What is Rectal Prolapse?

Let’s start by giving you an overview of rectal prolapse, so you know exactly what I’m talking about.  Although, further down, I am also going to talk about rectocele – so if that’s your condition, then stay with me.

Rectal or colon prolapse occurs when the tissue that lines the rectum falls down into or sticks out of the anal opening. Rectal prolapse can start off protruding only during bowel movements; then it may protrude during sneezes or other abdominal contractions; then progress to protruding during activities like walking, and eventually reach chronic protrusion, where the rectum fails to retract at all.

Rectal prolapse can result from the following conditions:

• Constipation
• Cystic fibrosis, MS, paralysis
• Malnutrition and malabsorption (celiac disease as an example)
• Pinworms (enterobiasis)
• Prior injury to the anus or pelvic area
• Whipworm infection (trichuriasis)
• Anal intercourse – especially if long-term or aggressive
• Childbirth

If your rectum has prolapsed, you will likely see a pink or reddish-colored mass of tissue sticking out from the opening of the anus, especially after a bowel movement. The lining of the rectal tissue may be visible, and may bleed slightly.

Natural Treatment for Rectal Prolapse

Treating the underlying causes of rectal prolapse usually cures the problem. In otherwise healthy elderly patients who have repeated rectal prolapse, surgery is sometimes used to repair physical problems that make prolapse more likely to occur. Surgery is also often recommended for treating rectocele (outpouching of the rectum into the vagina).

However, the surgery can result in scar tissue and adhesions, which can narrow the rectal canal (anal stenosis) and interfere with the rectal and pelvic muscles relaxing during a bowel movement. These two problems can then cause difficulty having a bowel movement, or result in hemorrhoids or rectal or anal fissures (tears) from repeated straining.

If this has already happened to you, I have effective natural treatment protocols for all of these conditions. Just click on the symptom in the list below to look them up:

Anal Stenosis and Anal or Rectal Stricture
Hemorrhoids
Anal or Rectal Fissures

To treat the underlying conditions that cause or continue rectal prolapse, we need to address a number of possible factors:

1. Painful Rectal Area

Following colon prolapse, you may experience pain in the muscles surrounding the rectum – the levator ani muscles. Applying a hot castor oil pack to these muscles can help to relax and soothe them. If you feel your muscles from your sitz bones (the “sitting bones” you can feel at the bottom of your bum when you sit on a bicycle or hard seat), working up both sides of your buttocks and across just under your sacrum (the flat, slightly rounded pad of bone at the base of your spine) – you are feeling the levator ani muscles – this is where you need to apply the castor oil.

The simplest way to do this is to apply cold-pressed castor oil with your fingers in a horseshoe shape from the base of your right sitz bone, up to your tailbone, across your sacrum and then down to the bottom of your left sitz bone.

Once you have massaged in the castor oil, apply heat. If you have an electric heater, turn it on and kneel in front of it in the “hemorrhoid position’” – down on your knees and elbows with your head down and your bum in the air – so the heat can warm the rectal muscles. Ideally, apply the heat for 20 to 30 minutes, but even 10 minutes will help.

2. Straining To Defecate or Improper Defecation Position

The western practice of sitting on the toilet prevents the rectum from straightening out and opening – making us much more prone to bowel prolapse, constipation, hemorrhoids and fissures! Squatting on the toilet is best, or using a squatting platform like the Squatty Potty, that fits around your toilet.

At the least, put your feet on a child’s stepping stool when sitting on the toilet, to raise your knees higher than your hips. In addition to the video below, watch my videos on Constipation Pooping Positions and Self-Administered Colonic Massage.

Constipation can play a major role in rectal prolapse and ongoing aggravation. Straining or hard stools can tear your rectum (causing rectal fissures) and strain your pelvic muscles. If you suffer from chronic constipation, then I strongly advise you to get my book, Listen To Your Colon: The Complete Natural Healing Guide For Constipation, as you need a comprehensive constipation treatment that addresses all of the variables.

