Muhammed S., 3

Muhammed Shuaibu is a cheerful, playful three-year-old boy and the second of three children living with his family in Katuzu, Gashu'a, where they struggle with severe poverty. His father, a motorcycle mechanic earning only ₦10,000 monthly, and his housewife mother cannot afford the medical care needed for his anal prolapse, placing a heavy financial burden on the family that requires urgent charitable support. Muhammed Shuaibu is a 3-year-old child who was apparently healthy until about two weeks before presentation, when his mother noticed a mass protruding from his rectum during bowel movements. Initially, the protrusion would return on its own, but over time it required manual reduction. The condition was accompanied by straining during defecation, passage of hard stools, and episodes of bright red bleeding from the rectum, prompting the family to seek medical attention. Following evaluation, he was diagnosed with Rectal Prolapse and has been admitted and booked for corrective surgery.

Muhammed Shuaibu is diagnosed with rectal prolapse, associated with persistent straining due to hard stools (constipation). In his case, the prolapse occurs during bowel movements due to straining from passing hard stools. Initially, the prolapsed tissue would return on its own, but it has progressed to requiring manual reduction. The condition is associated with bright red rectal bleeding and discomfort, causing significant concern for his family. Clinical examination confirmed a prolapsed rectal mass that becomes more prominent when the child cries and requires manual reduction. In view of the persistent prolapse and recurrent bleeding, the child has been admitted and booked for corrective surgery. The major complications of rectal prolapse include mucosal ulceration, bleeding, rectal incontinence, and tissue strangulation or gangrene caused by compromised blood flow to the protruding bowel section. Prognosis The prognosis is good. With timely surgical intervention and appropriate postoperative care, including measures to prevent constipation and reduce straining, Muhammed is expected to make a full recovery and return to normal daily activities with a low risk of recurrence.