What is the best treatment for proctitis?

Written by Chen Tian Jing
Colorectal Surgery
Updated on August 31, 2024
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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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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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How to regain weight lost due to colitis

If there are symptoms of body wasting due to colitis, treatment should first be directed at the colitis to control the condition. After controlling the condition, it is possible to reduce symptoms of diarrhea and abdominal pain, which is conducive to the digestion and absorption of nutrients in food and can help enhance physical fitness. Normally, care should be taken not to overeat or drink excessively. It is okay to eat moderate amounts of eggs, meat, and dairy, but be careful not to eat too much at once, as this can aggravate the symptoms of colitis.

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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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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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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.