Hajara A., 2

Hajara Amadu is a 2-year-old girl who lost her father as a result of car accident. She lives with her mother at Tajuwa village. Her mother sells yam for their survival and means of income. She started experiencing recurrent passage of watery stools, protensive anus, and hypersensitivity for about six months. Upon presentation at our hospital, she was diagnosed of Anal Prolapse and Hypersensitivity. She required emergency correction of the prolapsed rectum.

Treatment Management was initiated promptly using a combination of conservative measures and appropriate medications. The prolapsed rectal tissue was carefully reduced manually by a healthcare professional using lubricated gloved fingers, ensuring minimal discomfort to the child. Medical treatment focused on addressing the underlying cause: For constipation, the child was placed on stool softeners such as lactulose syrup, along with dietary fiber supplementation and increased fluid intake to ease bowel movements. In cases of diarrhea, appropriate anti-diarrheal medications and oral rehydration therapy were administered to control stool frequency and prevent irritation. Topical ointments were applied to the perianal area to reduce inflammation, protect the skin, and promote healing. Caregivers were educated on proper bowel habits, including avoiding prolonged straining during defecation and ensuring the child maintains a regular toileting routine. In cases where the prolapse becomes recurrent or does not respond to conservative and medical management, surgical options may be considered to provide structural support to the rectum. Recovery and Progress With consistent treatment and medication adherence, the child showed gradual improvement. Episodes of prolapse became less frequent, and reduction was easier when it occurred. Over time, as bowel habits normalized and the underlying causes were effectively managed, the prolapse resolved. The child continues to be monitored during follow-up visits to ensure sustained recovery and to detect any early signs of recurrence. Caregivers were advised to maintain proper nutrition, adequate hydration, and close supervision during bowel movements to prevent straining and relapse. Overall, the prognosis is favorable with proper management and compliance with treatment.

Hajara was diagnosed with Rectal Prolapse due to the weakening of the muscles as a results of prolonged diarrhea. In my opinion, Hajara deserves urgent intervention to correct the prolapsed rectum and avoid further complications. The prognosis is good if well treated and timely, however, she might have recurrent prolapse especially if the cause of the weakness persists.