Reduce via slow steady pressure applied to<unk> d segment
Prevent constipation
Refer for evaluation of underlying condition (CF, pelvic floor weakness, diarrhea)
Reduction
Thumbs over luminal surfaces medially and fingers grasp outer walls laterally
Apply continuous pressure first with thumbs followed by internal rolling of fingers
After reduction perform digital rectal exam to evaluate for rectal mass/polyp
Difficult reduction
Prolonged<unk>  may lead to rectal wall edema
Adequate sedation and analgesia is key to successful reduction
Can incorporate a perianal block in certain cases
Can place granulated sugar (not synthetic sweeteners) over<unk> d rectum
Wait 15 min for edema to subside and re-attempt
Failed reduction
Obtain emergent surgical consultation
Thumbs over luminal surfaces medially and fingers grasp outer walls laterally
Apply continuous pressure first with thumbs followed by internal rolling of fingers
After reduction perform digital rectal exam to evaluate for rectal mass/polyp
Apply continuous pressure first with thumbs followed by internal rolling of fingers
After reduction perform digital rectal exam to evaluate for rectal mass/polyp
Prolonged<unk>  may lead to rectal wall edema
Adequate sedation and analgesia is key to successful reduction
Can incorporate a perianal block in certain cases
Can place granulated sugar (not synthetic sweeteners) over<unk> d rectum
Wait 15 min for edema to subside and re-attempt
Can incorporate a perianal block in certain cases
Wait 15 min for edema to subside and re-attempt
Obtain emergent surgical consultation
Rectal prolapse
Anal fissure
Pelvic organ prolapse
Anal fistula
Anal malignancy
Anal tags
External hemorrhoid
Anorectal abscess