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Muscles and ligaments that support your small intestine can become weak and can result in the small bowel dropping down in the gap between the rectum and vagina. An enterocele (small bowel prolapse) occurs when the small bowel drops against and moves the upper wall of the vagina. This will create a bulge in the vagina.

Healthy Pelvic Floor

Healthy Pelvic Floor Diagram

Example of a Enterocele

Enterocele Prolapse Diagram

What causes an Enterocele Prolapse?

  • Weak pelvic floor muscles.
  • Straining due to constipation.
  • Tissue damage following surgery or childbirth.
  • A rectocele prolapse can cause an enterocele.
  • Coughing and heavy lifting.
  • Obesity.

What are the signs?

  • Feel for yourself, preferable in a warm bath – place your thumb in your vagina and ring finger in your rectum. By doing this, the cylindrical loop of bowel is evident between the vaginal and rectal walls. If you feel only smooth wall layers it’s not an enterocele.
  • A pulling sensation in the pelvic area that eases when you lie down.
  • Pelvic pressure and fullness, dragging down sensation.
  • Vaginal discharge and bleeding.
  • Difficulty passing a stool.
  • A feeling of incomplete bowel emptying.
  • Painful sexual intercourse.

What can be done?

  • Do Kegels with a Kegel8 Ultra 20 Pelvic Toner to help strengthen the muscles of the pelvic area.
  • A vaginal pessary may add pelvic support.
  • Don't strain, especially while having a bowel movement.
  • Lifestyle changes – watch your weight and don’t smoke.
  • Surgery – surgery is more commonly used as a treatment for enteroceles when other prolapsed organs (such as the uterus, bladder or rectum) are present.