Home Gums A case study of chronic proctitis. Intestinal proctitis: symptoms and treatment in adults

A case study of chronic proctitis. Intestinal proctitis: symptoms and treatment in adults

Surgical diseases Tatyana Dmitrievna Selezneva

Proctitis

Proctitis – acute or chronic inflammation rectal mucosa.

Acute proctitis is characterized by pain, a burning sensation and fullness in the rectum, frequent urge to defecate, discharge of liquid mucus, serous-bloody fluid, sometimes mixed with pus.

Chronic proctitis can develop from acute proctitis, and in some cases independently. There are catarrhal and ulcerative forms of chronic proctitis.

At treatment For acute proctitis, the patient needs rest and a light, low-slag diet. 50 ml of a 0.5% solution of collargol or olive oil is injected locally into the rectum.

In case of chronic proctitis, the rectum should be washed daily with a weak solution of potassium permanganate, silver nitrate (1: 5000).

Subaqueous enemas are used to treat proctitis, chronic constipation, colitis, obesity, some diseases of the female internal genital organs, and hepatitis. Depending on the indications for such enemas, an isotonic solution of sodium chloride, mineral water, ordinary boiled water(38 – 39 °C), to which add essential oils or medications. Enemas are given to the patient in a bath of water heated to 35 - 37 °C. For a subaqueous enema, 25–30 liters of liquid are required, which is injected into the rectum in portions of 1–2 liters. The procedure lasts no more than 30 minutes. The system of pipes supplying liquid for subaqueous intestinal lavage and pipes through which water with excrement flows must be hermetically sealed from the water filling the bath. In a special funnel that collects rinsing water and excrement, negative pressure is created, facilitating evacuation from the intestines.

From the book Calendula - golden flowers of health author Nina Anatolyevna Bashkirtseva

Proctitis Proctitis is an inflammation of the rectal mucosa. Often proctitis is combined with inflammation in the sigmoid colon (proctosigmoiditis). The reasons for the development of proctitis include the consumption of spicy foods, spices, and large doses of alcohol. There is gonorrheal proctitis,

From the book Thalasso and Diet author Irina Krasotkina

PROCTITIS, RECTITIS May be accompanied by pain in the anus, a painful urge to go down in the absence of discharge, and possibly an increase in temperature. For constipation, a mild laxative. Spicy foods, spices, coffee, and alcohol are excluded from the diet. General strengthening

From the book Paramedic's Handbook author Galina Yurievna Lazareva

Proctitis Proctitis is an inflammation of the rectal wall. There are acute and chronic forms of the disease. Acute proctitis most often occurs as a result of traumatic injuries to the rectal mucosa as a result of traumatic injuries, the presence

From the book Health Pharmacy according to Bolotov author Gleb Pogozhev

Proctitis (inflammation of the intestines) Before starting treatment for proctitis, it is recommended to examine the intestines by a proctologist so as not to cause complex cases

From the book Golden Recipes for Health and Longevity author Gleb Pogozhev

From the book Green Encyclopedia of Health. Best Recipes alternative medicine author Alexander Korodetsky

Proctitis (inflammation of the intestines) Before starting treatment for proctitis, it is recommended to examine the intestines by a proctologist so as not to develop complex cases of the disease. Oxidation of the body For 1–2 weeks, you need to take celandine enzyme 30 minutes before meals, 0.5

From the book Five Steps to Immortality author Boris Vasilievich Bolotov

Inflammation of the intestines (proctitis) Long-term refusal to eat salt provokes the occurrence of proctitis. Its signs: severe pain in all parts of the abdomen, in the heart, headaches, accumulation of gases, diarrhea. Before starting treatment, it is recommended to examine the intestines by a proctologist.

From the book Hemorrhoids. Cure without surgery by Victor Kovalev

Proctitis In medical terminology, the ending “...it” denotes an inflammatory process. Gastritis - inflammation of the stomach; pharyngitis - inflammation of the pharynx; otitis - inflammation of the middle ear; prostatitis - inflammation prostate gland and so on. “Proktos (prokt)” translated from

From the book Healing Apple Cider Vinegar author Nikolai Illarionovich Danikov

Proctitis, inflammation of the rectum - Take 20 g of knotweed rhizomes, oak bark, wheatgrass, yarrow and thyme, burdock seeds; Pour 5 g of the mixture into 1 liter of boiling water and cook for another 1 minute, strain, add 3 tbsp. spoons apple cider vinegar. Drink 50 g before and after meals and 100 g during

An inflammatory disease of the rectal mucosa is called proctitis. As a rule, inflammation of the rectum becomes a consequence of the patient’s pre-existing diseases of the large intestine, acute intestinal infections, sexually transmitted diseases, and operations on the rectum.

