"Inflammatory changes in the rectum"

Written by Wu Hai Wu
Gastroenterology
Updated on September 15, 2024
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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.)

Other Voices

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Written by Huang Gang
Gastroenterology
1min 12sec home-news-image

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 Ren Zheng Xin
Gastroenterology
1min 6sec home-news-image

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 Ren Zheng Xin
Gastroenterology
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What are the symptoms of colitis?

Proctitis is an inflammation that occurs in the mucosa of the rectum. Typical symptoms include abdominal pain, diarrhea, a feeling of heaviness around the anus, and urgency followed by a sensation of incomplete evacuation. More severe inflammation can also lead to the presence of mucus and bloody pus in the stool. Bleeding from the rectum is another typical symptom, with the amount of bleeding related to the severity of the inflammation. Severe inflammation can directly cause pain in the anus and rectum. Abdominal pain and diarrhea may alternate, and long-term proctitis can also lead to loss of appetite, weight loss, fever, nausea, and vomiting. It is necessary to promptly perform a colonoscopy to understand the severity of the lesions and actively provide symptomatic treatment.

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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 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.