Proctitis - symptoms, treatment and causes. Proctitis: symptoms, treatment Antibiotics for the treatment of radiation proctitis

is an inflammatory process in the area of ​​the rectal mucosa. It is a polyetiological disease. Accompanied by frequent urge to stool, discomfort during bowel movements, burning, itching and a feeling of a foreign body in the anus. In acute forms, hyperthermia and symptoms of intoxication are observed; in chronic pathology, the general condition is not disturbed. Proctitis is diagnosed based on complaints, examination results, rectal and endoscopic examination. Treatment - elimination of provoking factors, diet, antimicrobial drugs, painkillers and disinfectants.

ICD-10

K52 Other non-infectious gastroenteritis and colitis

General information

Causes of proctitis

There are two groups of factors that cause the development of the disease - general and local. Local damaging factors include mechanical injuries, the introduction of chemicals, hot or cold solutions into the rectum, the transfer of infection from nearby organs, as well as neoplasms of the rectum. Proctitis can be caused by mechanical injuries during unqualified massage or self-massage of the rectum and prostate gland, homosexual sexual intercourse and the introduction of various objects into the rectum for the purpose of arousal and satisfaction.

Proctitis, caused by exposure to irritating chemicals, hot and cold solutions, usually occurs when trying to treat with “folk remedies”, improper or excessive use of enemas, rectal suppositories, etc. As “folk remedies” that provoke the development of proctitis, can be used alcohol, turpentine, essential oils (clove, eucalyptus, peppermint oil), iodine solution, concentrated calcium chloride solution, mustard and capsicum tinctures. All of these substances have an irritating effect, and patients often use them to treat hemorrhoids, anal fissures and other diseases, which aggravates the existing pathology and causes the development of inflammation of the mucous membrane.

Proctitis can also occur when infection spreads through contact from an inflamed vagina, urethra, bladder or perirectal tissue. Along with nonspecific infectious agents, the causative agent can be gonococci, chlamydia, trichomonas, etc. In patients suffering from cancer, the cause of proctitis can be disintegrating malignant tumors of the rectum and other perineal organs.

Proctitis is often diagnosed in patients with colon dyskinesia and irritable bowel syndrome, as well as in patients who have undergone surgery on the pelvic organs or suffer from chronic circulatory disorders in this area. The likelihood of developing proctitis increases with diseases of the pancreas, liver and gallbladder. Another reason for the development of proctitis is irradiation during the treatment of malignant neoplasia of the pelvic organs, most often uterine cancer and cervical cancer. The likelihood of developing a disease directly depends on the radiation dose.

Classification

• Catarrhal mucous- upon examination, swelling and redness of the mucous membrane are revealed; There is intense mucus secretion.
• Catarrhal-hemorrhagic- the mucous membrane is swollen, hyperemic, covered with numerous small hemorrhages.
• Catarrhal-purulent- redness and swelling of the mucous membrane are observed in combination with purulent discharge.
• Purulent-fibrinous- the inflamed mucous membrane becomes covered with purulent-fibrinous films that are difficult to remove.
• Erosive- superficial defects form on the surface of the intestinal mucosa.
• Ulcerative- deep defects appear on the surface of the mucosa.
• Ulcerative-necrotic- the formation of deep defects is combined with the formation of areas of necrosis.
• Polyposis- accompanied by the appearance of small growths resembling rectal polyps.

Treatment is conservative, usually carried out by a specialist in the field of outpatient proctology, and includes etiopathogenetic and symptomatic therapy. Patients are prescribed a gentle diet and bed rest, and are advised to avoid prolonged periods of sitting. After the condition improves, it is advised to maintain moderate physical activity. In severe forms of acute proctitis (ulcerative, ulcerative-necrotic), hospitalization in a hospital is indicated at the initial stage.

Various factors are important in the development of proctitis, taking into account the following:

Symptoms characteristic of proctitis

According to the clinical course, proctitis is divided into acute and chronic.