Manifestations of proctitis

Proctitis can be in acute or chronic forms, which determine the characteristics clinical picture diseases. Acute proctitis begins suddenly, the patient's body temperature rises, chills and fever occur. Despite constipation, it is quite common to experience false urges to defecation, heaviness in the rectal area. Acute form of this disease occurs infrequently. Much more common is chronic proctitis. It occurs gradually, with virtually no clinical picture. Note the sensation of itching or burning in the anal area and slight weeping. For some time, these symptoms can be quite successfully relieved with home remedies, which allows the patient to postpone a visit to the doctor. However, as soon as you break your diet, consume spicy food or alcohol, the patient immediately feels an increased burning sensation in the rectal area, and mucous discharge appears, sometimes mixed with pus. The sooner you undergo examination and appropriate treatment, the higher the chances of full recovery.

Diagnosis and treatment of proctitis

To confirm the diagnosis of proctitis, the doctor conducts not only a digital examination of the rectum, but also prescribes endoscopic diagnostics. Very informative are rectoscopy, biopsy examination of the rectal mucosa, bacteriological culture smear from the intestine for microflora. Treatment of proctitis is a very difficult task. First of all, the patient’s diet is corrected. During the period of treatment of proctitis, spicy, salty and sour foods, alcohol, plant foods, juices, and sweet dishes are excluded. Subsequently, the diet may be slightly expanded, but some caution should be exercised, since there is a high probability of developing relapses of the disease. Be sure to adhere to drinking regime. Treatment of proctitis in the acute phase consists of eliminating inflammation and gently cleansing the intestines. Therapeutic microenemas, ointments and suppositories are used. Typically, treatment for proctitis takes a fairly long period, but if all recommendations are followed, the chance of a complete recovery is high.

Treatment of proctitis with medications: suppositories, antibiotics. Typically, therapy for proctitis is carried out in outpatient setting. Severe forms of proctitis are treated with suppositories. To treat ulcerative proctitis, suppositories with sulfasalazine or prednisol are used. If the patient does not go to the doctor, but begins to be treated at home with suppositories, ointments or tablets, treatment of proctitis is effective only under medical supervision. Drug treatment proctitis. For inflammation of the rectum, treatment includes suppositories with methyluracil, sea buckthorn oil will accelerate the regeneration of damaged tissue. Methods of treatment. If the diagnosis of proctitis is confirmed, treatment must be prescribed; the doctor may also prescribe topical preparations, suppositories or ointments for proctitis. Treatment of proctitis using medicines, enemas. Proctitis causes, symptoms, diagnosis. Paraproctitis suppositories with sea buckthorn for hemorrhoids. Suppositories Betiol, Anuzol with painkillers. Treatment of chronic proctitis: elimination of causative factors, gentle diet.
Treatment of proctitis. Questions and answers. Ask a Question. Question: can ultraproct suppositories cure paraproctitis? the lump seemed to disappear. Proctitis - symptoms and treatment of proctitis. Proctitis is inflammation of the rectum. Corticosteroid suppositories and ointments, such as hydrocortisone, are used to reduce. Methods for treating proctitis. There are several directions in the treatment of any form of proctitis.
Suppositories can be used with methyluracil, antiseptics and anesthetics, depending. Proctitis treatment. To treat bacterial infections, antibiotics, corticosteroid suppositories or mesalamine suppositories or oral tablets may be prescribed. Local treatment chronic proctitis is essentially the same as for acute proctitis. They advised me to take proctazan and suppositories. It helped, it didn’t hurt to go to the toilet. Proctitis with its symptoms is no exception. If adequate and timely treatment not during pregnancy, then treatment with microenemas is used, glycerin suppositories. Candles and aerosols containing sea ​​buckthorn oil, complement regeneration therapy. Proctitis caused by autoimmune nonspecific ulcerative colitis, requires treatment. Conclusion. We talked about how and how hemorrhoids, proctitis, and anal eczema are treated - treatment with doloproct suppositories, cream, instructions for use are also discussed.
Treatment of proctitis: what can a doctor do? but suppositories. Means affecting digestive system and metabolic processes. In the treatment of chronic proctitis, special suppositories and ointments are used, but the use of suppositories is not permitted in all cases. But the symptoms and treatment of ulcerative proctitis are very different from those of colitis. These include methyluracil suppositories; it is recommended to administer a suppository three times. Treatment of proctitis. Idiopathic proctitis. Usually, enemas or suppositories with mesalazine or enemas with glucocorticoids are prescribed once a day.

Proctitis

Acute proctitis with proper treatment ends with recovery. With chronic proctitis, the prognosis is aggravated by more or less frequent exacerbations, discomfort and itching in the anus.

What can a doctor do?

The doctor makes a diagnosis based on medical history, examination, rectal examination and rectoscopy. To determine the degree and nature of inflammatory changes, cytological examination intestinal contents, stool culture to determine the composition of the intestinal microflora, biopsy of the mucous membrane.

