Straining at stools or with urination can predispose to rectal prolapse. Children with chronic constipation or cystic fibrosis are at risk for recurrence of rectal prolapse. Any history of surgery for imperforate anus? Prior history of polyps? Does patient have spina bifida? Patients with pelvic floor weakness (eg, those with myelomeningocele) often have paralysis of the levator ani muscle in addition to increased intra-abdominal pressure.
Is patient malnourished? It is thought that malnourished children are at higher risk for rectal prolapse because of the decrease in ischiorectal fat that reduces perirectal support.
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Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.