But if your constipation is only mild, or occasional, then this natural constipation treatment protocol may be enough to treat it successfully:

• An easy constipation remedy is to take 250 mg of magnesium citrate and 100 mg of potassium citrate together after a good breakfast, lunch or dinner. These two minerals act as a muscle relaxant for the anal sphincter muscle to facilitate easier bowel movements, while simultaneously stimulating your intestinal peristalsis (wave-length muscle contractions) to produce a bowel movement.
• Also take 7 to 10 billion CFU (colony forming units) of Natren brand probiotics per day to begin the process of normalizing your bowel flora (1 capsule of Healthy Trinity per day).
• You also need to use a stool softener/bulking agent, like pysllium, flax, chia, or MetaCleanse once or twice a day to keep your stool soft and reduce stress and pressure on the rectum.
• Remember to drink 8 to 10 glasses of filtered or spring water per day.

3. Weakened, Stretched or Traumatized Pelvic Muscles and Rectocele

If you apply gentle pressure to the muscles closest to the area where your rectum protrudes when you’re having a bowel movement, you may be able to hold the rectum inside and avoid it coming out with the stool.

Also, childbirth or prolonged constipation with hard straining can result in a condition known as Rectocele – where the walls between the vagina and rectum are thinned and/or stretched out. So in that case, your rectum can outpouch into your vagina, thus preventing the straight passage of stool. This video will give you some great techniques to use with either of these conditions:

Squatting on the toilet, or using a squatting platform like the Squatty Potty, is the ideal way to easily reach your perineum (the area between the rectum and vagina in women, and between the rectum and scrotum in men) and the rectal muscles (levator ani) located on either side of your rectum and around in a horseshoe shape up to your coccyx (the end of your tailbone).

NOTE: Do not squat directly on the toilet unless you have a very solid, porcelain toilet that you know can support your body weight. Check with your toilet manufacturer for it’s weight bearing capacity to be sure.

Keep a box of surgical gloves (available at any pharmacy) in your bathroom so that you can get intimate with your rectal muscles and perineum without worrying about getting poo on your hands.

Bodywork Therapy

The anorectal canal is girdled by muscles and ligaments, with the pudendal nerve running throughout these muscles. Following surgery, childbirth, or any kind of trauma or continual strain, you can develop muscle, tendon or ligament strains in corresponding tissues or organs. This strain and weakening of the muscles and ligaments can lead to rectal prolapse.

The other thing that will greatly help you to heal the underlying cause of your prolapse is bodywork therapy from a practitioner who is specifically trained to work with this area. Be sure to tell them you suffer from rectal prolapse and ask them to specifically look at the levator ani muscles, sacrum, coccyx and pudendal nerve.

You will likely get the best results from an osteopathic doctor or physical therapist that is trained in myofascial release techniques. Look for chiropractors, osteopaths or physical therapists (called physiotherapists in Canada) trained in A.R.T. (Active Release Technique) or in John F. Barnes myofascial release and myofascial unwinding techniques.

RECTAL PROLAPSE TREATMENT SUMMARY

• Apply cold-pressed castor oil and heat
• Take 250 mg of magnesium citrate and 100 mg of potassium citrate together
• Take 7 to 10 billion CFU of Natren brand probiotics
• Use a stool softener like pysllium, flax, chia, or MetaCleanse
• Drink 8 to 10 glasses of filtered or spring water per day
• Toilet squatting or using a squatting stool instead of the normal way of sitting on the toilet
• Apply pressure to the area surrounding your rectum during a bowel movement
• Self administer a colonic massage
• See a bodywork therapist

Fill in the form below and I will send you my free ebook, Jini’s Healing Guide For Rectal Prolapse, with in-depth instructions for all these natural remedies for rectal prolapse:

 

Natural Rectal Prolapse Treatment
39 Comments

39 thoughts on “Natural Rectal Prolapse Treatment

  • When I saw your YouTube video showing how to crouch on the toilet, it sent a shiver down my back.

    Back in 1971, when I was using a dirty school toilet, I decided to crouch as you describe to avoid contaminating my butt cheeks with the dirty seat. Unfortunately, the bowl collapsed under my weight and I suffered extensive lacerations to my buttocks and back plus removal of my spinal processes which necessitated a month in hospital and severe blood loss.