At severe forms Acute proctitis is treated in a hospital. Bed rest and a diet with a limited amount of fiber are indicated, with the exception of spicy, fried foods, spices and alcohol. Anti-inflammatory therapy is prescribed taking into account the results of stool culture and the sensitivity of the microflora to drugs. Microenemas with collargol and chamomile infusion are used locally. When the symptoms of acute inflammation subside, oil microenemas and sitz baths with 0.01% potassium permanganate are prescribed. perineal warm shower. In severe forms of nonspecific ulcerative proctitis The use of corticosteroids has a beneficial effect.

Treatment of chronic proctitis can be carried out on an outpatient basis, using the same means as for the treatment of acute proctitis. It is advisable spa treatment. Prescribe mud therapy, intestinal lavage with warm alkaline water type Borjomi, Essentuki, which promote mucus rejection and activate the motor function of the colon. Use the complex therapeutic measures, aimed at combating constipation, but laxatives should not be used. Treatment of complications of the disease is surgical.

If you experience any discomfort, burning or itching in the area anus There is no need to self-medicate or turn a blind eye to it and think that everything will go away on its own. During this time, the process can only worsen and lead to complications. And, of course, it is imperative to treat the underlying disease that led to proctitis.

Proctitis - treatment

Proctitis is an inflammation of the rectal mucosa. This disease brings a lot of inconvenience to the patient, but timely and qualified treatment will help quickly overcome this disease.

Treatment of proctitis depends on the form of this disease and its severity, but each patient should follow a special strict diet. It provides:

Drug treatment of proctitis is carried out mainly with the help of antibiotics. They are necessary to suppress infection. Along with them, the patient is always prescribed antibacterial drugs. If a patient is diagnosed with radiation proctitis, treatment should be carried out using Corizol or Mesalacin suppositories. For radiation proctitis, mud therapy will help: therapeutic mud is applied to rectal tampons and segmental areas.

For proctitis, local therapy should also be performed. These can be microenemas with collargol or chamomile solution. When the inflammatory process subsides, it is worth continuing treatment with microenemas, but they should be oil-based. The patient also needs to take sitz baths. They must be made with a 0.01% solution of potassium permanganate. A warm shower on the perineal area will also not be amiss. He will take off painful sensations both in acute and chronic proctitis.

Surgery is only necessary in cases where scars form on the intestines and this causes it to narrow.

Treatment of proctitis at home

Proctitis can also be treated at home. With this inflammatory process, microenemas that are performed before bedtime help. A solution for them can be made from 15 ml of calendula infusion and 15 ml of a 3% solution boric acid. If the patient has erosive proctitis, treatment can be carried out using calendula infusion. To prepare it: Take this remedy orally, 20 ml three times a day. You can also make microenemas with it, but for this you need to dilute 10 ml of the infusion in a quarter glass of water.

good folk remedy For the treatment of proctitis, an infusion of horsetail is considered. It is best to take sitz baths with it. For this:

  1. Half a glass of horsetail is poured with 1000 ml of boiling water.
  2. Infuse the mixture for 10 minutes.
  3. Then it is filtered and poured into the bath.
  4. Treatment procedure should last 30 minutes.

Treatment of proctitis

Treatment of proctitis is not particularly difficult. All events are usually held at home. Previously, the patient submits lab tests in order to determine the causative agent of the inflammatory process, he undergoes sigmoidoscopy to identify the type of disease. These diagnostic procedures ensure the correct development of treatment tactics.

Antibacterial therapy takes place only after bacterial culture of the flora. They are available in tablet, powder or rectal suppositories. The drugs have a calming, antipruritic, anti-inflammatory effect, some also relieve pain syndrome. In the complex treatment of acute or proctitis chronic form includes physiotherapeutic procedures:

  • mud therapy,
  • paraffin therapy,
  • hydrotherapy,
  • physiotherapy,
  • massage.

Diet
During the period of acute inflammation, it is necessary to strictly limit the consumption of alcohol-containing drinks, spicy, salty, smoked, spicy dishes, and coarse plant foods. Sweets, chocolate, and juices are also not recommended. These foods irritate the intestines and can make the situation worse. Your diet should include lean meat, fish, cereals, and baked apples. It is advisable to drink more fluids; water from Borjomi, Essentuki, etc. enhances the therapeutic effect.

General treatment consists of strengthening the body's defenses, preventing the development of chronic proctitis and complications of this disease. The doctor prescribes medications that improve performance gastrointestinal tract, vitamin complexes. In severe advanced cases, bed rest and sometimes hospitalization are required. A frequent complication of inflammation is narrowing of the rectum. This pathology develops with improper treatment proctitis or neglect of therapeutic methods.

Sources: roseola.ru, lifewithgemorroy.east-medicine.ru, health.mail.ru, womanadvice.ru, procto-log.ru

Ann_13 , Sun, 15/11/2015 - 16:44

Has anyone had experience on how to cure it?

