Diastasis Recti (Rectal Hypertrophy) – What Is It?
The word “diastasis” means two things: 1) separation or separation into two parts; 2) a fold of skin. A fold of skin is called a diaphragm because it helps keep the lungs open when breathing out. When the diaphragm becomes too tight, it causes shortness of breath and even death from suffocation.
In the case of rectal hypertrophic scars, there are two folds of skin which have been fused together. These folds of skin form a closed pouch around the abdomen, with one end being connected to the intestines and another end being attached to the bladder.
The contents inside this pouch include blood vessels, lymphatic tissue and other organs such as liver, spleen and kidneys. The pouch is not only hard to see but also difficult to access due to its position.
What Causes Diastasis Recti?
There are several possible reasons why diastasis recti occurs. One reason could be due to a congenital defect in the formation of the abdominal wall, such as a hernia or rupture of some other part of the bowel system. The most common cause of this condition is pregnancy. The extra weight and pressure of a growing fetus on the abdomen can lead to rectal herniation. Other possible causes include obesity, constipation and sudden changes in abdominal pressure or weight.
What Are The Effects Of Diastasis Recti?
The main concern with a protruding stomach is that it increases the pressure inside the abdominal cavity. This puts pressure on the organs and prevents them from functioning properly. It also increases the size of the stomach, making the patient look pregnant even if they are not. Finally, it can cause back pain that gets worse over time.
How Is It Diagnosed?
Diagnosing this condition is not difficult as a bulge in the middle of the abdomen is hard to miss even for an untrained eye. It is also fairly easy to confirm with an ultrasound scan. Another method of diagnosis is to perform the “jump test”, in which the patient is asked to jump up and down to see if the bulge moves up and down or stays fixed.
How Is It Treated?
The treatment of this condition generally follows a three fold approach: surgical, medical and physiotherapy. In the case of pregnant women where surgery is not an option, the main treatment is physiotherapy to strengthen the muscles around the abdomen. Some cases may also require the use of a support belt to prevent over stretching of the abdominal muscles during physical activity.
Physiotherapy exercises are also used in the post pregnancy period, particularly for women who have suffered a rupture. The main purpose of these exercises is to rebuild muscle and connective tissue around the abdominal wall.
These exercises also help to prevent future hernias and prolapses as well as reducing back pain caused by strain on the abdomen. Physiotherapy sessions are normally conducted by a specially trained doctor who will supervise the patient throughout the day.
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