Does proctitis require surgery?

Written by Zhu Dan Hua
Gastroenterology
Updated on September 01, 2024
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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 Huang Gang
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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.

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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 Wu Hai Wu
Gastroenterology
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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.

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Written by Ren Zheng Xin
Gastroenterology
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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.)

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Written by Yang Chun Guang
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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.)