    My experience emphasises the dangers of using a toilet in that way and I feel you ought to mention it in your video as I should hate anyone else to suffer as I did.

  • Hi Jini, please say you have more self help for rectocele. I have no insurance and cannot afford a physical therapist. This problem is so depressing. I don’t want to be intimate with my husband, I can’t have a normal bm anymore, I’m scared to death to excersize, I’m kegeling constantly, I’m afraid to pick up my toddler, I feel it all the time. I’m already doing psyllium, probiotics , and drinking tons of water. I have celiacs disease and am gluten free. I also have Hashimoto’s thyroiditis and hypoadrenalism. I have five children, all who need me very much. I wanted more children, but I’m feeling as though this is impossible now. My heart aches as I think of the future with this (my marriage is especially concerning as my dear hubby has seemingly run out of patience sexually speaking). My midwife suggested witch hazel gauze packs inserted in the vagina at night to help “draw up” the weakened tissue. Will this help? I’m also still nursing my 19 month old so I may be low in estrogen as well? BTW, my Celiacs resulted In Chronic constipation not diarrhea. This combined with 2 episiotomies, 1 forced tear by an idiotic ob, 2 big babies, and one very fast birth has resulted in my prolapse. What should I do? Will I ever be able to be pregnant again? If I do have another child will it be worse?

    Thank you for all that you do. God bless you.

  • TJ – Did you sign up for the free eBook in the post?

    Also, check out my new vid just posted as I think it will benefit you greatly:

    http://www.youtube.com/watch?v=GMUdnWgj4CU

    Lastly, why are you thinking about having another child when you cannot even afford basic healthcare for yourself? This shows you need to spend some time on emotional healing for yourself. I have free resources to get you started here:

    http://www.meridiantherapytechniques.com/

    stay safe.

  • I appreciate your website as I am searching for natural relief. I don’t have a formal diagnosis yet since I just started having problems 3 days ago. I am experiencing the protrusion during bowel movements to the extent that I am unable to eliminate at all. Even gas can’t pass. I quit eating for fear that I will just add more waste. A colonic didn’t help. Any suggestions for this. Pressing on the perianal area held in the protrusion, but I was still unable to pass stool.

  • Whenever I have a bowel movement, my hemorrhoids will prolapse and the surrounding tissue will get bloated. I know under normal circumstances the tissue should deflate and the hemorrhoids should retract right after my bowel movement is done. But I have to be inactive for almost fifteen minutes for this to happen. What prevents the tissue from deflating and the hemorrhoids from retracting like it is supposed to do? Is there a correct position I need to take while sitting on the toilet to allow the hemorrhoids to retract immediately after the bowel movement? Thank you.

  • Hi John,

    You may want to try the positions Jini mentions in the blog post above to see if you get different results. Don’t forget to sign up for the free rectal prolapse eBook at the bottom of the post for even more information.

    Kind regards,
    Justin
    Customer Care

  • Hi I have a global prolapse – vaginal vault wall, rectocele and rectum prolapse, bladder, uterine, and maybe more that I’m not thinking of right now. I’m 29. I was diagnosed after giving birth when I was 25. It was an easy but very fast birth, i hemorraged after the placenta felt a little stuck. My midwife pulled a little and when it came out so did a lot of blood until she gave me a shot of pitocen. I never went to the hospital as I wanted to do things natural and didn’t realize I was severely injured deep inside. It was my first birth and I didn’t know I wasn’t healing right until 5 months later. I still don’t know what happened and doctors are stumped. They say I need complete reconstructive surgery with a historectomy and pig tissue and slings etc etc. I did physical therapy for months, kegels which stressed me out because I couldn’t possibly do the amount needed. I could’t not lift my child. She is more important than my body. I also did some abdominal massage but couldn’t afford to keep doing it. I also did some internal physical therapy because of pain and nerve damage. I quit everything because all the stressing out about it was making my life worse. Then I stopped being able to go to the bathroom while menstruating, along with excruciating pain just like a contraction. I am open to try some new exercises again. My real question is: is it safe for me to use a squatty potty? after reading about it I’m scared I’ll push my bowl right out of me…. :/ and ANY other resources you may have for me would be greatly appreciated. All the doctors I’ve seen don’t know much (because its multiple prolapses and because of my young age). oh, and i will check out the links above/maybe look into the ebook, but i would appreciate any other advice or knowledge you may have since my condition is different. THANK YOU

  • Hi Leah, so sorry for the delayed reply – and thanks for tagging us again. I honestly cannot answer your question about the squatty potty – you would have to try gradually raising your knees and see how your insides respond. And breathe through the urge to push (just like labor) where you keep your muscles relaxed and open and allow only your colon to contract and do the pushing. Simultaneously using your hands to support whichever structures need supporting or aligning.

