Treatment of proctitis

Written by Zhu Dan Hua
Gastroenterology
Updated on September 29, 2024
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Proctitis is relatively common in clinical settings, especially in the department of gastroenterology. It generally presents as abdominal discomfort and abnormal bowel movements. Abdominal discomfort typically manifests as discomfort in the lower left abdomen, and abnormal bowel movements may include increased frequency and looser stool texture. The treatment of proctitis generally falls into two categories: general treatment and medication. General treatment includes maintaining smooth bowel movements, eating smaller meals more frequently, and ensuring that the stool remains soft. For medication, options include oral medications and topical treatments. Oral medications can soften stools, protect the intestinal mucosa, and control inflammation, among other effects. Topical medications may be chosen to protect the intestinal mucosa and prevent itching, and generally, they are quite effective, so patients need not worry too much.

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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.

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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.

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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.)

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Can you eat fish with colitis?

Generally speaking, people with colitis can eat fish, but it is necessary to avoid fried or deep-fried fish; instead, steamed or boiled fish should be consumed, as this is beneficial for the recovery from colitis. Patients with colitis should avoid other spicy and irritating foods such as strong tea, coffee, spirits, chili peppers, and mustard, etc., and try to avoid them as much as possible. It is important to eat more fresh vegetables and fruits, avoid overly coarse foods, and eat regularly and in moderation to prevent binge eating. Meals should be small and frequent, and one should chew slowly. At the same time, active follow-up with colonoscopy is necessary.

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"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.)