Can an internal rectal prolapse and rectocele create an enterocele?

Question

Hello doctor,

I am a 22-year-old male. Every time I start training, I do not have bowel movements. Sometimes, I stay five days without defecating. I have got a barium defecography done and have been diagnosed with internal rectal prolapse and rectocele. However, I wanted to know if this could also create an enterocele in my small intestine and block the stools from reaching the colon.

Please advise.

Answer 1

Hello,

Welcome to icliniq.com.

I understand your concern.

Pelvic floor muscle weakness is the cause of the sagging of internal organs. In addition, poor diet habits, such as a low-fiber diet, can cause constipation. I suggest you avoid lifting weights and coughing to avoid further pressure on the weak pelvic floor. An enterocele can develop if the pelvic floor muscles are further weakened. As the small intestine is mobile and freely floating in the intestine, it can slip into the weakened pelvic floor, causing an enterocele.

I suggest you follow up with your general surgeon for regular monitoring of the pelvic floor and get an ultrasound and MRI (magnetic resonance imaging) done.

I hope this helps.

Regards.