Chronic Proctitis: Symptoms and Effective Treatment Options

Chronic proctitis is a condition that affects the rectum and is often characterized by persistent or recurring symptoms. The primary indicators include diarrhea, occasional abdominal pain, and a sensation known as tenesmus. Tenesmus refers to the feeling of needing to have a bowel movement even after the bowels have been emptied, often accompanied by a sense of rectal heaviness or pressure. These symptoms can significantly impact a person's quality of life if not addressed properly.

Understanding the Symptoms

One of the hallmark signs of chronic proctitis is frequent bowel movements with a strong urge to defecate, despite little or no stool being passed. This discomfort is often localized in the lower abdomen and rectal area. In mild cases, symptoms may be intermittent and manageable without aggressive medical intervention. However, when symptoms become more frequent or severe, it is essential to seek appropriate treatment to prevent complications.

Mild Cases: Lifestyle and Dietary Adjustments

For individuals experiencing mild symptoms such as occasional abdominal discomfort and loose stools, medical treatment may not always be necessary. Instead, focusing on dietary modifications can be highly effective. Avoiding spicy, greasy, and cold foods is recommended, as these can irritate the digestive tract. Maintaining a balanced and regular eating schedule can help regulate bowel function and reduce flare-ups.

Advanced Treatment for Severe Inflammation

In more severe cases where symptoms like frequent diarrhea and intense abdominal pain are present, especially when confirmed by a colonoscopy showing rectal erosion or ulcers, targeted medical therapy becomes essential. Several treatment options are available, including both conventional and alternative approaches.

Pharmaceutical and Medical Interventions

Western medicine offers a variety of medications, such as anti-inflammatory drugs and agents that help regulate gut flora. Additionally, herbal remedies and traditional Chinese medicine (TCM) formulations have shown promise in managing chronic proctitis. A commonly used approach involves direct rectal administration of medication through enemas. This method allows the treatment to target the affected area more effectively, bypassing the limitations of oral medication, which often results in lower concentrations reaching the rectum due to absorption barriers.

Enema Therapy for Targeted Relief

Enema treatments are particularly effective for localized rectal conditions. For cases involving simple inflammation and swelling, metronidazole—a well-known antibiotic—is often used in enema form to reduce infection and inflammation. However, over recent years, clinical observations have demonstrated that herbal enema formulas can provide superior results, especially for patients suffering from rectal ulcers or erosions. These natural formulations may offer enhanced healing properties with fewer side effects compared to synthetic drugs.