Your doctor does a pelvic exam to confirm the diagnosis of small bowel prolapse. During the examination, your physician might instruct you to perform the Valsalva maneuver, which involves taking a deep breath, holding it, and bearing it down as though you were having a bowel movement. This will likely induce the prolapsed small bowel to bulge downward. The gynecology hospital in Ahmedabad KD Blossom may repeat the exam while you’re standing if they are unable to confirm that you have a prolapse while you’re lying on the examination table.
The Treatment
If the symptoms of small bowel prolapse don’t bother you, treatment usually isn’t necessary. If you have bothersome symptoms of extensive prolapse, surgery can be a good option. If you want to avoid surgery, if it would be too risky, or if you want to get pregnant in the future, there are nonsurgical options.
Options for small bowel prolapse treatment include:
- Observation: You don’t need to have therapy if your prolapse produces few or no symptoms. Easy self-care techniques, such as strengthening your pelvic muscles with movements called Kegel exercises, may help reduce symptoms. Steer clear of constipation and strenuous lifting to lessen the chance of aggravating your prolapse.
- Pessary: The protruding tissue is supported by a silicone, plastic, or rubber device that is implanted into your vagina. They come in varying sizes and styles. A little trial and error is required to find the ideal one. You learn how to put on, take off, and clean the device once your doctor measures and fits you for it.
- Surgery: With or without robotic help, a surgeon can operate to fix a prolapse through the abdomen or vagina. the pelvic floor’s connective tissue is tightened and the prolapsed small bowel is moved back into position by the surgeon during the surgery. Small sections of synthetic mesh may occasionally be utilized to support compromised tissues.
Kegel Exercises
Your pelvic floor muscles, which help support your uterus, bladder, and intestine, get stronger with Kegel exercises. Strong pelvic floors support your pelvic organs more effectively, stop prolapse from getting worse, and reduce the symptoms that come with pelvic organ prolapse.
To execute Kegel exercises, take the following actions:
- Your pelvic floor muscles, which you employ to stop urinating, should be tightened or contracted.
- After five seconds of holding the contraction, let go for another five seconds. (If you find this too challenging, try holding for two seconds and then letting go for three.)
- Gradually increase the length of the contraction to 10 seconds at a time.
- Try to complete three sets of ten reps or more per day.
Find out from your gynecologist in Ahmedabad if you’re using the correct muscles. The best results from Kegel exercises can come from having a physical therapist teach them and using biofeedback to reinforce them. Using monitoring tools to make sure you’re contracting the right muscles for the right amount of time and intensity is known as biofeedback.
Once you know the correct technique, you may perform Kegel exercises in private almost anywhere, at your desk, or while lounging on the couch.
Preparing For The Appointment
The following details will help you get ready for your appointment.
- Jot down any symptoms you’ve experienced, along with their duration.
- Include a list of your primary medical ailments, any medications, vitamins, or supplements you are taking, and any additional conditions you are being treated for.
- If at all possible, bring along a family member or friend to help you remember what you’ll be learning.
- If you have limited time, make a list of the most crucial questions you want to ask your doctor and write them down.
Basic inquiries for your doctor regarding small bowel prolapse include:
- Do I have symptoms because of a prolapse?
- Which course of treatment would you suggest?
- What happens if I decide against getting the prolapse treated?
- How likely is it that this issue will come up again in the future?
- Do I have to adhere to any rules to stop myself from progressing?
- Can I take any actions to take care of myself?
- Must I consult a specialist?
What To Expect From The Doctor
Your physician might inquire about things like:
- Which symptoms are you experiencing?
- When were these symptoms first noticed by you?
- Have you had worsening symptoms over time?
- Do you have discomfort in your pelvis? If so, what level of pain is there?
- Does coughing or hard lifting seem to be the trigger for your symptoms?
- Do you have urinary incontinence or urine leakage?
- Have you had a severe or persistent cough?
- Do you frequently lift large items for work or other regular activities?
- When you have a bowel movement, do you strain?
- Do you currently suffer from any other illnesses?
- What drugs, vitamins, or dietary supplements do you now take?
- Have you given birth naturally while pregnant?
- Do you intend to become a parent in the future?
Conclusion
Typically, a modest bowel prolapse doesn’t happen again. However, increased pelvic pressure from conditions like constipation, coughing, obesity, or heavy lifting can result in additional damage to the pelvic floor.
