Problem of rectal prolapse. What should i do? - Online Doctor Chats
May I now your age, and how long have u had this issue ? Also mention your current symptoms and investigations done so far
i'd like to speak with a female doctor
Sorry, ALL doctors here are from INDIA
And all are well qualified
please proceed with your query, and i can assist you with your query
i'd prefer to speak with a female doctor about my issue
Let me Transfer you to Dr XXXXXXX , for proper assistance
Hi, this is Dr XXXXXXX HOW CAN I ASSIST YOU TODAY
please proceed with your query
i have a prolapsed rectum
May i know how long have u had this ?
a few years
Can you please confirm your age, and your gender for the record
ok, thank you
but i have bee inserting objects into my ass for 10 years
quite large objects, up to 4.5inches or 15cm wide
insertion of such large objects , in to the anal sphincter, usually causes injury to the rectal tissue , and that is probably the cause of your prolapsed rectum
i have posted a question, it contains some photos
are you able to see it?
no, may i know where u have posted it ?
on this site.
can u give me the link to that ?
unsure if that will work. maybe u can look up my file?
sorry, since the page is confidential, i have no access to the images
maybe i can email them?
You can email me the images and questions , and i can answer them for you via mail
Please send it to YYYY@YYYY with Attn : Dr XXXXXXX in the subject line
ok, brb, i have an idea
yes try this
the image seems to be a complete rectal prolapse
are u able to reduce it, normally ?
yes if i push it back up
or is it always stuck outside , as shown in the picture ?
do u happen to have pain while doing it ?
any form of bleeding ?
so, this image was the object used by you ?
you can go ahead with your questions
ok , that give a clear picture
so what do you think?
please proceed with your specific questions
what you have is complete rectal prolapse
and your actions , have resulted in damage of the rectal sphincter and muscles , which hold the rectal mucosa, within the body
you will need a surgical procedure, anal sphinter repair, to correct this condition
does this prolapse occur on its own, ?
or does it happen very infrequently ?
i can push it out at will
maybe a few times a day
you should refrain from doing it on your own
as in case, the blood supply, gets blocked, and it will result in a strangulation
and this is a very complicated, condition, which will damage the anal canal, and result in severe complications
if i stop inserting objects do you think it will go back to normal?
in severe cases, stragulation may result in anal incontinence
i already have incontinence
if the condition, does not occur on its own, then it may heal
if not, surgery is a must
my sphincter doesn't really close up
in such a case, surgery is the best option
I hope you have understood my suggestions
but what if i don't want to stop
it will get complicated , and you will end up having a persistent anal incontinence and prolapsed sphincter
is that different to prolapsed rectum?
i mean, a persistent rectal prolapse
in case, you do get treated, and undergo a repair, you should stop inserting such large objects
i enjoy it but
continuing the same , after proper surgery, will result, in failure of surgery
it has taken me 10 years to stretch my sphincter enough to fit such large objects
in case, you still want to enjoy, it, you should avoid the surgery, until, you decide to stop it altogether
which you must admit is pretty impressive
Yes, it is, i assume it is very painful
no not at all, i have slowly stretched my sphincter over the years, it doesnt hurt at all
Yes, regular practice, would make it tolerable
but, do u think, anal incontinence is worth the price for that ?
i do it every day and leave the object in for 1-2hrs at a time
i find this heaps my sphincter stretch further so i can move to larger objects
yes, in case, you take it slow, the muscles would be damaged further, as they will get elongated
well i suppose it has consequences, but i am managing those
and with that, the degree of anal incontinence will increase
i am hoping to move to an object 5inches wide next
but unsure how much further i can go
please note that, muscles and anal tissues are highly extensible, only upto a limit,
but when you take it slow, there may be no immediate damage or pain
but ultimately, the chances of complete recovery will be completely minimised
and the damage will be irreparable
I do understand that, though the act gives pleasure, you should not over exert yourself
do you think i am already at the irreparable stage, my sphincter is already quite loose
going from 4.5inches to 5inches wide is not that much more
at least now, somehow surgery may help to fix, the damage, that is done
no, 4.5 to 5 incches will not matter
do you think my prolapse will come out even further or is it at maximum now?
i can push it out about 20cm now.
yes, if you keep going at it, the degree of prolapse and the length of colon that will protrude out, will increase
for your information, if complications like anorectal tear, or colon tear occurs, there will be severe bleeding and it may be life threatening
yes ok, but because i have gone slow i do not have that problem
i just seem to be able to fit large objects quite easily now
yes, that is understood , but eventually, when the rectal mucosa, thins out, too much, the chances of cuts and tears will increase
You should understand the risk and take actions accordingly
have you ever seen a sphincter as large as mine has become?
yes, we have seen
in anorectal cancer patients, and elderly debilitated patients, with severe complications such issues are common
but do you think mine is impressive?
Yes, it is highly impressive
oh thanks Dr XXXXXXX
You are very welcome
Do u have any other questions ?
it has taken me 10years to reach this size
would u like me to send more photos for your research?
to your email
Yes, you can
do u have any questions for me for research purposes?
None for the moment, thanks though
is it ok if i put the object in now, its a good use of my time while chatting
i would not advise it ,
As a doctor, i am interested in my patients health
since, i do , understand, that it is not a good thing, and is eventually harmful, i will definitely advise you against continuing such actions
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