Acute proctitis has a sudden onset, accompanied by an increase in body temperature, chills, tenesmus (false urges) against the background of constipation, a feeling of heaviness in the rectum, and a strong burning sensation in it. Acute proctitis occurs infrequently, but when it occurs, it is severe due to pronounced subjective local sensations.

Acute proctitis can manifest itself in various morphological forms. The catarrhal-hemorrhagic form is characterized by hyperemia of the intestinal mucosa and scattered point hemorrhages. In the catarrhal-purulent form, hyperemia of the mucous membrane with the presence of pus on its surface is observed. The catarrhal mucous form is manifested by hyperemia of the rectal mucosa with the presence of mucus on its surface. In the polypous form, polyp-like formations are detected on the intestinal mucosa. Erosive proctitis is characterized by the presence of erosions on the intestinal mucosa, ulcerative proctitis is characterized by the formation of ulcerative defects.

Ulcerative proctitis characterized by the presence of multiple erosions or even ulcers on the rectal mucosa. Ulcerative proctitis is one of the forms of ulcerative colitis. However, the clinical course and treatment methods for ulcerative proctitis differ. With ulcerative proctitis, a process that involves a segment or the entire rectum may not spread higher. The clinical manifestations of the disease are very characteristic. Blood suddenly appears in the form of droplets on the surface of the stool. It can be either bright or dark, in the form of small clots. Subsequently, bloody or bloody-mucous discharge appears before stool or with a false urge. Intestinal function is not impaired. The patient usually does not experience any pain. The burning and itching sensation characteristic of proctitis is rarely observed. Radiation ulcerative proctitis often does not develop immediately, but several months after radiotherapy for a tumor of the prostate gland or female genital organs. Patients experience bloody discharge from the rectum, a feeling of heaviness, pressure in the intestine, and frequent false urges.

Chronic proctitis unlike acute, it is very common. It appears unnoticeably, gradually. There are almost no general symptoms. Local symptoms are also not clearly expressed: either only itching in the anal area, or weeping, or burning. Sometimes all these phenomena are observed simultaneously.

Often, the manifestations of chronic proctitis are so insignificant that the patient avoids going to the doctor, uses home remedies and continues to lead a normal lifestyle. Meanwhile, the process develops: when eating spicy food, the burning sensation in the rectum intensifies, mucous or mucopurulent discharge appears, and sometimes a sharp itching in the anus comes to the fore. Intestinal function is usually not affected.

Chronic proctitis can occur in hypertrophic, normotrophic and atrophic forms. In hypertrophic proctitis, the folds of the mucous membrane are thickened and loose; in normotrophic proctitis, they have a normal appearance; in atrophic proctitis, they are smoothed out, and the mucous membrane is thinned. Various degrees of hyperemia and edema of the mucous membrane, sometimes its contact vulnerability, are determined.

Complications

One of the complications may be a narrowing of the rectum.

Prevention

Prevention of proctitis comes down to timely treatment of diseases that contribute to its occurrence.

Forecast

Acute proctitis with proper treatment ends in recovery. With chronic proctitis, the prognosis is aggravated by more or less frequent exacerbations, discomfort and itching in the anus.

What can a doctor do?

The doctor makes a diagnosis based on medical history, examination, rectal examination and rectoscopy (sigmoidoscopy). To determine the degree and nature of inflammatory changes, a cytological examination of intestinal contents, stool culture to determine the composition of the intestinal microflora, and a biopsy of the mucous membrane are performed.

In severe forms of acute proctitis (catarrhal-purulent, erosive, polypous, ulcerative), treatment is carried out in a hospital. Bed rest and a diet with a limited amount of fiber are indicated, with the exception of spicy, fried foods, spices and alcohol. Anti-inflammatory therapy (antibiotics, sulfonamides) is prescribed taking into account the results of stool culture and the sensitivity of the microflora to drugs. Microenemas with collargol and chamomile infusion are used locally. When the symptoms of acute inflammation subside, oil microenemas, sitz baths with 0.01%, and a perineal warm shower are prescribed. In severe forms of nonspecific ulcerative proctitis, the use of corticosteroids has a beneficial effect.

