HEALTH

Is proctitis curable?

   Have you ever felt a burning sensation after a long bowel movement such as after eating super spicy food or probably when having diarrhoea? It can be a great discomfort if this sensation lasts for a long time. The worst thing is, you may not even know it may be an inflammation to the bottom area and you may just let it be. Though it is true that in most cases that the burning sensation does go away on its own, conditions such as proctitis may be a great concern. You can get health services for these conditions.

  Proctitis is an inflammation of the rectum’s lining. Rectum is the lower part of the large intestine connected to the sigmoid colon. Rectum receives wastes from the colon and acts as storage before it is passed as stool. Although the name itself proctitis is associated with inflammation, it can be painless or a painful one. Due to the fact that proctitis is close to the anus, rectal pain, tenesmus or rectal discharge can be found in patients with proctitis.

   There are many causes for proctitis. It is grouped as inflammatory bowel disease, harmful substances, non-sexually transmitted infection and sexually transmitted diseases. There are two types of inflammatory bowel disease which are ulcerative colitis and Crohn’s disease, both of which can cause proctitis. Proctitis caused by STD is common in those who have had anal intercourse. Common STD associated is herpes, chlamydia and gonorrhoea. Infections beside STD are considered less common. A type of proctitis not caused by STD is strep throat in children. Other infections in rectum that can cause proctitis include food poisoning such as Salmonella and those taking antibiotics such as Clostridioides difficile (C. diff). Proctitis may be caused by radiation therapy to treat cancer in the pelvic area or lower abdomen. Other causes of proctitis include injury to the anus or rectum, side effects of medicine and disrupted blood flow to the rectum.

   Symptoms of proctitis are commonly the pain in the rectal area and the frequent need for bowel movement even after the bowel is already emptied (tenesmus). Painful defecation, bleeding in the rectal area and diarrhoea with blood can be found in proctitis. Constipation may follow after the diarrhoea. In some cases, stool may appear normal but surrounded by blood and mucus. Abdominal pain or cramp can occur, especially during bowel movement. Proctitis itself often runs mild and in intermittent courses throughout many years. When proctitis is caused by gonorrhoea or herpes, anus and rectum can be in intense pain. Men may have trouble with penile erection in cases of gonorrheal proctitis.

    Due to the fact that there are many causes of proctitis, diagnosis was made not only to detect the proctitis but also understand the cause behind the condition. Diagnosis often requires endoscopy such as sigmoidoscopy or colonoscopy and may also run proctoscopy. This is of course after the blood test is done. Doctors may also run stool tests by asking patients to store small samples of stool to be checked in the laboratory. Rectal culture may be done by taking a swab inside the rectum. In certain cases, rectal biopsy may be done to distinguish chronic ulcerative colitis.

   Treatment provided for proctitis will depend on the proctitis and its cause. For proctitis in inflammatory bowel disease, doctors often prescribe medications that reduce inflammation such as corticosteroids, immunosuppressants and biologic agents. Doctors may recommend surgery to treat proctitis in inflammatory bowel disease if medicine seems ineffective or if there are already complications. In infectious proctitis, antibiotics are given for bacterial infections and antiviral for viral infections. For radiation proctitis, treatment will depend on the severity of the condition. For example, mild conditions may only require medicines such as corticosteroids to heal the lining of the rectum. Lower endoscopy procedure may be needed in severe rectal bleeding.

  Patients with proctitis may wonder if the condition is curable. Yes, it is curable with the proper treatment. Even though proctitis may persist in many years, there is no association of the condition that can increase the likelihood of developing cancer of the rectum or colon. With proper treatment, proctitis usually is periodic and mild but it may be severe in certain episodes. Inflammation that spreads beyond the rectum is only in 10 to 30% individuals with proctitis. While it may be impossible to prevent all proctitis, proctitis caused by STD can be prevented with safe sex practices.  This can curb the condition from spreading. 

  It can be concluded that proctitis is the inflammation to the lining of the rectum. It can occur in anyone with many causes. Diagnosis is often made with endoscopy and proctoscopy. Treatment for proctitis often depends on the underlying cause. It is important for those with proctitis to get proper treatment to avoid complications such as anaemia, severe bleeding, anal fistula or recto-vaginal fistula. Fistula is the abnormal connection between organs.

Abdus Subhan

Abdus Subhan also writes for Nybreaking, Moralstory.org, Techbullion, Filmdaily, waterwaysmagazine, Designerwomen, Businesstomark, ventsmagazine, Stylevanity, and other good quality sites. Contact: seven7starseoexpert@gmail.com


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