Can sagging buttocks after childbirth be restored?

If the buttocks sag after childbirth, the anus may also sag. This is because the body becomes weak due to excessive force during delivery, and the body's qi and blood cannot support the anus, so anal sagging occurs. Anal sagging may also be related to kidney deficiency and dampness and heat. It needs to be adjusted slowly in normal times, and appropriate methods should be chosen to handle recovery.

Causes of postpartum anal prolapse

1. Qi deficiency

The mother's body is weak in Qi, and she exhales gas during delivery, which forces the anal canal and rectum to move downward. After delivery, the mother's Qi is weak and cannot absorb the gas, resulting in postpartum rectal prolapse. The symptoms are usually: rectal prolapse during bowel movements, or even during coughing, walking or standing for a long time, or when urinating with a little force. It is often accompanied by fatigue, shortness of breath, low voice, dizziness and palpitations. The tongue coating is thin white and has tooth marks. The pulse is weak and thready.

2. Kidney deficiency

The body is naturally deficient in kidney qi, and it is particularly weak after pregnancy or childbirth, which results in the inability of the anus and intestines to control. The symptoms are usually: postpartum prolapse of the anus that does not recede for a long time, soreness of the waist and legs, dizziness, frequent urination, especially nocturia. The tongue coating is thin white, the tongue is pale, and the pulse is deep and fine.

3. Dampness and heat

Unhygienic diet and exposure to damp heat can lead to chronic diarrhea and anal prolapse. The symptoms are: abdominal pain and diarrhea after delivery, urgent diarrhea, yellow and smelly feces, burning sensation and prolapse of the anus, irritability, thirst, and red urine. The tongue coating is yellow and greasy, the tongue is red, and the pulse is weak and rapid.

4. Dry intestines

Blood loss during childbirth, breastfeeding after childbirth, loss of body fluid and blood, dry intestines, constipation, and excessive straining can lead to anal prolapse. The symptoms are usually dry stool after delivery, or stool that does not pass for several days, anal prolapse, no abdominal distension or pain, red cheeks and dry throat, fever in the five parts of the body, fullness in the epigastrium, and abdominal distension and discomfort. The tongue coating is yellow or thin yellow, and the pulse is thready and rapid.

How to diagnose postpartum rectal prolapse

1. The diagnosis can be made based on the occurrence of rectal prolapse during defecation after childbirth, accompanied by anal swelling or difficulty in defecation.

2. Anal digital examination can help understand the condition of anal and rectal prolapse.

Treatment of postpartum rectal prolapse

【traditional Chinese medicine】

1. Treatment for Qi deficiency: tonify the middle and replenish Qi, lift the sunken and consolidate the loose.

Prescription: Buzhong Yiqi Decoction (modifications).

Ingredients: 30g raw Astragalus, 12g Codonopsis, 12g Atractylodes, 12g Citrus aurantium, 6g Cimicifuga, 6g Bupleurum, 9g Angelica, 5g roasted Licorice, and 9 large red dates. Add or subtract: For constipation, add 9g of cypress seed and 10g of whole melon seed (cut); for abdominal distension and poor appetite, add 6g of costus root, 3g of amomum villosum (added later) and 9g of Citrus aurantium; for low back pain, add 12g of Cuscuta australis.