Symptoms of proctitis

Written by Wang Zhen Quan
Colorectal Surgery Department
Updated on September 11, 2024
00:00
00:00

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.

Other Voices

doctor image
home-news-image
Written by Wu Hai Wu
Gastroenterology
1min 3sec home-news-image

"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.)

doctor image
home-news-image
Written by Wu Hai Wu
Gastroenterology
46sec home-news-image

Do people with proctitis fart a lot?

Proctitis generally does not lead to increased flatulence. Patients with proctitis may experience the passage of mucus-like stools and may have symptoms such as pain around the anus. Patients with proctitis rarely experience increased flatulence and generally do not have mucus, pus, or bloody stools, nor do they cause other symptoms like stomach cold or fever. However, they may experience urgency and tenesmus. Once a patient is diagnosed with proctitis through medical examination, treatment involves the use of mesalamine or sulfasalazine suppositories. In terms of diet, it is advised to consume bland food and avoid spicy and irritating foods. (Please use medications under the guidance of a doctor.)

doctor image
home-news-image
Written by Huang Gang
Gastroenterology
1min 12sec home-news-image

Why is it difficult to pass gas with proctitis?

When the condition of proctitis is severe, it will manifest as local congestion and swelling of the anus, causing a noticeable sensation of prolapse which affects gas and stool passage. It is important for those with proctitis to pay attention to a bland diet and avoid spicy and irritating foods such as chili peppers, onions, raw scallions, raw ginger, and raw garlic, as these can exacerbate the condition. Normally, it is important to ensure smooth bowel movements, consume more green vegetables and fruits with roughage, and exercise more to promote gastrointestinal motility, alleviate constipation, and relieve dry stools. If the proctitis is severe, mesalazine suppositories can be used for administering medicine inside the anus, and Recuperation New Liquid can be used for enema to protect the intestinal mucosa. It is also important to maintain hygiene and cleanliness, and warm water or potassium permanganate sitz baths can be utilized. (Please follow medical advice regarding medication use.)

doctor image
home-news-image
Written by Wu Hai Wu
Gastroenterology
43sec home-news-image

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.

doctor image
home-news-image
Written by Wang Zhen Quan
Colorectal Surgery Department
46sec home-news-image

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.