is not intended to diagnose, treat, cure or prevent any disease. Please consult your GP before the intake. All the Ayurveda Supplements mentioned here are in the Indian Market with GMP Certification from India

Autorin:
Dr. Rajesh Nair, der Mitbegründer und Hauptberater von Ayurvedaforall.Com, ist Absolvent des renommierten Vaidyaratnam Ayurveda College (angegliedert an die Universität von Calicut) in Kerala, Indien. Außerdem hat er ein Postgraduierten-Diplom in Yogatherapie von der Annamalai University.

Dr. Nair bietet Beratungen in zwei vielbeschäftigten Kliniken in und um Haripad, Alleppey, Kerala, dem südlichen Staat, der weltweit für authentische ayurvedische Behandlungen und Ärzte bekannt ist. Neben der Beratung zu allen Aspekten ayurvedischer Behandlungen hat Dr. Nair ein besonderes Interesse an Panchkarma, Yoga und Massage.

Über Ayurvedaforall bietet Dr. Nair Patienten weltweit Online-Konsultationen an und hat in den letzten 20 Jahren Hunderte von Patienten betreut. Zusätzlich zu seiner ayurvedischen Praxis ist er Chefredakteur von ayurveda-amai.org, dem Online-Portal der Ayurveda Medical Association of India, und Mitglied des Landesausschusses der Ayurveda Medical Association of India.

Dr. Nair ist ein regelmäßiger Redner auf Ayurveda-bezogenen Konferenzen und hat Deutschland besucht, um Ayurveda zu propagieren. Sie können direkt an ihn schreiben.
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