For me personally, it is not associated with poor digestion, i.e. he is, as it were, in himself, primary. It gets worse in the cold, especially when your feet are cold. Or, after eating rough food, which is excreted unchanged and can scratch the mucous membrane - for example. poppy seeds, sesame seeds, vegetable skins, berries. But the last problem can be solved by eliminating such food). By the way, they write everywhere about the need for a gentle diet. By the evening I have mucus with white “films”, which I think is a type of fibrin deposit. So, if you don’t wash it, there will be gas delays and colic; if you wash it, in many cases gases will begin to escape. Microclysters with Mesakol at night used to save from symptoms for a long time, now they work more as a symptomatic remedy.....

Comments

Irisha Mon, 16/11/2015 - 16:55

The topic we are discussing today is incredibly complex and vast. Why? Because proctitis, that is, an inflammatory process in the mucous membrane of the rectum, can develop due to a huge number of reasons. Often proctitis, to which attention was not paid in time, and competent therapeutic measures, passes into proctosigmoid. And this is a more serious situation, because the inflammatory process already affects sigmoid colon(this is the section of the large intestine that passes into the rectum).

Let me explain first. The rectum is the last section of the intestine and serves to remove processed food debris. Its wall is a delicate mucous membrane and muscle tissue, pushing feces out.

When there is a lot of mucus, feces pass easily. There is no need to think that this is where it all ends. The mucus contains the enzymes necessary for digesting food, and although there are fewer of them than in other parts of the intestine, they are there. That is, the digestion process takes place here too!

Why am I explaining all this in such detail? Yes, because the process of defecation is an incredibly complex process, it is a reflex in which both nervous and muscle tissues are involved. And there are many nerve endings here. Therefore, people experience quite serious torment. Irregular meals, semi-finished foods, dry food - and constipation is guaranteed. And then there’s proctitis. The child does not wash his hands, he is fed chips - this leads to constipation and worms in addition. And again - proctitis. Or small child a new type of nutrition is introduced illiterately, which disrupts the entire chain of digestion and the act of defecation.

And there is no magic cure for proctitis - just drink it and cure the disease. Proctitis must be dealt with very seriously! After all, complications with proctitis, of which there are very, very many, are a separate issue.

Prevention is the most important factor

In any disease, the most important thing is prevention.

AND IF WE TALK ABOUT TREATING PROCTITIS, THEN YOU SHOULD REMEMBER – CORRECT, BALANCED AND REGULAR NUTRITION IS THE MAIN MEASURE OF PREVENTION AND THE BASIC METHOD OF TREATING PROCTITIS, REGARDLESS OF ITS FORM.

Preventive measures are a series of mandatory conditions that must be met in any case - whether you already have proctitis or not.

So, you need:

  • Eat right, do not consume spicy, fried, fatty, too spicy, extractive foods.
  • It sounds corny, but you can’t drink or smoke.
  • It is necessary to observe the rules of personal hygiene. Do not allow, excuse me, a dirty anus.
  • Use a condom. Especially during anal sex.
  • Treat absolutely all ailments in a timely manner, because everything in the body is interconnected.

Identifying the cause of proctitis is a prerequisite

There are two types of proctitis: acute and chronic.

In the acute form, the most common cause is rectal trauma and infection.

The chronic form is also often caused by infections. But there are a number of other reasons:

Huge list of autoimmune diseases, congenital pathologies blood vessels, and, attention, cancer. Alas, malignant neoplasms rectum is also a reason.

Therefore, at the first suspicious signs, you should immediately consult a doctor and undergo all prescribed laboratory diagnostic tests.

Attention! Proctitis is a universal disease that occurs equally often in adults, men and women, and even in children.

How to treat?

Let's make a reservation right away - everything that will be said here is suitable only for those patients who have undergone research and clarified the diagnosis. Self-medication is unacceptable!

That is, you and I must be sure that there is no serious and dangerous pathology.

So, the first thing is nutrition. We have already talked about this. Under no circumstances should you be constipated. Proper nutrition It is always necessary, in any case, which form of the disease is not diagnosed.

If you have established the infectious nature of the disease, then the doctor is obliged to prescribe appropriate drug treatment.

Traditional methods are not bad. And they give effect. But this is only an addition to drug therapy prescribed by a doctor.

Very important note! Unfortunately, only acute form Proctitis is completely curable. At chronic course You will never cure proctitis with anything.

There is no need to be upset. If you take care of your health, eat right and receive treatment all the time, then remissions will be long and the risk of complications is practically reduced to zero. Those with chronic proctitis should regularly visit a proctologist, even if you have managed to achieve rare exacerbations of the disease.

What really helps?

VERY SIMPLE EVENTS THAT YOU SHOULD NOT BE LAZY TO DO –

warm sitz baths, enemas.

