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Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
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Related Experiment Video

Updated: Aug 29, 2025

Quantification of Levator Ani Hiatus Enlargement by Magnetic Resonance Imaging in Males and Females with Pelvic Organ Prolapse
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Adolescent Psychosis and Rectal Prolapse.

Autumn D Pak1, Tien T Nguyen1, Mathew Bogoyas2

  • 1Psychiatry, Washington State University, Richland, USA.

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|September 5, 2022
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Summary

This case report details a 17-year-old female experiencing psychosis and rectal prolapse, highlighting a rare but serious side effect potentially linked to antipsychotic treatment in adolescents.

Keywords:
adolescentantipsychotic medicationsconstipationpsychosisrectal prolapse

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Area of Science:

  • Psychiatry and Adolescent Medicine
  • Clinical Case Reports
  • Pharmacovigilance

Background:

  • Psychosis involves a spectrum of symptoms indicating a loss of contact with reality, with varied etiologies and presentations.
  • Antipsychotic medications are primary treatments for psychosis but can cause side effects, including gastrointestinal issues like constipation.
  • Rectal prolapse is an uncommon complication, though a correlation has been observed in adult patients with chronic psychiatric conditions.

Observation:

  • A 17-year-old female presented with psychosis requiring inpatient treatment.
  • The patient also exhibited rectal prolapse, a rare condition in adolescents.
  • This presentation prompted investigation into potential contributing factors, including medication side effects.

Findings:

  • The case highlights a potential, albeit uncommon, association between psychosis treatment and rectal prolapse in an adolescent patient.
  • This finding expands the known spectrum of adverse events associated with long-term antipsychotic use.
  • The specific etiology linking psychosis, treatment, and rectal prolapse in this case requires further clinical evaluation.

Implications:

  • Clinicians should consider rectal prolapse in the differential diagnosis for adolescents presenting with psychosis, especially those on antipsychotic medication.
  • This case underscores the importance of monitoring for rare but severe side effects in pediatric and adolescent psychiatric populations.
  • Further research is warranted to elucidate the mechanisms and prevalence of this association in younger patients.