Common Symptoms of Proctitis and How to Manage Them

The rectum, located at the end of the large intestine, is responsible for storing and expelling fecal matter. When inflammation occurs in this area, it can lead to a range of uncomfortable symptoms. One of the most common signs of rectal inflammation is alternating episodes of constipation and diarrhea. Additionally, stool may be accompanied by mucus or even fresh blood, which can be alarming for many individuals.

Recognizing the Physical Discomfort

People suffering from proctitis often experience a persistent feeling of pressure or fullness in the lower abdomen during bowel movements. This sensation is frequently described as a "bearing-down" feeling, coupled with the frustrating perception that the bowels cannot be fully emptied, no matter how long one stays on the toilet.

Additional Signs and Systemic Effects

Typically, bowel movements are small in volume but occur more frequently throughout the day. In more severe cases, patients may also experience nausea, vomiting, bloating, and a significant decrease in appetite. These symptoms can eventually lead to malnutrition and other systemic complications if left untreated. It's important to note that different types of proctitis may require different treatment approaches, depending on the underlying cause.

Treatment Options and Medical Interventions

Medical treatment for rectal inflammation primarily involves medication therapy. Depending on the severity and cause of the condition, doctors may prescribe oral medications, suppositories, or enemas to target the inflammation directly. Probiotics are often included in the treatment plan to help restore a healthy balance of gut bacteria and improve overall intestinal health.

Supportive Therapies and Long-Term Care

In some cases, physicians may also recommend additional medications such as glutamine or pinaverium bromide (Dicetel) to aid in the healing of the intestinal lining or to regulate bowel motility. For chronic or recurrent cases of proctitis that significantly impact quality of life or nutritional status, dietary modifications and nutritional supplementation become essential components of comprehensive care.