Proctitis


Is rectitis hemorrhoids?
Proctitis and hemorrhoids have fundamental differences. Proctitis is an inflammation that occurs in the rectum and its mucosa, related to infection by pathogens. Typical symptoms include diarrhea and abdominal pain, with severe cases presenting mucus or pus and bloody stools. Hemorrhoids, on the other hand, are caused by the distension of hemorrhoidal veins; internal hemorrhoids lead to bleeding after bowel movements, and external hemorrhoids cause significant pain. Proctitis is generally treated with medications or can also be managed with enemas. Hemorrhoids are mainly treated with medications that reduce bleeding and medications that treat the hemorrhoids, and they can also be treated surgically. (Medication use should be supervised by a doctor.)


Can I eat pineapple with colitis?
If you have colitis, try to eat less pineapple, as this food is relatively stimulating. Consuming it can irritate the intestinal mucosa, leading to congestion and edema of the intestinal mucosa, and aggravate colitis. Pineapple also has the effect of moisturizing the intestines and facilitating bowel movements, leading to an increase in the frequency of bowel movements which can worsen colitis. Therefore, patients with chronic colitis should pay attention to a light diet, avoid cold melons and fruits, and avoid fruits like pineapple. Bananas can also lubricate the intestines, leading to an increase in bowel movements, so they should also be avoided. Instead, you can eat some warm, easily digestible, and non-irritating foods to the intestines.


Can you eat garlic with proctitis?
Patients with proctitis can eat garlic, but they should also avoid consuming large amounts of garlic, as excessive garlic can easily irritate the rectum and exacerbate the inflammation. It is recommended that patients with proctitis eat foods that are easy to digest and non-irritating, such as white rice porridge and millet porridge. They should avoid spicy, irritating, and greasy foods. It is also necessary to quit smoking and drinking, and to avoid strong tea and coffee as much as possible. Patients with proctitis can take oral medications to regulate the intestinal flora for treatment; the choice of specific medications should be based on the doctor's clinical experience.


What will happen if rectitis gets worse?
If proctitis worsens, it should be treated promptly through surgery. Surgical removal can help prevent spread and prolong life. After surgery, it is also necessary to kill cancer cells through radiotherapy and chemotherapy. If proctitis is not properly managed, frequent recurrences can lead to erosion and even ulcers, which can easily become cancerous. Therefore, regular follow-up colonoscopies are essential to monitor changes in the condition and assess whether there is a high or low chance of deterioration. After surgery, attention should also be paid to a bland diet, avoiding irritant foods.


Can proctitis cause discomfort in the rectum?
As to whether proctitis will cause discomfort in the rectum, it depends on the specific situation. If it is only mild proctitis, generally, it does not cause discomfort for the patient. However, if the proctitis is severe and accompanied by conditions such as rectal ulcers, rectal discomfort is likely to occur, and the patient may experience symptoms such as pain and a sense of urgency followed by incomplete defecation. In severe cases, fever may also occur. Once a patient develops proctitis, it is advised to promptly complete an electronic colonoscopy examination. If necessary, tissue should be taken for a pathological biopsy to rule out the possibility of malignant tumors in the rectum.


Is prolonged sitting harmful to proctitis?
Prolonged sitting does not significantly harm proctitis, but if a patient sits for extended periods, it might lead to the occurrence of hemorrhoids. Therefore, it is generally advised not to sit for too long and to engage in appropriate amounts of exercise, adopting a balanced approach to physical activity. Patients with proctitis may experience symptoms like mucoid stools, purulent stools, bloody stools, and a sensation of incomplete evacuation after defecation. Therefore, in terms of diet, it is recommended not to consume overly spicy or stimulating foods. Instead, opt for foods that are easy to digest and bland. Treatment can include the use of medications such as mesalazine or sulfasalazine.


Is the infusion effective for proctitis?
The rectum is located near the anus, thus it is at the exit end of the human body. If there is inflammation in the rectum, venous infusion can be considered. However, since venous infusion enters the body through the blood and then into the rectum, the absorption by the rectum is somewhat poor. For actual rectal inflammation, rectal suppositories or enemas can be used for treatment. Both Chinese and Western medicines offer corresponding symptomatic drugs for treatment. Rectal infusion is only temporary; the main treatment strategy is still the use of suppositories or enemas, which tend to be more effective because they directly target the intestine, allowing for fuller absorption. (The use of medications should be carried out under the guidance of a professional doctor.)


"Inflammatory changes in the rectum"
Inflammatory changes in the rectum are generally a diagnostic manifestation observed through electronic colonoscopy. Under electronic colonoscopy, these changes are often described as inflammation of the rectum, mainly characterized by congestion, edema, and pinpoint erosion of the rectal mucosa, among others. Generally, the symptoms are not very severe, and many patients who undergo electronic colonoscopy, after taking medications such as polyethylene glycol electrolyte powder for diarrhea, can exhibit inflammatory changes in the rectum. Once inflammatory changes in the rectum occur, it may be considered to treat them by orally administering medications that regulate the gut flora. If the patient presents with symptoms such as urgency, mucus-like stools, or pus and blood in the stools, treatment with sulfasalazine suppositories should be considered, and the specific choice of medication and dosage should be followed according to medical advice. (The use of medications should be under the guidance of a professional doctor.)


Symptoms of proctitis
So, what are the common clinical symptoms of proctitis? Since the rectum is close to the anus, the symptoms are primarily manifested as diarrhea, abdominal pain, and bloating. Some patients experience alternating constipation and diarrhea. Generally, there is often mucus or blood in the stool, and there is usually a burning sensation in the anus during bowel movements. Additionally, due to the irritation from rectal secretions, eczema and itching around the anus can occur. Diagnosing proctitis is relatively easier compared to diagnosing pancolitis. Diagnosis is usually made through sigmoidoscopy or colonoscopy, and sometimes biopsies are needed for confirmation.


Is it good to have an IV drip for colitis and gastritis?
Proctitis is an inflammation that occurs in the rectal mucosa, presenting symptoms such as diarrhea, urgency followed by incomplete bowel movements, and rectal bleeding. Gastritis is an inflammation of the stomach mucosa, characterized by decreased appetite, acid reflux, and belching. If these conditions are severe, infusion therapy is recommended. This includes the use of antibiotics, medications to protect the gastrointestinal mucosa, and hydration supplements. If symptoms are mild, oral medications may suffice. However, daily care is equally important, such as having a light diet, eating regularly, consuming more vegetables, and avoiding spicy, irritating, and greasy foods. It is also crucial to rest adequately and avoid excessive fatigue. If symptoms recur frequently, it is best to visit the gastroenterology department or a gastrointestinal clinic at a hospital. (Note: The use of medications should be under the guidance of a professional doctor.)