Digestive
Medicines for Rectal prolapse
When part of the lower bowel (rectum) slips down and protrudes through the anus, causing a bulge, discomfort and sometimes leakage — usually treated with surgery.
Education and reference only. This explains which medicines are used and why, in plain language — it deliberately contains no doses and is not a substitute for advice from your doctor or pharmacist. Always discuss your own treatment with a qualified clinician, and check the BNF and the product labelling for prescribing detail.
Quick answer
What is Rectal prolapse?
Rectal prolapse occurs when the rectum — the last part of the large bowel — loses its normal attachments and slips down, so it can protrude through the anus, especially when straining or opening the bowels. It causes a visible or felt bulge, a sensation of something coming down, discomfort, mucus or bleeding, and sometimes difficulty controlling wind or stool (incontinence).
- How it is treated: Treatment depends on the type and severity and on the person's general health.
- Self-care: Avoiding constipation and straining — through a high-fibre diet, plenty of fluids, and not delaying going to the toilet — reduces symptoms and helps after treatment.
- When to seek help: See a doctor about a bulge from the back passage, a feeling of something coming down, or new problems controlling the bowels.
What it is
Rectal prolapse occurs when the rectum — the last part of the large bowel — loses its normal attachments and slips down, so it can protrude through the anus, especially when straining or opening the bowels. It causes a visible or felt bulge, a sensation of something coming down, discomfort, mucus or bleeding, and sometimes difficulty controlling wind or stool (incontinence). It is most common in older adults, particularly women, and in people with long-standing constipation and straining. It ranges from a partial, internal prolapse to a full-thickness prolapse that comes right out.
How it is treated
Treatment depends on the type and severity and on the person's general health. Managing constipation and avoiding straining are important first steps, and pelvic-floor exercises may help milder cases and symptoms. A full-thickness prolapse that protrudes usually needs surgery to lift and secure the rectum, of which there are several types (through the abdomen or the back passage). The aim is to relieve symptoms, restore normal anatomy and improve bowel control. Care is provided by a colorectal specialist.
For this condition, these medicines
Medicine classes used for Rectal prolapse
Each links to a full, dose-free guide — what it is, how it works, who can and cannot use it, side effects, interactions and FAQs.
Beyond medication
Lifestyle and self-care
Avoiding constipation and straining — through a high-fibre diet, plenty of fluids, and not delaying going to the toilet — reduces symptoms and helps after treatment. Pelvic-floor exercises can support bowel control.
When to get help
When to see a doctor
See a doctor about a bulge from the back passage, a feeling of something coming down, or new problems controlling the bowels. Seek urgent care if a prolapse cannot be pushed back and becomes painful or discoloured.
Not sure how urgent it is? It is always OK to call NHS 111 for advice, day or night.
Answers
Rectal prolapse: frequently asked questions
Is rectal prolapse the same as haemorrhoids?
No, though they can be confused. Haemorrhoids are swollen blood vessels, while rectal prolapse is part of the bowel wall slipping down. A doctor can tell them apart and advise on treatment.
How is rectal prolapse treated?
Managing constipation helps, and pelvic-floor exercises may help milder cases. A full prolapse that protrudes usually needs surgery to lift and secure the rectum.
Sources
Where this is drawn from
- NHS — Rectal prolapse
- Association of Coloproctology guidance
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