02.05.2924 Eetaram bharatham Reginol network incharge Madhusri nalubola, Khammam.
An elderly male with severe swelling anal canal with mucous blood discharge and Urine blockage saved by the expert doctors team of Yashoda Hospital Severe and chronic constipation can cause a person to develop complications such as fecal impaction or rectal prolapse, which can lead to death. Chronic constipation has links to deadly cardiovascular events such as stroke and heart failure. Pelvic or abdominal discomfort, cramping, pain or discomfort while passing stool are the most commonly observed symptoms of this disease.
If no constipation remedy is found, then the harmful bacteria and toxins present in the feces will be reabsorbed into the bloodstream, causing a massive body-wide infection known as septicemia. Without treatment, long-standing constipation can lead to bowel problems such as anal fissures and many more critical health complications like Rectal prolapse, painful swelling anal canal with mucous blood discharge and inability to pass urine, which could lead to hospitalization, surgery, or even death
People experiencing constipation have hard, lumpy, or dry stools that are difficult or painful to pass. The pain can prevent a person from bending, sitting down, walking, or engaging in sexual activity. The condition is common and can occur in all ages. According to the studies around 16% of adults have constipation symptoms and problems. Its prevalence is higher among older individuals, affecting almost one-third of older adults over 60 years.
About 30 to 67% of people with chronic constipation have rectal prolapse. Rectal prolapse occurs when the large intestine detaches from the pelvic wall and pushes out of the anus. This may worsen constipation because it can block stool from passing easily. Without treatment, rectal prolapse can lead to tissue death and decay, which is known as gangrene, of the strangulated area. This requires emergency surgery.
People should consult their doctor if they notice sudden changes in their bowel movements, such as constipation. It best to consult the doctor if a person experiences blood in stool, bleeding from the rectum, chronic or sudden severe abdominal pain, unexplained weight loss. trouble passing gas, fever and vomiting, lower back pain, rectal pain or pressure,swelling anal canal with mucous blood discharge and inability to pass urine.
60 years male diabetic referred to the Yashoda Hospital Malak pet, Hyderabad with a history
of painful swelling anal canal with mucous blood discharge and inability to pass urine. He had the history of chronic constipation since long time. Due to the swelling protruding out of anal canal his weight was severely loss from the last 4 months. For the last 3 days he was not able to pass the stool because of the severe pain and Rectal discomfort.
On examination he was found to have Grade 4 Rectal prolapse of approximately 15 centimeters protruding out with edema congestion and mucosal ulceration and urinary and retention. Patient’s life was saved by the emergency reduction procedure of Rectal prolapse with Thiersch suture under the able treatment of consultant surgical Gastroenterologist Dr. M. Manisegaran. The Urologist did cystoscopy and placed a indwelling catheter and after a week colonoscopy was also done to evaluate for chronic constipation and assess the reduced Rectum. One week later Laparoscopic assisted mesh rectopexy done and he is on follow up for 3 months and later on the Thiersch wire was removed. After that in follow up there is no Rectal prolapse for that patient and constipation got rectified and no urinary problem at all.
The success story of this case is the one more example of the expertise of the eminent
doctor’s team and world class medical services with state-of-the-art technology of the
Yashoda Hospital. Yashoda Hospital Director Gorukanti Pawan, Unit Head K.Srinivas Reddy, Srinivas Chidura said that Yashoda Hospital in Malak pet, Hyderabad has a team of expert doctors and medical services with state-of-the-art technology for the diagnosis and treatment of the most complex diseases. The management of Yashoda Hospital further said that state-of-the-art medical facilities andservices are available in all of the Yashoda hospital’s branches. The medical team often Yashoda Hospital can be approached.
