The Hardest Image Challenge

 Q:  A prolapse such as this can be effectively reduced by applying what common household substance to the tissue?
1.  Baking powder
2.  Flour
3.  Salt
4.  Sugar
5.  Tea


This is the hardest image challenge from the New England Journal Of  Medicine that I have seen.  Fellow physicians, and EverythingHealth readers, I want you to go out on a limb and give me the answer. 

For you non-physicians,

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