How To Treat Proctitis

Proctitis, an inflammation of the rectum, is generally categorized into two types: non-ulcerative proctitis and ulcerative proctitis. Each type requires a specific approach to treatment, depending on the severity and underlying cause.

Understanding Non-Ulcerative Proctitis

Non-ulcerative proctitis typically involves mild inflammation and can often be managed effectively with conservative treatment methods. One of the most common and accessible treatments is local medication, such as herbal enemas using solutions like Huang Bai Ye (Phellodendron bark liquid). These enemas help reduce inflammation and promote healing directly at the site of irritation.

Treatment Options for Non-Ulcerative Proctitis

Oral Medications

For general cases of proctitis, oral medications may be prescribed. These include Shen Ling Bai Zhu Capsules, which help regulate digestive function, along with antibiotics to address any bacterial imbalances and probiotics to restore healthy gut flora. These treatments are generally well tolerated and can provide relief from symptoms such as discomfort and irregular bowel habits.

Managing Ulcerative Proctitis

Ulcerative proctitis is a more severe form of the condition and is classified as an autoimmune disorder. It is characterized by symptoms such as bloody diarrhea, rectal urgency, tenesmus, and a persistent feeling of fullness in the rectum. Managing this form of proctitis can be more complex and often requires long-term therapy.

Targeted Medications

Commonly prescribed treatments include mesalamine suppositories or enema solutions, which are highly effective in reducing inflammation in the rectal area. Another effective option is a combination of Huang Bai Ye and Xi Lei San herbal preparations administered as a retention enema. These treatments help soothe the inflamed mucosa and promote tissue repair.

Long-Term Management

Even when symptoms subside and there are no visible signs like pus or blood in the stool, it is essential to continue maintenance therapy for at least two years to prevent relapse and ensure long-term remission. Patients should work closely with their healthcare provider to monitor progress and adjust treatment as needed.