    I think your condition is really calling you to mastery of the connection to and within your body – possibly this healing journey will lead to a new career for you (a gifting to the world), when you get where you’re going.

    The best place I can point you to is a book by John F. Barnes called “Healing Ancient Wounds” – here’s the Amazon link:

    http://www.amazon.com/gp/product/1929894058/ref=as_li_ss_tl?ie=UTF8&camp=1789&creative=390957&creativeASIN=1929894058&linkCode=as2&tag=lis000-20

    This is a most amazing book and I think it will resonate strongly with you, your condition and your experiences.

    By the time you are finished the book, you will know whether you should go to Barnes’ clinic for treatment – which is probably your best hope of healing everything and avoiding surgery. Godspeed.

  • Thanks for the website and video, it is very useful. How should someone with rectal prolapse sit during the day – are there special seating that might reduce the pressure on the rectal area? I have a desk job so it is very hard.

  • Hi TW,

    If your rectal prolapse is severe, you may want to try one of those inflatable donut-type seat cushions as it should do the trick. There are lots of options for those on sites like Amazon and they can be found locally at stores like Walgreens.

    Kind regards,
    Justin
    Customer Care

  • Hi, I’m really concerned about rectal prolapse. I’m a 17 year old male and of course I’m freaking-out but trying to stay calm. I have researched almost everything about this problem and I’m convinced I have it. Sometimes when I use the bathroom I have to strain really hard because it literally gets stuck coming out (I know you’re not supposed to do this now but at the time I had no choice.)
    That situation has happened at least 4-5 times that I can remember. If I’m being honest, I only eat 1 big-meal each day, I drink a lot of water and my fiber intake might be really low. I think I might be extremely unhealthy for my age because I weigh around 123 pounds and I never gain weight, which has caused my rectum to become weak I suppose?

    I might be in the beginning stages of prolapse where I feel like evacuating 24/7 but I don’t need to. Having constipation when I actually do need to go (I usually poop every other day — Mon/Wed, Fri/Sun) and having the feeling to squeeze the anal spintcer constantly because it’s weak and I don’t want it to weaken more and/or potentially have the rectum protrude out like the severe cases I’ve read.

    I’m open to changing my lifestyle/diet so it doesn’t get any worse and hopefully I can reverse it. I haven’t told my parents yet because it started about 4 days ago and they will more than likely take me to a doctor that recommends surgery for something that could be treated at home. Hopefully you can help me, thanks.

  • Hi Rob,

    I’m afraid we can’t give you any advice as we’re not qualified to do so but the best info we have is in this blog post and in the free eBook you can get by signing up at the bottom of the post. If you have any questions about the treatment summary or protocol please don’t hesitate to ask!

    Kind regards,
    Justin
    Customer Care

  • Thank you for the suggestions. I am 25 years old, and I was recently diagnosed with rectal prolapse from having chronic constipation for a year. My doctor said the only way to fix it is through a very invasive, painful abdominal surgery with a long recovery time. The prolapse is not painful, but it sure is uncomfortable when it pops out while I am attempting a bowel movement and I cannot completely empty myself. I am really hoping to find a nonsurgical approach that works. I am very active and I exercise daily, so I want to think of the area as just another muscle to be worked on. This is the only blog I’ve found that seems useful, so thank you. I appreciate any other suggestions for me.

  • Hi Mandy,

    Jini’s protocol for rectal prolapse is summarized in the blog post above but make sure to sign up in the little box at the bottom of the post and we will send you a free copy of her healing guide for rectal prolapse which explains everything in more detail. If you have any questions about the protocol please let us know. You can reply here, email us at service@listentoyourgut.com, visit the live chat in the little blue box on the bottom right of your screen or call us, toll free, at 888-866-7745.