Treatment of chronic proctitis can be carried out on an outpatient basis, using the same means as for the treatment of acute proctitis. Spa treatment is advisable. Prescribed mud therapy, intestinal lavage with warm alkaline water such as Borjomi, Essentuki, which promote the rejection of mucus and activate the motor function of the colon. They use a set of therapeutic measures aimed at combating it (massage, abdominal gymnastics to develop a strengthened defecation reflex), but laxatives should not be used. Treatment of complications of the disease (pronounced cicatricial narrowings) is surgical.

What can you do?

If you experience any feeling of discomfort, burning or itching in the anus, you should not self-medicate or turn a blind eye to it and think that everything will go away on its own. During this time, the process can only worsen and lead to complications. And, of course, it is imperative to treat the underlying disease that led to proctitis.

Proctitis is usually called an inflammatory lesion of the rectum of various origins, the severity of which varies from slight redness of the mucous membrane to deep ulcers. Depending on the reasons that caused it, coloproctologists, infectious disease specialists, surgeons, allergists or gastroenterologists can treat this disease, but the symptoms of proctitis are similar.

Proctitis is localized in a rather delicate area of ​​the human body, so many try to postpone visiting a specialized doctor or are panicky about examining this area. However, in order to get rid of an unpleasant disease as quickly as possible, it is necessary to thoroughly know its cause. Treatment at random or on the advice of non-professionals is fraught with chronicity of the process, its aggravation and the appearance of complications that require surgical manipulation.

Causes

And many reasons for the development of proctitis have been discovered. Inflammatory changes in the rectum can lead to:

Proctitis of different origins may have an identical clinical picture, but require completely different therapeutic measures.

Symptoms

Symptoms of proctitis can be caused by the damage to the rectum itself (local) or be associated with a systemic reaction of the whole body to inflammation (systemic).

Systemic manifestations of proctitis, indicating the seriousness of the process, may include:

• fever;
• weight loss;
• decreased appetite;
• weakness;
• psycho-emotional disorders;
• rash;
• joint pain;
• lacrimation, redness of the eyes.

The last three symptoms are observed with allergic, immune or infectious damage. Sometimes they even precede local manifestations.

Diagnostics

Regardless of the origin of proctitis, patients need a full examination. Only a specialist can correctly determine its volume. Most often, the list of diagnostic procedures includes:

Instrumental examinations are not very pleasant for the patient, but are quite tolerable. If the doctor insists on the need for fibrocolonoscopy, then you should not immediately reject this sometimes painful procedure. In most hospitals and modern outpatient clinics, it can be performed by placing the patient in a state of short-term medicated sleep.

Treatment

Only after finding out the exact causes of proctitis can the doctor begin treatment. Its composition and character vary greatly, as they are determined by the nature of proctitis, its severity, the presence of systemic symptoms, the development of complications (constrictions, fistulas, intestinal obstruction, precancerous transformation of the mucosa, etc.). Some patients are prescribed a short-term course (usually for acute proctitis), while others require lifelong treatment and medical supervision.

The complex of treatment for proctitis may include:

• pharmacological (local and systemic) agents;
• physiotherapy;
• herbal medicine;
• surgical operations.

In the treatment of proctitis (as opposed to inflammation of other parts of the intestine), the role of local therapy is extremely important. The anatomical location and short length of the rectum make it possible to widely use all kinds of therapeutic enemas (with medicines, herbs, oils, fish oil, mineral water, etc.), suppositories, foams, which are injected directly into the anus. In some situations, you can even limit yourself to local therapy only.

Drug treatment

A wide range of pharmacotherapy for proctitis may include:

Of course, all of the listed drug groups are not prescribed to one patient. They are selected purely individually, sometimes a change in medications is required.

Physiotherapy

For proctitis, physiotherapeutic procedures should be prescribed very thoughtfully and carefully. Otherwise, they will cause even greater activation of the pathological process or bleeding.

In order to reduce inflammation, physiotherapists can recommend sessions of electrophoresis with calcium chloride or novocaine, sinusoidal modulated currents, UHF, intestinal irrigation with mineral water (subaquatic baths), mud therapy, electropuncture, etc. Some of these procedures are allowed in the acute period, but most are used outside the acute phase .

