What is the best treatment for proctitis?

Written by Chen Tian Jing
Colorectal Surgery
Updated on August 31, 2024
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Proctitis mainly refers to chronic inflammatory changes in the rectal mucosa. Its treatment methods mainly include oral anti-inflammatory drugs, local use of anti-inflammatory suppositories or gels, and combined treatment with traditional Chinese medicine retention enemas. Besides pharmacological treatments, dietary control and choices are also very important for patients with proctitis. Patients with proctitis should avoid eating foods that contain irritants, such as chili peppers, seafood, mutton, or other highly irritating foods. It is advisable to eat more Chinese yam and green vegetables. Chinese yam can replenish Qi and enhance the patient's immunity, while green vegetables and fruits can keep the stool lubricated, preventing the stool from becoming too dry and scratching the inflamed mucosa, leading to bleeding and pain.

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Written by Wu Hai Wu
Gastroenterology
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Can proctitis cause frequent urination and urgency?

Proctitis generally does not cause frequent urination or urinary urgency. Proctitis mainly causes symptoms such as the passing of mucous stools, purulent bloody stools, and a sense of incomplete evacuation after defecation. If a patient experiences frequent urination and urinary urgency, they should visit the urology department of a regular hospital. It's possible that there could be urinary tract stones or an infection, requiring a routine urine analysis and ultrasonic examination of the urinary system. In addition, for proctitis, it is necessary to take oral medication to adjust the intestinal flora. Attention should also be paid to the diet, avoiding spicy and irritating foods, and opting for bland, easily digestible foods.

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Written by Zhu Dan Hua
Gastroenterology
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Does proctitis require surgery?

Proctitis is a common clinical disease that can be asymptomatic or can present with recurrent discomfort symptoms such as abnormal stool, displaying characteristics like loose stool texture, increased frequency of defecation, or digestive bleeding accompanied by fresh red blood along with abnormal stool. If there are no specific abdominal symptoms and the stool condition is manageable, generally, surgical treatment is not necessary. Instead, dietary adjustments and rest can be made, including appropriate medication when necessary. Medication options may include suppositories, such as mesalazine suppositories, and oral probiotics for adjustment. Therefore, if there are truly no space-occupying lesions and no issues found in colonoscopy, surgical treatment may not be required for proctitis. It is advised to manage with medication and further adjust with oral probiotics, so there is no need for worry. (Please follow a professional physician's guidance when using medications and do not self-medicate.)

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Written by Wu Hai Wu
Gastroenterology
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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.)

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Written by Si Li Li
Gastroenterology
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Why does colitis cause the discharge of mucus?

During a colonoscopy, we can see that the mucosa of the rectum is swollen and eroded, and there is also mucus attached to the intestines. The reason for the mucus production is due to exudation caused by inflammation. In terms of Western medical treatment, the main approach is to regulate the intestinal flora using probiotics. However, the treatment outcomes are not particularly ideal, and there are no specific effective drugs in Western medicine. In contrast, Chinese medicine has its strengths in treating this disease. It diagnoses and treats patients based on their constitution, achieving relatively good results. Additionally, Chinese medicine includes external treatments such as enemas and herbal hydrotherapy, which can apply medicinal effects directly to the surface of the intestinal mucosa. These methods are very effective in treating proctitis.

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Written by Huang Gang
Gastroenterology
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How to regain weight lost due to colitis

If there are symptoms of body wasting due to colitis, treatment should first be directed at the colitis to control the condition. After controlling the condition, it is possible to reduce symptoms of diarrhea and abdominal pain, which is conducive to the digestion and absorption of nutrients in food and can help enhance physical fitness. Normally, care should be taken not to overeat or drink excessively. It is okay to eat moderate amounts of eggs, meat, and dairy, but be careful not to eat too much at once, as this can aggravate the symptoms of colitis.