Rectal Inflammation Symptoms and Treatment

Written by Si Li Li
Gastroenterology
Updated on January 28, 2025
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The main symptoms of proctitis include abdominal pain, diarrhea, or the presence of white mucus in the stool. A colonoscopy can reveal hyperemia, edema, erosion, or mucus adhesion on the rectal mucosa, leading to a diagnosis of chronic proctitis. For treatment, oral probiotics can be used to adjust the intestinal flora, helping to alleviate symptoms and treat the disease. Additionally, combining traditional Chinese medicine diagnosis and treatment methods, oral herbal medicine can be used. External treatments in Chinese medicine, such as herbal enemas or hydrotherapy, can also be effective for chronic proctitis. These methods allow the herbs to directly reach and contact the lesion surface, acting directly on the affected colon mucosa for a more targeted treatment.

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Written by Ren Zheng Xin
Gastroenterology
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Is rectitis hemorrhoids?

Proctitis and hemorrhoids have fundamental differences. Proctitis is an inflammation that occurs in the rectum and its mucosa, related to infection by pathogens. Typical symptoms include diarrhea and abdominal pain, with severe cases presenting mucus or pus and bloody stools. Hemorrhoids, on the other hand, are caused by the distension of hemorrhoidal veins; internal hemorrhoids lead to bleeding after bowel movements, and external hemorrhoids cause significant pain. Proctitis is generally treated with medications or can also be managed with enemas. Hemorrhoids are mainly treated with medications that reduce bleeding and medications that treat the hemorrhoids, and they can also be treated surgically. (Medication use should be supervised by a doctor.)

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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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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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Colorectal Surgery
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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.