Chronic proctitis: symptoms and treatment
Chronic proctitis is an inflammatory disease in which the mucous membrane of the rectum is involved in this process. Proctitis is acute, subacute and chronic.
Chronic proctitis is most often formed after acute proctitis, as one of the variants of its outcome. The diagnosis is usually based on the data of the examination of the anus and instrumental methods of examination (sigmoidoscopy). Proctitis, in contrast to paraproctitis has its own characteristics.
As a result of an acute process, a narrowing of the rectum can often form, and therefore the clinic of a chronic proctitis includes these symptoms, that is, it may be difficult to pass stool. In addition, the damaged mucosa is characterized by hemorrhages, congestions of mucus and fibrin, and may be ulceration. All these signs are manifested in the clinical picture, that is, the patient may be disturbed by constipation, unpleasant sensations in the anus, which are amplified by the act of defecation, the stool may periodically be stained with scarlet blood. Also in the stool there are impurities of mucus. In some cases, a chronic proctitis may be asymptomatic, that is, subjective sensations, despite the presence of a process in the rectum, may be absent.
Chronic proctitis manifests itself in the form of three basic forms, depending on the state of the mucosa - a hypertrophic form, normotrophic and atrophic form, in which the mucosa becomes easily susceptible to mechanical damage. As it is thin.
Treatment, as a rule, begins with finding out the reasons that led to the formation of this disease and the fight against them, then it is recommended that a fairly strict diet be followed. Diet during proctitis is of great importance during this disease, so it's worth taking it seriously. It is necessary to exclude alcohol, fatty, fried and spicy dishes from the diet, since all this acts on the mucosa of the entire intestine quite aggressively. Restrict recommended and products. Rich in fiber. Food should also be mechanically sparing, so that its passage through the intestine and specifically in the rectum would not cause damage. In addition, the vegetable diet promotes and alleviates constipation. Non-compliance with dietary requirements leads, as a rule, to a decrease in the effect of treatment, and in some cases also contributes to both the aggravation of the process and the formation of various complications. On popular topics, candles with proctitis and ointment with proctitis have already been mentioned earlier and there is no need to dwell on it.
Periodically, with a chronic process prescribe antibiotics and sulfonamides in the form of course treatment. It is also recommended the use of therapeutic enemas, a possible positive effect and the receipt of therapy with glucocorticoid drugs. It is possible to introduce antiseptics into the rectum.
In chronic proctitis, spa treatment is recommended, as well as rectal irrigation with warm waters of alkaline nature - such as Essentuki or Truskavetska, which improve the motor function of the intestine, contribute to the recovery of the mucosa and the excision of mucus.
If chronic proctitis is accompanied by severe pain, this can be associated with local processes, that is, with the presence of foci of inflammation. In these cases, surgical treatment is shown, consisting in the removal of inflamed anal papillae or crypts (their inflammation is called cryptite).
With proper and timely treatment, the prognosis for chronic proctitis is usually favorable, and remission can last a fairly long period of time without disturbing the patient.
Author: doctor Lobanov IB
Proctitis is a set of inflammatory phenomena in the rectum that have characteristic symptoms: frequent false urges to defecate (so-called tenesmus), logically unjustified liquid stool (when it is impossible to establish its cause), regular bleeding from the anal passage.
Author: surgeon Yurevich VV
Acute paraproctitis is one of the most common inflammatory diseases of the rectum, ubiquitous throughout the world.
Author: doctor Derjushev A.N.
Proctitis - is an inflammatory process that mainly affects the mucosa of the rectum. Proctitis are acute, subacute and chronic. With such diseases as paraproctitis, hemorrhoids, rectal cancer, rectal polyps, vaginitis, cystitis, prostatitis, proctitis may be a secondary disease.
Author: doctor Derjushev A.N.
The diet, diet and diet are quite important at a proctitis. In this regard, the diet with proctitis comes from a number of general recommendations and becomes almost one of the necessary points of treatment, without which it is impossible to achieve positive results.