Will rectal inflammation make it painful to defecate?

Written by Wu Hai Wu
Gastroenterology
Updated on December 05, 2024
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Whether defecation causes anal pain in proctitis requires specific analysis. If the symptoms of proctitis are mild, defecation might not necessarily result in anal pain. If proctitis is accompanied by ulcers or infections, resulting in severe inflammation of the rectum, and if there are also anal fissures, defecation might cause anal pain. Regarding the severity of proctitis, it’s important to promptly conduct thorough examinations such as a digital rectal exam or an anoscopy to confirm the diagnosis, and adopt appropriate treatment measures based on the severity.

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Written by Wu Hai Wu
Gastroenterology
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Do people with proctitis fart a lot?

Proctitis generally does not lead to increased flatulence. Patients with proctitis may experience the passage of mucus-like stools and may have symptoms such as pain around the anus. Patients with proctitis rarely experience increased flatulence and generally do not have mucus, pus, or bloody stools, nor do they cause other symptoms like stomach cold or fever. However, they may experience urgency and tenesmus. Once a patient is diagnosed with proctitis through medical examination, treatment involves the use of mesalamine or sulfasalazine suppositories. In terms of diet, it is advised to consume bland food and avoid spicy and irritating foods. (Please use medications under the guidance of a doctor.)

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Written by Zhu Dan Hua
Gastroenterology
1min 12sec home-news-image

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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Written by Huang Gang
Gastroenterology
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Can I eat eggs with colitis?

If you have colitis, you should pay attention to how eggs are prepared. You can eat steamed egg custard or boiled eggs, but avoid scrambled eggs, as they are too greasy and not easy to digest and absorb, which can increase the burden on the intestines and exacerbate the symptoms of colitis. If you suffer from colitis, you should avoid frequently consuming spicy, irritating, or overly greasy foods. Opt for a bland diet to prevent the condition from worsening. When the condition is severe, timely medication treatment is necessary, including mesalazine and Kangfuxin solution. Using Kangfuxin solution for enema can protect the intestinal mucosa and the medication works directly on the affected area, which is very effective. (Please use medication under the guidance of a doctor)

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Written by Huang Gang
Gastroenterology
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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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Treatment of proctitis

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.