Phytotherapy

For microenemas or therapeutic sitz baths, infusions or decoctions of plants that have an antiseptic, anti-inflammatory or astringent effect are used. They are prepared from St. John's wort, sage, flax seed, chamomile, celandine, cinquefoil, calendula, elderflower, burnet root, oak bark, knotweed, and string.

An inflammatory disease of the rectal mucosa is called proctitis. As a rule, inflammation of the rectum becomes a consequence of the patient’s pre-existing diseases of the large intestine, acute intestinal infections, sexually transmitted diseases, and operations on the rectum.

Manifestations of proctitis

Proctitis can be in acute or chronic forms, which determine the characteristics of the clinical picture of the disease. Acute proctitis begins suddenly, the patient's body temperature rises, chills and fever occur. Despite constipation, quite often there is a false urge to defecate and heaviness in the rectal area. The acute form of this disease occurs infrequently. Much more common is chronic proctitis. It occurs gradually, with virtually no clinical picture. Note the sensation of itching or burning in the anal area and slight weeping. For some time, these symptoms can be quite successfully relieved with home remedies, which allows the patient to postpone a visit to the doctor. However, as soon as you break your diet, consume spicy food or alcohol, the patient immediately feels an increased burning sensation in the rectal area, and mucous discharge appears, sometimes mixed with pus. The sooner you undergo examination and appropriate treatment, the higher the chances of a full recovery.

Diagnosis and treatment of proctitis

To confirm the diagnosis of proctitis, the doctor conducts not only a digital examination of the rectum, but also prescribes endoscopic diagnostics. Rectoscopy, biopsy examination of the rectal mucosa, and bacteriological culture of a smear from the intestine for microflora are very informative. Treatment of proctitis is a very difficult task. First of all, the patient’s diet is corrected. During the period of treatment of proctitis, spicy, salty and sour foods, alcohol, plant foods, juices, and sweet dishes are excluded. Subsequently, the diet may be slightly expanded, but some caution should be exercised, since there is a high probability of developing relapses of the disease. Be sure to adhere to the drinking regime. Treatment of proctitis in the acute phase consists of eliminating inflammation and gently cleansing the intestines. Therapeutic microenemas, ointments and suppositories are used. Typically, treatment for proctitis takes a fairly long period, but if all recommendations are followed, the chance of a complete recovery is high.

Treatment of proctitis with medications: suppositories, antibiotics. Typically, proctitis therapy is carried out on an outpatient basis. Severe forms of proctitis are treated with suppositories. To treat ulcerative proctitis, suppositories with sulfasalazine or prednisol are used. If the patient does not go to the doctor, but begins to be treated at home with suppositories, ointments or tablets, treatment of proctitis is effective only under medical supervision. Drug treatment of proctitis. For inflammation of the rectum, treatment includes suppositories with methyluracil, sea buckthorn oil will accelerate the regeneration of damaged tissue. Methods of treatment. If the diagnosis of proctitis is confirmed, treatment must be prescribed; the doctor may also prescribe topical preparations, suppositories or ointments for proctitis. Treatment of proctitis with the use of medications, enemas. Proctitis causes, symptoms, diagnosis. Paraproctitis suppositories with sea buckthorn for hemorrhoids. Suppositories Betiol, Anuzol with painkillers. Treatment of chronic proctitis: elimination of causative factors, gentle diet.
Treatment of proctitis. Questions and answers. Ask a Question. Question: can ultraproct suppositories cure paraproctitis? the lump seemed to disappear. Proctitis - symptoms and treatment of proctitis. Proctitis is inflammation of the rectum. Corticosteroid suppositories and ointments, such as hydrocortisone, are used to reduce. Methods for treating proctitis. There are several directions in the treatment of any form of proctitis.
Suppositories can be used with methyluracil, antiseptics and anesthetics, depending. Proctitis treatment. To treat bacterial infections, antibiotics, corticosteroid suppositories or mesalamine suppositories or oral tablets may be prescribed. Local treatment of chronic proctitis is essentially the same as for acute proctitis. They advised me to take proctazan and suppositories. It helped, it didn’t hurt to go to the toilet. Proctitis with its symptoms is no exception. If there is no adequate and timely treatment during pregnancy, then treatment with microenemas and glycerin suppositories is used. Candles and aerosols containing sea buckthorn oil complement regeneration therapy. Proctitis caused by autoimmune ulcerative colitis requires treatment. Conclusion. We talked about how and how hemorrhoids, proctitis, and anal eczema are treated - treatment with doloproct suppositories, cream, instructions for use are also discussed.
Treatment of proctitis: what can a doctor do? but suppositories. Drugs that affect the digestive system and metabolic processes. In the treatment of chronic proctitis, special suppositories and ointments are used, but the use of suppositories is not allowed in all cases. But the symptoms and treatment of ulcerative proctitis are very different from those of colitis. These include methyluracil suppositories; it is recommended to administer a suppository three times. Treatment of proctitis. Idiopathic proctitis. Usually, enemas or suppositories with mesalazine or enemas with glucocorticoids are prescribed once a day.

