Q. Can proctitis be treated naturally?

Hello,

Welcome to icliniq.com.

Well proctitis can be due to various other reason such as infection, constipation causing ulcers in the rectum (stecoral ulcer), solitary rectal ulcers syndrome (SRUS), and less commonly ulcerative procitis which is variant of ulcerative colitis limited to the rectum only.

For me to diagnose which of the above conditions you have I would like that you share with me the colonoscopy report and biopsy report. We take ulcerative colitis and its statistics here for example. The diagnosis Proctitis only does not increase the risk of colon cancer. But yes, if it involve proximal, means it extends to the large bowel such as sigmoid and descending colon, then there is risk of colon cancer. But overall cancer risk is less even in only left side of colitis which involve to descending colon and sigmoid colon. The risk is around 20% for extension of the disease. The disease can be controlled although cannot be cured. But the natural history is variable in each case. It is possible that you may not have any more relapses.

Hello,

Welcome back to icliniq.com.

Yes, they are due to suppositories. You need not worry about it. I think on colonoscopy, and your doctor probably thought of ulcerative proctitis because there are certain colonoscopic features that can suggest that diagnosis. This is the reason why your physician suggested the treatment straightaway.

Although Mesalamine suppository are commonly indicated in ulcerative proctitis, this is not the only indication. Mesalamine has been used in conditions like solitary rectal ulcer syndrome, segmental colitis associated with diverticulosis (SCAD). Both can cause bleeding in the rectum. So I think waiting for the biopsy is the best approach now. I would be more confident in telling you the diagnosis then.

Mesalamine is an anti-inflammatory, but it takes some time before showing the effect. If it does not improve bleeding in the next 72 hours, we can consider steroid enemas to reduce local inflammation in the rectum.

Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Dr. Ajeet Kumar

Experience: 13 + Yrs

Medical Gastroenterology

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