Enemas can be made with a huge list of medicinal herbs:

flowers of chamomile, calendula, lemon balm, oregano, oak bark, horsetail. Sea buckthorn and propolis have a very high effect. Decoctions and baths are not difficult to make. Just read the instructions on the packaging and follow them exactly.

The main thing is to do all this regularly. Good luck!

Ann_13 Mon, 16/11/2015 - 17:35

I will describe my situation in more detail, specifically my picture of the disease: So, I DO NOT have constipation as such now! Those. no I have NEVER now hard stool. It was there before, by the way, BEFORE the illness, but it did not cause any discomfort or difficulty with bowel movements. The stool is rather mushy or ribbon-like, soft, but the rectum doesn’t seem to know WHAT IT NEEDS TO DO - that’s why there are difficulties with emptying, incomplete emptying, etc. Exactly the same situation, by the way, with gallstones - stones have never been found, which means that the bile is not thick, but the gallstone does not know what to do with it, how to evacuate it!) The nose does not feel that it needs to breathe) and without xylene - no way. I have such problems or get worse when I have water retention, in other words, when I have little urine and I don’t sweat. I described my situation in more detail here. In general, I think that I need to sort out my metabolic disorders in a good way. As for proctitis itself, I did sowing of mucus in the first year. discharge from the intestines - Pseudomonas aeruginosa has been eliminated! It's clear. What she might both cause and effect poor condition mucous membrane. But you will probably need to consult with doctors about Miramistin). If Pseudomonas aeruginosa is the cause, then it should help).

Irisha Thu, 19/11/2015 - 14:28

First of all, I’ll explain to you about your nasal breathing. Cannot be used vasoconstrictor drops more than a week. You should find out the exact cause of the congestion and eliminate it.

Vasoconstrictor drops are a last resort in cases where there is an acute respiratory viral infection and a person cannot get enough sleep and when it is necessary to eliminate oxygen starvation brain If you use the drops for a long time, the so-called drug-induced rhinitis, that is, stable addiction to active substance drops and, as a result, first partial, and then complete atrophy mucous membrane of the nasal sinuses. Then the activity of your cardiovascular system will begin to disturb; arterial pressure, and you will wonder - why all this?

What to do, because it’s impossible to breathe?

There are many reasons for impaired nasal breathing - from nasal polyps to a deviated nasal septum. In your case, given your medical history, it can be assumed that the cause is an allergy. That is why it is necessary to treat it. If it is possible to find a good homeopathic doctor, that would be great. There are safe homeopathic medicines, which are not prescribed individually (as a homeopathic doctor does at an appointment), but are bought at a pharmacy and they help many. For example, there is a homeopathic spray that contains only mineral and plant components - Euphorbium Compositum. In the first days of taking it, it may give the feeling that the nose has become “clogged” even more, but then “uncorking” occurs.

In any case, the spray will not harm, regardless of the cause of the congestion.

Chair. You write that you had constipation, and then your stool became either ribbon-like or mushy. And Pseudomonas aeruginosa was diagnosed. This is most likely a consequence of dysbiosis.

Any person great amount There are microorganisms in the intestines, this is the norm. The vast majority of them are beneficial bacteria that participate in the breakdown of proteins that have a huge molecular weight. Bacteria are also involved in the synthesis of vitamins. If a large number of pathogenic and conditionally pathogenic bacteria enter the intestines, a struggle for territory begins. When the number of conditionally pathogenic microorganisms exceeds, diseases develop.

So here it is. Pseudomonas aeruginosa is a microorganism that will not manifest itself in any way if the human body is healthy. But if beneficial microorganisms have died, that is, what we observe with dysbiosis, then Pseudomonas aeruginosa begins to behave aggressively and causes disease. If installed as a result laboratory research accurate diagnosis(seeding), then this already indicates the manifestation of its pathogenic activity. Pseudomonas aeruginosa could enter the body from the outside.

The disease develops exactly according to the same scenario as with dysbacteriosis. Pseudomonas aeruginosa lives anywhere - in water (even distilled water), in the ground, on leaves, in grass, etc. and so on.

Pseudomonas aeruginosa infection is dangerous. And it is the intestines that suffer from it first of all, because the bacillus releases toxins that can easily pass through the cells of the intestinal tissues and blood vessels, forming foci of purulent inflammation. If the situation is neglected, damage to the bladder and renal pelvis will occur over time. And if the immune system is weakened, then a generalized infection often develops, which occurs as sepsis (purulent inflammation of the blood).

Remember when we started the conversation with the sinuses? Why is your nose breathing poorly?

So here it is. In addition to the reasons I have mentioned, it is necessary to take into account that Pseudomonas aeruginosa, with reduced immunity, can affect the nasal mucosa, palatine tonsils, and maxillary sinuses, And ear canals, and conjunctiva of the eyes. Why is Pseudomonas aeruginosa so insidious?