Proctitis

Acute proctitis with proper treatment ends in recovery. With chronic proctitis, the prognosis is aggravated by more or less frequent exacerbations, discomfort and itching in the anus.

What can a doctor do?

The doctor makes a diagnosis based on medical history, examination, rectal examination and rectoscopy. To determine the degree and nature of inflammatory changes, a cytological examination of intestinal contents, stool culture to determine the composition of the intestinal microflora, and a biopsy of the mucous membrane are performed.

In severe forms of acute proctitis, treatment is carried out in a hospital. Bed rest and a diet with a limited amount of fiber are indicated, with the exception of spicy, fried foods, spices and alcohol. Anti-inflammatory therapy is prescribed taking into account the results of stool culture and the sensitivity of the microflora to drugs. Microenemas with collargol and chamomile infusion are used locally. When the symptoms of acute inflammation subside, oil microenemas and sitz baths with 0.01% potassium permanganate are prescribed. perineal warm shower. In severe forms of nonspecific ulcerative proctitis, the use of corticosteroids has a beneficial effect.

Treatment of chronic proctitis can be carried out on an outpatient basis, using the same means as for the treatment of acute proctitis. Spa treatment is advisable. Prescribed mud therapy, intestinal lavage with warm alkaline water such as Borjomi, Essentuki, which promote the rejection of mucus and activate the motor function of the colon. A set of therapeutic measures is used to combat constipation, but laxatives should not be used. Treatment of complications of the disease is surgical.

If you experience any feeling of discomfort, burning or itching in the anus, you should not self-medicate or turn a blind eye to it and think that everything will go away on its own. During this time, the process can only worsen and lead to complications. And, of course, it is imperative to treat the underlying disease that led to proctitis.

Proctitis - treatment

Proctitis is an inflammation of the rectal mucosa. This disease brings a lot of inconvenience to the patient, but timely and qualified treatment will help quickly overcome this disease.

Treatment of proctitis depends on the form of this disease and its severity, but each patient should follow a special strict diet. It provides:

Drug treatment of proctitis is carried out mainly with the help of antibiotics. They are necessary to suppress infection. Along with them, the patient is always prescribed antibacterial drugs. If a patient is diagnosed with radiation proctitis, treatment should be carried out using Corizol or Mesalacin suppositories. For radiation proctitis, mud therapy will help: therapeutic mud is applied to rectal tampons and segmental areas.

For proctitis, local therapy should also be performed. These can be microenemas with collargol or chamomile solution. When the inflammatory process subsides, it is worth continuing treatment with microenemas, but they should be oil-based. The patient also needs to take sitz baths. They must be made with a 0.01% solution of potassium permanganate. A warm shower on the perineal area will also not be amiss. It will relieve pain in both acute and chronic proctitis.

Surgery is only necessary in cases where scars form on the intestines and this causes it to narrow.

