Rectocele

Medically reviewed by Drugs.com. Last updated on Apr 6, 2025.

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A rectocele happens when part of your rectum bulges into your vagina. This may happen if you have weak muscles and ligaments that cannot support the vagina and rectum. A wall of tough tissue, called the rectovaginal septum, separates the rectum from the vagina. The rectovaginal septum may be weak and thin. This allows part of the rectum to push into the vagina.

DISCHARGE INSTRUCTIONS:

Return to the emergency department if:

• You have a mass bulging out of your vagina that you cannot push back into place.
• You vomit several times in a row.
• Your bowel movement is bright red or black.

Drugs used to treat this and similar conditions

Call your doctor if:

• Your pain does not go away, even with treatment.
• Your pessary falls out.
• You have heavier vaginal bleeding than usual.
• You are unable to have a bowel movement.
• You have questions or concerns about your condition or care.

Manage or prevent a rectocele:

• Do not strain. Do not lift heavy objects, stand for long periods of time, or strain to have a bowel movement. Prevent constipation by drinking plenty of liquids and eating foods high in fiber. Ask how much liquid to drink every day and which liquids are best for you. High-fiber foods, such as fruits, vegetables, and whole grains, soften bowel movements. This helps bowel movements pass more quickly through your colon. Slowly add fiber into your diet to avoid bloating, stomach pain, and gas.
• Do Kegel exercises regularly. These exercises can help your pelvic floor muscles get stronger. Tighten the muscles of your pelvis (the muscles you use to stop urinating). Hold the muscles tight for 5 seconds, then relax for 5 seconds. Gradually work up to holding the muscles for 10 seconds. Do at least 3 sets of 10 repetitions a day.
• Maintain a healthy weight. Ask your healthcare provider what a healthy weight is for you. Your provider can help you create a weight loss plan, if needed. Your provider can also help you create a physical activity program. Physical activity, such as exercise, helps your bowels work better and decreases pressure inside your colon.

Follow up with your doctor or gynecologist as directed:

Write down your questions so you remember to ask them during your visits.

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The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

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