Because it penetrates the bloodstream and spreads throughout the body. And it can even cause septic endocarditis, when inflammation of the inner lining of the myocardium occurs.

Conditionally pathogenic bacteria, which include Pseudomonas aeruginosa, are perfectly adapted to our body and this is their danger.

What should you do? Get tested for culture again. If infection is confirmed, treatment is necessary. It should be understood that strains of Pseudomonas aeruginosa are very resistant to the vast majority of antibacterial agents. This is why doctors most often prescribe antibiotics. wide range actions, for example, cephalosparins (3rd and 4th generation). By the way, there are cases when it is not possible to get rid of Pseudomonas aeruginosa even as a result of a powerful blow modern antibiotics. Then globulin and hyperimmune antitoxic donor plasma are connected. In any case, treatment is carried out under the supervision of a doctor, with regular tests to monitor the situation.

You need to visit doctors: a gastroenterologist, an ophthalmologist, an infectious disease specialist.

Now about Miramistin. It acts on Pseudomonas aeruginosa. In addition, this drug activates the functional activity of immune cells. As a result of taking it, the nonspecific local immune response increases, which is important in your case.

Ann_13 Mon, 07/12/2015 - 19:33

Hello! Thanks for the answer! I’ll answer right away about nasal breathing: *In my personal case, it does NOT look like an allergy, although in our Chelyabinsk region, about 90% of people suffer from rhinitis and are dependent on xylene, etc. And when they travel OUTSIDE our region, many stop using xylene, and even those suffering bronchial asthma they note remission, I’ve heard such stories a hundred times already, so it’s possible that there’s something in the air.....(*As for my case specifically, I very rarely use xylene now). It seems to me that all the mucous membranes suffer due to metabolic disorders, presumably metabolic acidosis, which I wrote about here in my story. Now I’m being examined by a nephrologist; it will be more correct to write the results and diagnoses after the test. full examination). _______________ Regarding proctitis: Here is such a strange situation - 2 RRS, one of which, by the way, happened on the same day with a colon (!) - they revealed INFLAMMATION (albeit catarrhal, but still inflammation!) + internal hemorrhoids. And according to the colonoscopy - everything is clean, perfect, really hurt!))))) No proctitis, no hemorrhoids! How can this be? I heard that colonoscopes don’t “see” the rectum well at all! This is true??? The fact is that when you come to any doctor, he considers it his obligatory duty to prescribe a colonoscopy, this time, okay, he also said - with a mandatory biboscopy - but what’s the point if the colonoscope for some “technical” reasons does not see the rectum, where is the most important “crime” throughout my clinic?! In general, it turns out this way - when I had my first RRS in 2011 - that proctologist told me that the cause of my problems, my suffering was precisely INFLAMMATION - colitis, proctitis. That these are not neurological problems, which many people are now looking for intestinal problems))), and not anything else..... Based on the results then it was written about hyperemia, mucus deposits, hemorrhoids. There are no ulcers, polyps. I did the 2nd RRS in 12, as I already wrote - on the same day as colono. It was another proctologist, he really said that my inflammation was “trifling” (but, sorry, the problems from it are NOT a trifle at all!!!), but it still exists! But everything turned out to be clear in the colon, they found a prolapse of the transverse colon - all my troubles were blamed on him!!! Yes, they noted that peristalsis in all parts of the intestine is GOOD! What I myself feel is that she is good everywhere, except straight! Well, I don’t know, maybe someone has prolapse of the transverse colon and maybe. the direct cause of inflammation - but not for me! For 5 years I have thoroughly studied the entire “handwriting” of my illness - this would be an absolutely “rotten” version :))))))))). According to the clinic, symptoms: I have very good. good digestion. Normal, I agree with the result of colon and irrigo - peristalsis. But, oh. are typical: * False urges with mucus, and especially bad - when the mucus is not only jelly-like, but also white “films” * Constant gas delays, it happened that for several days there were only false urges, and not a single fart! Moreover, I feel that everything is falling into place! Perhaps, if you believe the results of irrigo, I have spasms in sigma and rectum. Sometimes I feel like gases are simply “bogged down” in mucus, and when I started using, as an “emergency” measure, washing the rectum from mucus, I realized that my feelings were not deceiving me!... it actually happens.... I rinse with a small syringe , so it simply doesn’t reach further than the straight line. ... *In 90% of cases, the stool is ribbon-like, with incomplete emptying, every 5 days, and often in small quantities! *When it gets jammed in the straight line, especially if it gets stuck for a long time, problems begin with the gall bladder - bitterness in the mouth, etc., due to the irregular functioning of the gall bladder, sometimes it may happen. diarrhea. But during periods of intestinal remission, there is no gallstone dysfunction or diarrhea! *And in general - systemic, Extraintestinal manifestations in my case. Those. during exacerbations, when the intestines “cling”, acne always appears on the skin, increased oily skin and hair loss, and this is associated with an increase in cholesterol. A female exacerbation may also begin, and bacteria appear in the urine due to OAM! The other day I saw a gastroenterologist, of course, he prescribed a colon, but I probably won’t have it, because... I'm afraid it might turn out the same as last time... And besides, after that colono I had a terrible exacerbation, then I took it off with premium Sulfasalazine and enemas with Mesacol, as recommended by one gastroenterologist, who saw manifestations of IBD behind my symptoms .... And I have a lot of nasty things - except for Pseudomonas aeruginosa, which I cultured from mucus - according to tests for Disbak, there are both Candida and Klebsiella, there was also a version about the involvement of EBV viruses.... Is it even possible to treat WITHOUT endoscopic examinations?....

