Why does colitis cause the discharge of mucus?

Written by Si Li Li
Gastroenterology
Updated on December 21, 2024
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During a colonoscopy, we can see that the mucosa of the rectum is swollen and eroded, and there is also mucus attached to the intestines. The reason for the mucus production is due to exudation caused by inflammation.

In terms of Western medical treatment, the main approach is to regulate the intestinal flora using probiotics. However, the treatment outcomes are not particularly ideal, and there are no specific effective drugs in Western medicine. In contrast, Chinese medicine has its strengths in treating this disease. It diagnoses and treats patients based on their constitution, achieving relatively good results. Additionally, Chinese medicine includes external treatments such as enemas and herbal hydrotherapy, which can apply medicinal effects directly to the surface of the intestinal mucosa. These methods are very effective in treating proctitis.

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Written by Wu Hai Wu
Gastroenterology
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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.)

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Written by Wu Hai Wu
Gastroenterology
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Will rectal inflammation make it painful to defecate?

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 Huang Gang
Gastroenterology
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What will happen if rectitis gets worse?

If proctitis worsens, it should be treated promptly through surgery. Surgical removal can help prevent spread and prolong life. After surgery, it is also necessary to kill cancer cells through radiotherapy and chemotherapy. If proctitis is not properly managed, frequent recurrences can lead to erosion and even ulcers, which can easily become cancerous. Therefore, regular follow-up colonoscopies are essential to monitor changes in the condition and assess whether there is a high or low chance of deterioration. After surgery, attention should also be paid to a bland diet, avoiding irritant foods.

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Written by Huang Gang
Gastroenterology
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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.)

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Written by Wu Hai Wu
Gastroenterology
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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.