Does proctitis require surgery?

Written by Zhu Dan Hua
Gastroenterology
Updated on September 01, 2024
00:00
00:00

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.)

Other Voices

doctor image
home-news-image
Written by Huang Gang
Gastroenterology
42sec home-news-image

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.

doctor image
home-news-image
Written by Chen Tian Jing
Colorectal Surgery
56sec home-news-image

What is the best treatment for proctitis?

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.

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 Si Li Li
Gastroenterology
55sec home-news-image

Rectal Inflammation Symptoms and Treatment

The main symptoms of proctitis include abdominal pain, diarrhea, or the presence of white mucus in the stool. A colonoscopy can reveal hyperemia, edema, erosion, or mucus adhesion on the rectal mucosa, leading to a diagnosis of chronic proctitis. For treatment, oral probiotics can be used to adjust the intestinal flora, helping to alleviate symptoms and treat the disease. Additionally, combining traditional Chinese medicine diagnosis and treatment methods, oral herbal medicine can be used. External treatments in Chinese medicine, such as herbal enemas or hydrotherapy, can also be effective for chronic proctitis. These methods allow the herbs to directly reach and contact the lesion surface, acting directly on the affected colon mucosa for a more targeted treatment.

doctor image
home-news-image
Written by Wu Hai Wu
Gastroenterology
47sec home-news-image

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.