What does vaginal bulge feel like with rectocele?

A rectocele occurs when the tissue between the rectum and vagina weakens, allowing the rectum to press forward. You might notice a rounded bulge inside the vagina, a dragging feeling, or the sense that stool is caught. Constipation, incomplete emptying, straining, or needing to press on the vaginal wall to help a bowel movement can occur. The pattern varies, and a vaginal bulge can have other causes, so symptoms do not establish the diagnosis by themselves.

Book an assessment with a clinician familiar with pelvic floor problems if symptoms continue or interfere with bowel function, activity, or sex. Keep a brief record of stool consistency, straining, bulge sensations, and any need for manual support. A clinician may recommend pelvic floor physiotherapy, bowel-habit changes, treatment for constipation, or a support device. Do not force a bowel movement or repeatedly strain, because that can increase pressure on the pelvic tissues.

Get prompt care for heavy bleeding, severe or rapidly increasing pain, fever, vomiting, or inability to pass stool or urine. Seek assessment if tissue becomes sore, cracked, or difficult to move back inside. These symptoms may reflect significant irritation, blockage, or another condition that needs timely evaluation.

Could the back wall of the vagina be involved? How can constipation or straining be reduced safely? Would pelvic floor physiotherapy help with emptying? What symptoms would mean that a pessary or surgical discussion is appropriate?