Treatment of proctitis at home

Proctitis can also be treated at home. With this inflammatory process, microenemas that are performed before bedtime help. A solution for them can be made from 15 ml of calendula infusion and 15 ml of 3% boric acid solution. If the patient has erosive proctitis, treatment can be carried out using calendula infusion. To prepare it: Take this remedy orally, 20 ml three times a day. You can also make microenemas with it, but for this you need to dilute 10 ml of the infusion in a quarter glass of water.

An infusion of horsetail is considered a good folk remedy for the treatment of proctitis. It is best to take sitz baths with it. For this:

1. Half a glass of horsetail is poured with 1000 ml of boiling water.
2. Infuse the mixture for 10 minutes.
3. Then it is filtered and poured into the bath.
4. The treatment procedure should last 30 minutes.

Treatment of proctitis

Treatment of proctitis is not particularly difficult. All events are usually held at home. Previously, the patient undergoes laboratory tests to determine the causative agent of the inflammatory process, and undergoes sigmoidoscopy to identify the type of disease. These diagnostic procedures ensure the correct development of treatment tactics.

Antibacterial therapy takes place only after bacterial culture of the flora. They are available in the form of tablets, powder or rectal suppositories. The drugs have a calming, antipruritic, anti-inflammatory effect, some also relieve pain. The treatment complex for acute or chronic proctitis includes physiotherapeutic procedures:

• mud therapy,
• paraffin therapy,
• hydrotherapy,
• physiotherapy,
• massage.

Diet
During the period of acute inflammation, it is necessary to strictly limit the consumption of alcohol-containing drinks, spicy, salty, smoked, spicy dishes, and coarse plant foods. Sweets, chocolate, and juices are also not recommended. These foods irritate the intestines and can make the situation worse. Your diet should include lean meat, fish, cereals, and baked apples. It is advisable to drink more fluids; water from Borjomi, Essentuki, etc. enhances the therapeutic effect.

General treatment consists of strengthening the body's defenses, preventing the development of chronic proctitis and complications of this disease. The doctor prescribes medications that improve the functioning of the gastrointestinal tract and vitamin complexes. In severe advanced cases, bed rest and sometimes hospitalization are required. A frequent complication of inflammation is narrowing of the rectum. This pathology develops when proctitis is treated improperly or therapeutic methods are neglected.

Sources: roseola.ru, lifewithgemorroy.east-medicine.ru, health.mail.ru, womanadvice.ru, procto-log.ru

Proctitis is an inflammatory disease that is localized in the rectum. First of all, it affects the intestinal mucosa. Very often, proctitis occurs together with sigmoiditis - inflammation of the sigmoid colon (in this case we are talking about proctosigmoiditis).

According to WHO, the risk of developing this disease is observed in 60% of residents of developed countries. Therefore, it is important to remember that early diagnosis plays an important role in the treatment of this disease. Over time, untreated proctitis develops complications and becomes chronic.

Causes of the disease

The cause of the disease is the inflammatory process. The reason for the development of the disease can be a variety of factors:

There are diseases and conditions that do not directly cause proctitis, but contribute to its development and seriously increase the risk of the disease:

• Hypothermia.
• Inflammation, intestinal injury.
• Haemorrhoids.
• Infectious diseases of the rectum.
• Anal fissures.
• Paraproctitis.
• Abscesses of the intestinal wall.
• Inflammatory diseases of neighboring organs.
• Infectious diseases of the genitourinary system.

Symptoms and forms of the disease

Based on clinical manifestations, there are two main forms – acute and chronic. These two varieties most clearly differ from each other in the symptoms and complaints of the patient.

• It begins suddenly, without preconditions or malaise.
• Body temperature rises to 38-40 degrees.
• Chills occur.
• False urges to go to the toilet appear, and at the same time constipation appears.
• Pain in the rectum is often accompanied by a feeling of heaviness.
• There is a burning sensation and itching in the anal area.
• There may be blood in the stool.

Acute proctitis occurs quite rarely, much more often patients present with the chronic form. At the same time, an acute disease occurs with great discomfort for the patient. The patient's subjective sensations are very unpleasant. Symptoms of the acute form force you to consult a proctologist immediately.

