CONDITION
Rectal Prolapse
Rectal prolapse describes a situation in which part of the lining of the rectum protrudes through the anus, appearing as a visible, often cylindrical or rounded mass of pink or red tissue. It can occur as an isolated event or develop gradually, and tends to be associated with conditions that cause repeated straining—such as ongoing diarrhoea, constipation, or certain urinary or reproductive problems. Owners most often notice a fleshy tissue emerging from the back passage, which may appear after defaecation or straining, and in some cases may retract on its own or remain visible. The tissue can become swollen, darker in colour, or dry if it stays outside for a period of time. Young animals and those with chronic bowel issues are more commonly affected, though it can appear at any age. This page explores what owners may observe at home, what processes underneath tend to contribute to prolapse, how the condition is assessed, and what approaches exist for managing both the immediate presentation and any underlying cause.
Why this matters now
Rectal prolapse tends to appear most frequently in young animals—particularly puppies and kittens under six months of age—whose supporting tissues may be less mature and more susceptible to displacement under strain. It can also occur in older animals with chronic gastrointestinal conditions, parasitic infections, or any disease process that triggers repeated episodes of diarrhoea or constipation. Certain breeds with a predisposition to bowel disorders or anatomical variations in pelvic structure may experience prolapse more often, though no breed is entirely exempt. Seasonal patterns sometimes emerge when parasitic loads increase or when dietary changes during weaning introduce digestive upset.
The prolapse may initially appear as a small, intermittent protrusion that retracts on its own once the triggering episode of straining has passed. In some individuals, the tissue begins to emerge more frequently or remains outside for longer periods, particularly if the underlying cause—such as ongoing diarrhoea or urinary straining—continues unchecked. Over time, tissue that remains prolapsed can become swollen, congested, or damaged by exposure and contact with the environment, which may in turn make spontaneous retraction less likely. The pace of progression varies widely: some animals experience a single brief episode that resolves, while others develop a persistent or recurrent pattern.
Signals & patterns
Early signals
Visible tissue after defaecation
An owner may notice a small, moist, pink or red mass protruding from the anus after the pet has passed stool, which may retract back inside within minutes or hours. This tissue often appears smooth and rounded, resembling a small swelling or bulge at the anal opening.
Repeated licking at the hindquarters
The animal may lick, scoot, or show discomfort around the anal area, particularly after defaecation or when the tissue has emerged. This behaviour reflects local irritation or the sensation of something being out of place.
Straining during bowel movements
Owners often observe the pet adopting a posture to defaecate repeatedly, producing little or no stool, or appearing to push forcefully even after passing faeces. This pattern of straining can be both a contributor to prolapse and a sign that something is driving the behaviour—such as diarrhoea, constipation, or discomfort lower in the digestive tract.
Moist or mucoid discharge
A small amount of mucus or moisture may be visible around the anus or on the hair nearby, sometimes tinged with blood. This discharge can accompany the intermittent protrusion of rectal tissue and reflects irritation or inflammation of the lining.
Later signals
Persistent or enlarging mass
The prolapsed tissue may remain outside most or all of the time, and can increase in size as swelling develops. The tissue may change colour from pink to darker red or purple as congestion worsens, and the surface can become dry or develop small areas of damage.
Reduced appetite or lethargy
Some animals become less interested in food or less active, particularly if the prolapse is painful, if there is significant inflammation, or if the underlying disease—such as severe gastrointestinal upset or parasitic burden—is affecting overall wellbeing.
Bleeding from the anus
Blood may appear on the surface of the prolapsed tissue, in the stool, or on the ground where the animal has been sitting. This bleeding can result from trauma to the exposed tissue, from the original disease process, or from the animal's attempts to clean the area.
Click to read about the biological mechanisms
How this is usually investigated
Options & trade-offs
Last reviewed: Invalid Date ·