The disease is an inflammation of the rectal mucosa. Characteristic symptoms proctitis - a burning sensation in the rectum, itching and weeping in the anus, mucus discharge during stool (sometimes with false urges).

Most common reasons the occurrence of the disease - a nutritional disorder (excessive consumption of spicy food and alcoholic beverages, food poisoning, viral flu, sore throat). Proctitis often occurs in survivors of dysentery, as well as in patients suffering from intestinal dysbiosis caused by antibiotics and other drugs. In other words, the reason for the development of proctitis may be changes in the composition of normal intestinal microflora due to the appearance in the intestine of opportunistic microorganisms (hemolytic staphylococcus and streptococcus, pathogenic strains coli etc.).

Proctitis quite often develops in patients with disorders of the gastric secretion(downgrade or complete absence acidity, as well as it. sharp increase), observed at peptic ulcer duodenum and hyperacid gastritis.

In addition, proctitis occurs in patients suffering from diseases of the liver, gallbladder and pancreas. Proctitis can develop after surgery on the rectum, for example for hemorrhoids, anal fissure, paraproctitis, etc.

Due to the fact that manifestations of proctitis are often associated with changes in the perianal skin, such patients sometimes mistakenly turn to a dermatologist.

Often, irritation in the anal area (a consequence of corrosive discharge) is regarded by doctors as an anal fissure and, accordingly, treatment is unsuccessful.

By clinical course Proctitis is divided into acute, subacute and chronic.

Based on pathoanatomical changes and the nature of the discharge, proctitis is distinguished between catarrhal, purulent, fibrous, hemorrhagic and ulcerative. Microbes, causing inflammation, can enter the gastrointestinal tract (dysentery bacilli, typhoid fever, tuberculosis, etc.) or penetrate through the anus (for example, gonococci in women with pus come from the vagina when it is gonorrheal). Acute proctitis can be caused by concentrated chemical substances, erroneously used for cleansing or therapeutic enemas (solution of sublimate, carbolic acid, calcium chloride, iodine), as well as foreign bodies of the rectum. A reactive inflammatory process in the walls of the rectum can cause inflammatory processes in surrounding organs and tissues - paraproctitis (see), cystitis (see), prostatitis (see), metritis (see Metroendometritis) and parametritis (see), vulvovaginitis, abscess of the pouch of Douglas, etc.

Subacute proctitis occurs with less severe pain. The urge to defecate is less frequent. If there is discharge from the intestinal lumen for a long time, it irritates the surrounding skin, causing maceration, eczema, and itching.

Chronic proctitis usually occurs simultaneously with chronic colitis and may be accompanied by constipation.

Treatment of acute and subacute proctitis depends on the nature of the infection. Appropriate antimicrobial drugs are prescribed. Warm therapeutic enemas are used locally 2-3 times a day with colibacterin, with a solution of potassium permanganate 1: 3000-500 ml, ethacridine (rivanol) 1: 500-500 ml, chamomile infusion 10: 200, 2% solution of collargol or protargol - 10 ml, etc. Suppositories (betiol, anusole) with painkillers. Warm sitz baths or perineal showers with disinfectants (tannin) are helpful. If there are ulcers in the rectum, antibiotics and sulfa drugs can be applied to them (through a sigmoidoscope or through a rectal speculum). Bed rest and limiting foods containing a lot of fiber are recommended; Fried, spicy foods (marinades, smoked foods, pickles), and alcoholic drinks are excluded.

For the treatment of chronic proctitis (colitis), medications and dietary agents are used for constipation. Therapeutic enemas at night: 50-100 ml of fish oil, 10 ml of 2% solution of collargol or protargol. Recommended Spa treatment- Essentuki, Borjomi, Truskavets, Izhevsk Mineral water, Druskininkai, Arzni, etc. (see Resorts).

Proctitis (proctitis; from the Greek proktos - anus) - inflammation of the rectum. There are acute proctitis (proctitis acuta) and chronic (proctitis chronica). P. as an isolated process is rare. More often it accompanies inflammation of the colon - colitis (see). But there may also be local lesions of individual areas of the rectum: cryptitis - inflammation of one or more anal sinuses (crypts), sphincteritis (proctitis sphincterica) - inflammation of the skin and mucous membrane of the anal canal area, papillitis - inflammation of the anal papillae (papillae anales) .

