Treatment Options for Proctitis: A Comprehensive Guide

Proctitis refers to the inflammation of the rectum and can be categorized into general proctitis and ulcerative proctitis. The treatment approach varies depending on the type and severity of the condition. Understanding the appropriate methods of care is essential for effective management and long-term relief.

Local Treatment Methods

One of the most accessible ways to treat proctitis is through localized therapy. Since the rectum is close to the anus, administering medication directly via the rectal route is both efficient and effective. A commonly recommended treatment includes the use of herbal enemas, such as Phellodendron liquid, which can help reduce inflammation and soothe irritation.

Managing General Proctitis

For cases of general proctitis, oral medications are typically prescribed. These may include herbal supplements like Shen Ling Bai Zhu capsules, which are known for their digestive and anti-inflammatory properties. In addition, antibiotics may be used to address any bacterial imbalances or infections. Probiotics also play a crucial role in restoring gut flora and promoting intestinal health.

Addressing Ulcerative Proctitis

Ulcerative proctitis is a more severe form of the condition and is classified as an autoimmune disorder. Common symptoms include frequent passage of stools mixed with pus and blood, rectal discomfort, a feeling of heaviness in the anal region, and tenesmus (a persistent urge to empty the bowels).

Treating ulcerative proctitis can be challenging and often requires a more intensive approach. One of the standard therapies involves the use of mesalamine suppositories or mesalamine enema solutions. These medications help reduce inflammation and prevent flare-ups. In some cases, a combination of Phellodendron liquid with traditional remedies like Xilei powder may be administered through a retention enema for better results.

Importance of Long-Term Management

Even in cases where symptoms such as bloody stools or rectal irritation subside, it is crucial to continue treatment for a minimum of two years to prevent relapse. Consistent management helps maintain remission and supports overall gastrointestinal wellness.