There are several morphological forms of acute proctitis:

• Catarrhal hemorrhagic proctitis. This form of the disease is characterized by severe swelling of the intestinal mucosa. Non-systemic submucosal hemorrhages (hemorrhages) occur.
• Catarrhal mucous proctitis is characterized by the accumulation of large amounts of mucus in the intestinal lumen.
• Catarrhal purulent proctitis is characterized by the presence of pus on the surface of the edematous mucosa.
• Separately, the polypous form is distinguished when, upon examination, polyps are detected on the intestinal mucosa.
• Erosive, ulcerative proctitis is a special form. It is characterized by the formation of long-term non-healing erosions and/or ulcers on the rectal mucosa.

Ulcerative proctitis is one of the most severe forms of proctitis. Upon examination, you can find many lesions and ulcers on the intestinal walls. The course of the disease is characterized by the slow spread of the pathological process; inflammation affects one part of the intestine and spreads further. This may be a manifestation of a serious inflammatory disease - nonspecific ulcerative colitis (UC).

Chronic proctitis

The chronic form of the disease is widespread. It occurs unnoticed, so in the first stages of the disease, patients do not rush to see a doctor.

Standard disturbing symptoms are practically absent, often only local discomfort is observed:

• Irritation in the anal area.
• Discomfort before or after bowel movement.
• Burning, itching in the rectal area.

These symptoms do not cause concern in patients at first. Many patients prefer to treat themselves or simply wait. It is important to know that this is a fundamentally wrong approach: without treatment, the pathological process only intensifies. If you do not follow a diet, then “wrong” food in the absence of treatment will provoke increased secretion of mucus and pus, the progression of the disease.

Chronic proctitis can cause many serious complications. In some cases, you will have to resort to surgical treatment. The key to recovery is a timely visit to a proctologist, diagnosis and compliance with all doctor’s recommendations.

Diagnosis and treatment of proctitis

Diagnosis begins with collecting anamnesis. The proctologist interviews the patient, clarifies complaints and the history of the disease. Usually instrumental studies are prescribed, since the chronic form does not have a specific clinical picture and is difficult to recognize only from the patient’s complaints. Diagnostics consists of examination, instrumental studies and laboratory tests. During the examination, the proctologist performs a digital examination of the intestine, anoscopy, and sigmoidoscopy (instrumental endoscopic examination of the rectum).

To assess inflammation, laboratory diagnostic tests are performed:

• Stool tests (coprogram, microflora culture, calprotectin).
• Clinical studies of blood and urine.
• Cytological and histological studies of intestinal material taken during biopsy during examination, and others.

Modern methods of diagnosis and treatment allow therapy to be carried out in an outpatient setting. The patient does not have to be in a medical hospital. First of all, the patient is explained the features of the diet, without which treatment is impossible: avoidance of alcohol, spicy, fried, fatty foods, herbs and spices.

Based on the results of laboratory tests, treatment is selected, including antibacterial therapy (depending on the causative agent of inflammation). Local anti-inflammatory drugs are used in the form of suppositories and microenemas. They help alleviate the condition and relieve the main symptoms.

To combat constipation and maintain normal bowel function, a number of procedures are prescribed: from medications to special exercises. It is generally accepted that proper treatment is a set of measures, each of which is important in its own way.

In some cases, surgical treatment may be used - for example, for polyps. The need and scope of the operation are calculated individually for each case.

Prognosis and prevention

Prevention of the development of complications is the timely treatment of any acute gastrointestinal diseases, as well as observation by a doctor and correction of chronic diseases of the stomach and intestines.

The prognosis for proctitis is generally favorable: with proper treatment, it is possible to completely eliminate the manifestations of the acute form of the disease. Treatment of chronic proctitis lasts almost a long time, and episodes of exacerbations are possible. The success of therapy depends on the individual characteristics of the body, as well as on compliance with the treatment plan.

At the CELT clinic, leading specialists consult on your health issues. Polite and friendly doctors will help you recover. The CELT proctology service offers consultations with high-class proctologists. Start treatment on time and you won’t have to suffer from the disease for years.