What are the symptoms of colitis?

Written by Ren Zheng Xin
Gastroenterology
Updated on September 03, 2024
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Proctitis is an inflammation that occurs in the mucosa of the rectum. Typical symptoms include abdominal pain, diarrhea, a feeling of heaviness around the anus, and urgency followed by a sensation of incomplete evacuation. More severe inflammation can also lead to the presence of mucus and bloody pus in the stool. Bleeding from the rectum is another typical symptom, with the amount of bleeding related to the severity of the inflammation. Severe inflammation can directly cause pain in the anus and rectum. Abdominal pain and diarrhea may alternate, and long-term proctitis can also lead to loss of appetite, weight loss, fever, nausea, and vomiting. It is necessary to promptly perform a colonoscopy to understand the severity of the lesions and actively provide symptomatic treatment.

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Written by Huang Gang
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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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Written by Wu Hai Wu
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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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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 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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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.)