    Kind regards,
    Justin
    Customer Care

  • i had been suffering from rectal prolapse 20 yrs now, at first i thought it was just hemorrhoid but when it became worst i went to a doctor and he saw it was rectal prolapse.when i want to poo muscle from my rectum comes out first so i need to wear gloves and try to clean the poo inside the rectum then after that i would wash the muscle that comes out then push it back inside the rectum. many times my rectum is so pain and i am very much tired after poo.Sometimes the prolapse rectum bulge and it is very pain.My question is..will it be possible that this could be treated naturally? How?..please help me. Thanks in advance for any suggestion that could help me solve this problem..

  • Hi Chabelli,

    The anorectal canal is girdled by muscles and ligaments, which the pudendal nerve runs through. Following surgery, childbirth, or any kind of trauma or continual strain, you can develop muscle, tendon or ligament strains in corresponding tissues or organs. This strain and weakening of the muscles and ligaments can lead to rectal prolapse. Bodywork therapy from a specifically trained practitioner can greatly help to heal the underlying cause of a prolapse. For more information, make sure to sign up for the free eBook in the blog post above.

    Kind regards,
    Justin
    Customer Care

  • The info I have read is helpful but I am still worried it is not rectal prolapse but more serious for the amount that comes out even with the hemerriods also and they are the size of big grapes. What ever is coming out I can have it happen without a bowel movement, it is deep red and looks like some type of sea muscle and when I push it can come out the sixe of a golf ball and goes out an inch easily any suggestions?

  • Hi Denise,

    I’m afraid we’re unable to assist with a diagnosis as we’re not qualified to do so (Jini included). If you have concerns you should definitely consult your physician as soon as possible.

    Kind regards,
    Justin
    Customer Care

  • DENISE – Justin is right about consulting a physician. What you’re describing could also be a hematoma – if it bursts, you could hemorrhage. So it’s best to go see someone who can tell you what’s going on. THEN you can decide how you want to treat your body.

  • Hi Diana,

    Please check your email box – the guide is ready to download! If you have any questions about the protocols you can reply here, email us at service@listentoyourgut.com, or visit the live chat in the little blue box on the bottom right portion of your screen.

    Kind regards,
    Justin
    Customer Care

  • I’m so afraid.,,please help, I have a urinary tact infection as well I believe..I have like a little ball sticking out …I can’t put it back in my anus. Thank you, for your help.

  • Hi Rita,

    The best information we have for healing rectal prolapse naturally is in the blog post above and in the free healing guide you can get by signing up in the little form at the bottom of the post. For your urinary tract infection, you might want to check out Jini’s page for that at the link below:

    http://www.listentoyourgut.com/symptoms/63/bladder-infection-uti-or-cystitis.html

    If you have any questions about any of the protocols please let me know.

    Kind regards,
    Justin
    Customer Care

  • We received this feedback recently from someone who read Jini’s Natural Treatments for Rectal Prolapse eBook and shared her experiences:

    I have received your booklet on Rectal Prolapse, and I was greatly helped by reading it.

    It has been so well thought out and presented, and you gave a very reassurring message to
    me, by being so open and honest about all your difficulties, and eventually solving them;
    although my situation is slightly different, your words have given me the courage to openly
    face the problems and not be so embarrassed about them.
    In England the bowels are taboo to be talked about!

    I am in my mid seventies, and when 70 had to have an operation to repair a severe prolapse of
    bladder, a removal of my womb and a repair to the vaginal walls etc.
    all this because I had twins at thirty years and as I am very slight, everything was stretched a lot!
    I have always been a very active gardener too, hauling out shrubs etc etc. the final straw was too
    much lifting when helping my daughter with her autistic son!

    Over the last 6 years I have healed almost completely from the surgery, and am very mobile still.
    BUT, now have a kink in the very last part of the rectum, not a prolapse. There is no way I am ever
    going to have surgery again (unless absolutely necessary).

