Causative factors

Causative factor for Guda bhramsha: (Prolapse of rectum)

Constant suppression of urges like urine and stool; importantly prolonged suppression of FAECES.
Injury to the rectal region – direct or indirect injury caused due to fall, surgery, entry of foreign body, perforation etc Constant diarrhoea – The individuals who suffer from constant diarrhoea or sprue syndrome suffer from weakness of the pelvic muscles, leading to prolapse of rectum over a period of years Constant constipation – leading to straining.
Frequent child births or abortions lead to laxity of the sphincters and muscles in nearby area. Weakness or malnutrition is another cause for prolapsed rectum as it leads to lessen the strength of the muscles and hence the withholding capacity of the nearby muscles. Repeated worm infestation causes constant irritation to the anal sphincters. Further, it reduces the strength of the sphincters.
Repeated surgeries and injuries also reduce the intactness of the muscles.
Multiple episodes of urinary calculi, gall bladder stones may also lead to prolapse of rectum or act as a supporting factor for the complaint.
Old age – In elderly people, due to age factor, muscles and sphincters become lax increasing the chances of prolapse. (The same is the reason for increased chances of hernia in elders).
Asthma, whooping cough, leading to constant pressure on ano-rectal muscles. Multiple sclerosis and paralysis.