Leopard Gecko-medical

Question
We have a 2 year old male leopard gecko. He hasn't eaten for about a week and a half, then today we noticed a red, liquid-filled mass protruding from his rectum about the size of a garbanzo bean (like hemmorhoids).  He's trying to poop it out and keeps his back legs lifted up so not to drag, but does drag and is bleeding a bit.  He is agitated and thrashes when I try to pick him up.  He has lost his color, he feels frail and his tail is thinner than I've ever seen it--all within the past week.  Can't get him in to a vet until Tuesday due to the holiday (four days).  I've already force-fed him 5 mealworms, let him soak in warm water (he seemed relaxed), punctured the sac (blood-tinged fluid slowly releasing), and removed him from his bed.  I also found something in his cage that looks like a parasite, maybe?  I've never seen one--how big are they?  What else can I do in the meantime?

Answer
Hello Lane,

Oh no, your gecko has a prolapse badly.  You might have seen a urate or seminal plug, but the parasites are impossible to see with the naked eye.  Sometimes if they have a terrible infestation of worms, you might be able to see those.  
Do not attempt to puncture anything else that is protruding.  This will cause him more pain & possible infection.
If you have any loose substrate in the tank, take it out & just put in some paper towels.  He definitely needs medical attention.
In the meantime, start giving him cool sugar water baths.  Place 1 tablespoon of sugar in some warm water to dissolve it, then add some cool water in with that.  Soak your gecko for 10-15 minutes.  Sometimes this is somewhat effective in helping draw water & fluid away from swollen tissues to help reduce the swelling.  I do not know if this will be effective at this time if it is as bad as you are describing that it is.
Next, get either some KY jelly, or vaseline to put on the area to help keep it moist & from drying out.  This prolapse is either a rectal, intestinal, or colon related.  
Please let me know how he is doing.

Tracie