Slippery Mucus Discharge After Coughing or Sneezing: Is It Internal Prolapse?

Some people may feel a slippery or viscous mucous discharge coming from the anus during coughing or sneezing. This symptom is embarrassing and concerning because it might be just a simple symptom related to increased abdominal pressure, but sometimes it is an early sign of Internal Rectal Prolapse. Since the symptoms can be similar to other conditions like internal hemorrhoids, it is important to differentiate between them to determine the correct diagnosis and treatment plan.

 

1. Rectal Prolapse: What Is It?

 

Rectal prolapse is the descent of a part of the rectal lining or the rectal wall itself outside the anus. It often begins internally and may progress to become externally visible.

Its symptoms:

  • Viscous mucus discharge with coughing, sneezing, or defecation.

  • A feeling of incomplete emptying.

  • Sometimes minor bleeding or blood mixed with mucus.

  • May be accompanied by pain or a heavy feeling in the rectum/buttocks.


 

2. Internal Hemorrhoids: Similar Symptoms

 

Internal hemorrhoids can also cause mucous discharge or blood with stool, and sometimes a feeling of a mass inside the rectum. However, the difference is that hemorrhoids are usually linked to straining during defecation or chronic constipation, and mucous discharge with coughing or sneezing rarely occurs, except in advanced stages.


 

3. How to Differentiate Between Rectal Prolapse and Internal Hemorrhoids?

 

Indicator Rectal Prolapse Internal Hemorrhoids
Mucus Very common with coughing or sneezing Mostly appears with defecation
Sensation of Mass Feeling of heaviness or something dropping with every strain Mostly protrudes with straining or constipation
Blood May appear mixed with mucus Bright red blood on the surface of the stool
Medical Examination Shows the descent of the rectal lining Shows the enlargement of internal veins

 

4. When is the Symptom Serious?

 

The symptom becomes concerning and requires a medical examination if:

  • There is recurrent bleeding with the mucus.

  • There is chronic constipation worsening the symptoms.

  • The sensation evolves from minor mucus to a clear protrusion from the anus.

  • There is pain or difficulty controlling the stool (incontinence).

  • 🔗 When is anal bleeding a sign of a serious problem? https://hemocureclinic.com/mt-ykon-alnzyf-alshrgy-aalam-aal-mshkl-khtyr (Arabic)

 

5. The Relationship Between Chronic Constipation and Rectal Prolapse

 

Chronic constipation is one of the main causes that lead to both rectal prolapse and hemorrhoids due to repeated pressure on the pelvic floor muscles during defecation.


 

6. Diagnosis and Treatment

 

Diagnosis at Hemocure:

  • Starts with taking the medical history.

  • Clinical examination of the rectum and anus.

  • Sometimes, an anoscopy is performed to determine if the cause is internal prolapse or internal hemorrhoids.

  • 🔗 For more details on examination and diagnosis methods: Anal Fissure: A Comprehensive Guide to Symptoms and Treatment (Arabic)

Treatment Options:

  • In simple cases: Lifestyle modification (fiber-rich diet, drinking water, exercises to strengthen pelvic muscles).

  • In moderate cases: Laser treatment for hemorrhoids or fissure if present, or non-surgical procedures for prolapse.

  • In advanced cases: Surgical or laser intervention to fix the rectum.

  • 🔗 Latest laser treatment for hemorrhoids at Hemocure: https://hemocureclinic.com/information-about-laser-hemorrhoid-surgery (Arabic)


 

Conclusion

 

Slippery mucus discharge after coughing or sneezing may be a simple symptom resulting from abdominal pressure, but if it is recurrent, it may indicate Internal Rectal Prolapse. Since the symptoms can be similar to internal hemorrhoids, it is important to consult a specialist doctor and undergo a precise examination to determine the cause. The attached Hemocure articles enable you to clearly understand the differences and learn about the latest methods of diagnosis and treatment.

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