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Question
Posted by: Paul | 2011/01/12

rectal prolapse

Car acciden, injured lower lumers L4/5 and L5/S1 hight loss and disc blodge,Took very strong pain medication " antiflamatory''s"  ect. started stugling with constipation 11 months later i had a full blown rectal prolapse.
Question 1: can painkillers cause constipation ?
Question 2: can constipation cause a rectal prolapse ?
Question 3: can a lower back injury cause a rectal prolapse ?
Question 4: can lowerback injury + constipation cause a rectal prolapse

What can cause a heathy 19 year old male with no history of stomach or colon problems to suddenly suffer from a rectal prolapse??

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Our expert says:
Expert ImageCyberDoc

Dear Paul
Yes, painkillers can cause constipation (especially ones with codeine in). Constipation can cause rectal prolapse, not the lower back injury. It may recover on its own if the constipation is treated and the prolapse is not due to muscle injury of the rectum but just the mucosal (inside) lining protruding. Try using lactulose syrup (Duphalac) for the constipation - it won't make the bowel "lazy" and dependent on laxatives. If it persists you may need to see a surgeon for a small operation to fix the prolapse.
See also http://www.nlm.nih.gov/medlineplus/ency/article/001132.htm
http://www.emedicinehealth.com/rectal_prolapse/article_em.htm
Dr Bets

The information provided does not constitute a diagnosis of your condition. You should consult a medical practitioner or other appropriate health care professional for a physical exmanication, diagnosis and formal advice. Health24 and the expert accept no responsibility or liability for any damage or personal harm you may suffer resulting from making use of this content.

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Our users say:
Posted by: Cyberdoc | 2011/01/12

Dear Paul
Yes, painkillers can cause constipation (especially ones with codeine in). Constipation can cause rectal prolapse, not the lower back injury. It may recover on its own if the constipation is treated and the prolapse is not due to muscle injury of the rectum but just the mucosal (inside) lining protruding. Try using lactulose syrup (Duphalac) for the constipation - it won't make the bowel "lazy" and dependent on laxatives. If it persists you may need to see a surgeon for a small operation to fix the prolapse.
See also http://www.nlm.nih.gov/medlineplus/ency/article/001132.htm
http://www.emedicinehealth.com/rectal_prolapse/article_em.htm
Dr Bets

Reply to Cyberdoc

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