Treatment Options for Chronic Proctitis

Chronic enteritis can exacerbate a patient’s condition. If left untreated effectively, it may significantly impair daily life; therefore, prompt and active treatment is essential to adequately control the disease. With the rapid advancement of modern medicine, patients now have more therapeutic options available. So, what are the treatment approaches for chronic proctitis?

Treatment Approaches for Chronic Proctitis

Chronic proctitis can be managed either medically or surgically. For most patients, rectal administration—such as local application of mesalazine combined with corticosteroid retention enemas—effectively alleviates ulcerative proctitis. Patients should maintain cleanliness and dryness around the perianal skin; after defecation, gentle cleansing with warm water or sitz baths using a 1:5,000 potassium permanganate solution are recommended. Surgical intervention—including total proctocolectomy with ileal pouch–anal anastomosis—may be considered in select cases. The majority of patients enjoy a favorable prognosis with low recurrence rates.

In severe cases of chronic enteritis, oral medications may be prescribed according to disease severity. Intravenous antibiotics may also be administered, often yielding favorable outcomes. Additionally, traditional Chinese medicine (TCM) offers alternative therapeutic options—for example, herbal formulations containing licorice root (Glycyrrhiza uralensis), pseudostellaria root (Pseudostellaria heterophylla), white peony root (Paeonia lactiflora), alum, and pomegranate peel (Punica granatum). Boiling these herbs in appropriate proportions yields a decoction with heat-clearing and detoxifying properties, effectively relieving symptoms of chronic enteritis.

We recommend TCM-based treatment, alongside attention to daily dietary habits. We hope this information proves helpful.