"Inflammatory changes in the rectum"

Written by Wu Hai Wu
Gastroenterology
Updated on September 15, 2024
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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.)

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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.

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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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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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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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"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.)