Can Ulcerative Proctitis Turn Into Cancer?

Ulcerative proctitis is a condition that primarily affects the rectum, causing inflammation and ulcers in the lining. One of the most common symptoms is lower abdominal pain, often accompanied by bloody stools and mucus in the feces. Patients typically experience bowel movements three to five times a day, along with a persistent feeling of urgency and incomplete evacuation.

Is There a Cancer Risk?

Ulcerative proctitis is classified as a benign condition, meaning it is not cancerous and generally does not lead to malignancy. However, because it is a form of inflammatory bowel disease (IBD), long-term inflammation may increase the risk of colorectal cancer over time, especially if the condition is not properly managed. Therefore, regular monitoring through colonoscopies is strongly recommended to detect any abnormal changes early.

Symptom Management and Treatment Options

Managing ulcerative proctitis involves both medication and lifestyle adjustments. A common treatment approach includes the use of rectal suppositories containing mesalamine (also known as mesalazine), which helps reduce inflammation directly in the rectal area. Oral probiotics such as lactobacillus supplements or triple-strain bifidobacterium capsules can also support gut health and improve symptoms.

Relief from Abdominal Pain

For patients experiencing cramping or spasmodic pain, antispasmodic medications like pinaverium bromide or otilonium bromide can provide relief by relaxing the muscles in the gastrointestinal tract. These medications are generally well-tolerated and can significantly improve comfort levels.

Importance of Regular Check-ups

Because ulcerative proctitis can be recurrent and symptoms may flare up unexpectedly, it's essential to maintain regular follow-ups with a gastroenterologist. Routine colonoscopies, sometimes combined with biopsy tests, allow for close monitoring of any changes in the rectal tissue and help ensure early intervention if necessary.