The cause of acute proctitis, which often turns chronic, is the introduction of one of the types into the intestinal wall intestinal infection(dysenteric, intestinal, typhoid bacilli, enterococcus, trichomonas, balantidia, etc.) or the flora of some specific diseases (tuberculosis, syphilis, gonorrhea, chancroid, fourth venereal disease, actinomycosis, coccidioidosis, candidiasis). Proctitis can be a reaction to exposure to chemical (sublimate, arsenic, lead, calcium chloride), mechanical (in passive pederasts) and temperature (burn) irritants. Vitamin deficiencies, alcoholism, spicy foods, stagnation of feces, abuse of laxatives, and frequent use of enemas contribute to the disease. Chronic proctitis is a consequence of acute colitis or acute proctitis, and less often it can be a primary disease. Secondary proctitis is observed when acute paraproctitis, hemorrhoids, rectal prolapse, incomplete internal fistulas with abundant purulent discharge, with complete fistulas, anal fissures, rectal polyps, diseases of the genital organs, foreign bodies intestines. Severe radiation proctitis is possible in women who have undergone radiation treatment for uterine cancer. Mild reactive proctitis is observed in almost all patients who have received massive doses of local radiation treatment.

Rice. 1 - 6. Proctitis: fig. 1 - catarrhal; rice. 2 - slimy; rice. 3 - purulent; Rice. 4 - ulcerative; rice. 5 - ulcerative-hemorrhagic; rice. 6 - necrotic.

The pathoanatomical picture of acute proctitis (color fig. 1-6) comes down to catarrhal, hemorrhagic, purulent, ulcerative or necrotic changes in the mucous membrane, which looks swollen, sharply hyperemic, may have extensive erosions, ulcers, becomes covered with pus mixed with blood, mucus, fibrin. In subacute proctitis, all these phenomena are less pronounced. Chronic proctitis is characterized by a predominance of hypertrophic or atrophic changes. In the first case, proliferation of connective tissue elements of the mucous membrane and submucosal layer occurs. The mucous membrane thickens, its folds appear swollen, warty elevations appear like papillomatous formations - false polyps, or it looks like shagreen skin. With atrophic proctitis, the folds of the mucous membrane are smoothed, it is thinned, pale, the vessels of the submucosal layer are visible, and there are drying filmy deposits. With these and other changes, the mucous membrane is easily vulnerable; ulcerative surfaces covered with bleeding granulations may appear. Perforations, deformations and cicatricial stenoses of the intestine are possible. Chronic ulcers with radiation proctitis have a widely infiltrated base, dense, crater-like raised edges, reminiscent of an ulcerated malignant tumor and in the literature are sometimes referred to by the incorrect term pseudocancer.

In acute proctitis there are sharp, and in subacute more dull pain in the rectal area, transmitted to the sacrum, bladder. In both cases, there is a burning sensation, frequent, liquid, mucous stools with tenesmus, sometimes mixed with blood and pus. There may be dysuric disorders. Body temperature is increased. It is necessary to exclude diseases that cause secondary proctitis.

Manifestations of chronic proctitis may be barely noticeable. The disease is often combined with signs of colitis and proctosigmoiditis. When primary chronic proctitis appears, the patient is bothered by a feeling of fullness, pressure in the rectum, unstable stool, mucus secretion, vague pain in the pelvis and along the colon. With severe symptoms of colitis, spastic constipation is observed.

Treatment of acute and subacute proctitis begins with eliminating the causes that caused the disease. Bed rest is recommended. Limit foods containing fiber. Avoid fried, spicy foods, marinades, smoking, and pickles. Alcoholic drinks are prohibited. Regular bowel movements are prescribed, taking medicines calming, disinfectant character - colymycin 25,000-50,000 units per 1 kg of patient weight per day (daily dose is given in 4 doses with an interval of 6 hours), neomycin sulfate in tablets or solution, 100,000-200,000 units 2 times a day day; one of the sulfonamide drugs (sulfodimezin, phthalazole, disulfan, etc.) 1 g in successively decreasing doses - 5, 4, 3, 2, 2, 2 g per day; belladonna extract or opium 0.015 g with 0.3 g glucose 2 times a day. Prescribe warm enemas 2-3 times a day with colibacterin, potassium permanganate solution -1:3000-200-500 ml, chamomile infusion - 10 g per 200 ml of water, fish oil 50-100 ml, 2% collargol or protargol - 10 ml. Treatment of chronic proctitis is the elimination of causative factors, a gentle diet. For constipation, regulate bowel movements with diet, periodically with laxatives, enemas, and subaqueous intestinal lavages. Spa treatment may be recommended - Truskavets, Essentuki, Borjomi, Izhevsk mineral waters.



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