    I cannot pass a stool just sitting on the loo, even using the Squatty Potty, but have found that by lying on
    a slant board, where my head is 18 inches below my feet, for 20 minutes a day, allows the bowel to gently staighten out
    and over time this has helped. When I need to pass a stool, I sqat over a stainless steel bowl on the floor which works well.
    I keep the area well massaged with castor oil too.
    I am very careful with my diet and have found out what suits me.Sometimes I go normally, which gives me hope
    Also helpful are the yoga postures.
    The slant board was advocated by Bernard Jensen the wonderful Naturopath, as it saved his life when he was younger.

    The diagrams are really good and taught me a lot.
    So thanks Jini for your help.

    very best wishes
    J.R

  • I have to take pain meds for the first time in my life for the rest of my life. I am now suffering from chronic constipation and using techniques you recommend. I have rectocele or entrocele that is so high that I can’t reach it. I can’t splint because the stool never gets that far down the rectum or because it’s too soft and stuck in the rectocele. I need more suggestions as to what to do. Is there anyway naturally to help me? Please help.

  • Hi Cynthia,

    A good place for information about chronic constipation is at Jini’s symptom page for that at the link below:

    http://www.listentoyourgut.com/symptoms/34/constipation.html

    Jini also wrote a book specifically about constipation here:

    http://shoppe.listentoyourgut.com/listen-to-your-colon-the-complete-natural-healing-guide-for-constipation-ebook-by-jini-patel-thompson/

    Regarding the rectocele, check out this blog post (if you haven’t already):

    http://blog.listentoyourgut.com/natural-remedy-for-anal-stenosis-and-stricture/

    Kind regards,
    Justin
    Customer Care

  • Hi George,

    A great place to start to learn more about how to heal your rectal prolapse is by filling out the little form at the bottom of the blog post above. Once you’ve done that, we’ll send you Jini’s Healing Guide for Rectal Prolapse which contains details about the protocol. If you have any questions please let us know!

    Kind regards,
    Justin
    Customer Care

  • I saw your listen to your gut website. I have a serious problem and I am scared. An antidepressant I was taking made me constipated and it was so bad I was straining and even trying to dig it out. (Sorry tmi). Since early March 2014 I can’t have a normal bm. It feels like a prolapse and a fissure at the same time. I have tried everything and nothing works. At best it may work one time only. It feels like the sphincter muscle is up and sideways and rectum hangs down which gives me the urge. I have had soft and liquid stool not come out. I have missed so much work, I was put on FML. I have missed close to 100 days. I did see a Dr about bleeding and was told it was internal hemorrhoids. I can’t get stool to soften all the way to the end. I end up with a “plug” I strain to get out before the softened stool can come out. I am scared to get colonoscopy and doctors frighten me. I did tell my Dr I had constipation and he prescribed lactulose and it does help. But it doesn’t always work. I have a squatty potty but it hurts to squat. I feel quality in life go down and I already suffer depression. I thought of colonics but I was told they were dangerous. I want to find a way alternatively to at least fix it 50%. I am 58 and I did have a child at 19. She is 38 now. I live alone and have to support myself and can’t miss any more work. Please forgive me if I ramble. I am at my wits end. I don’t want to face surgery. I am frightened. Not to mention the pain. Thank you

  • Hi Linda,

    I’m afraid that we cannot assist you with a diagnosis as we are not qualified to do so (Jini included). However, if your doctor told you that you have internal hemorrhoids and you’re interested in healing them naturally, a good place to start is at Jini’s symptom page for that condition at this link:

    http://www.listentoyourgut.com/symptoms/18/a-hemorrhoid.html

    For constipation, we have some good information available here:

    http://www.listentoyourgut.com/symptoms/34/constipation.html

    If you have a prolapse, Jini’s best recommendations are in the post above but she goes into some additional details in her healing guide for rectal prolapse which you can get free by filling out the little form at the bottom of the blog post above. If you have any questions about any of Jini’s recommendations or protocols, you can respond here or you can contact us via email at service@listentoyourgut.com, phone at 888-866-7745, or click the little blue tab on the bottom right of this window to visit the live chat (during normal business hours).

    Kind regards,
    Justin
    Customer Care

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