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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Why does colitis cause excessive farting?

If proctitis is accompanied by excessive flatulence, it could be due to the consumption of foods that produce gas or it may be because the inflammation of the rectum leads to poor digestion, which causes increased flatulence. In such cases, oral medications that regulate the intestinal flora should be taken to treat it, along with the use of mesalazine or sulfasalazine preparations for anti-inflammatory treatment. At the same time, attention should also be paid to diet, avoiding gas-producing foods like sweet potatoes, and avoiding spicy and stimulative foods. It is important to eat easily digestible, bland foods.

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Written by Zhu Dan Hua
Gastroenterology
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What are the symptoms of rectal polyps?

Rectal polyps due to proctitis are generally benign lesions, so the symptoms are not obvious. Some patients may have no specific symptoms and polyps are incidentally found during routine physical examinations or colonoscopies where proctitis is seen in conjunction with polyps. Of course, a small number of patients may experience abdominal discomfort and abnormal bowel movements. The abdominal discomfort generally focuses on the lower abdomen, or occurs sporadically in the lower left abdomen, and can manifest as bloating pain, dull pain, or an unexplained discomfort. The abnormality in bowel movements can be seen as stools being more liquid-like and frequent, with some patients having watery stools, but there are no symptoms of fever or bloody stools. Therefore, the symptoms of rectal polyps from proctitis are usually not obvious and can be further clarified through colonoscopic examination. If the rectal polyps are not large, periodic observation with colonoscopy every six months to a year may be advised. Of course, if the polyps grow larger or symptoms become pronounced, treatment through endoscopic removal may be chosen.

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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 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 Wang Zhen Quan
Colorectal Surgery Department
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Symptoms of proctitis

So, what are the common clinical symptoms of proctitis? Since the rectum is close to the anus, the symptoms are primarily manifested as diarrhea, abdominal pain, and bloating. Some patients experience alternating constipation and diarrhea. Generally, there is often mucus or blood in the stool, and there is usually a burning sensation in the anus during bowel movements. Additionally, due to the irritation from rectal secretions, eczema and itching around the anus can occur. Diagnosing proctitis is relatively easier compared to diagnosing pancolitis. Diagnosis is usually made through sigmoidoscopy or colonoscopy, and sometimes biopsies are needed for confirmation.