How to treat chronic proctitis

Jul 03, 2024 Source: Cainiu Health
Disease description:

I suffer from chronic colitis, and I often experience abdominal pain, which is particularly uncomfortable. I would like to seek treatment. How can chronic colitis be treated?

Doctor's answer (1)
Dr. Shen Yonghua
The main treatment methods for chronic proctitis include: 1. Medication therapy: According to the causes, bacterial infections are treated with antibiotics such as levofloxacin and cefixime; viral infections are treated with antiviral drugs such as ganciclovir and acyclovir. Additionally, oral probiotics such as Bifidobacterium and Bacillus licheniformis can be used to regulate the intestinal flora. 2. Enema therapy: Suitable for patients with rectal mucosal erosion, edema, and sphincter spasm. Enema administration allows the medication to act directly on the lesion, promoting inflammation resolution. 3. Surgical treatment: For patients with severe or recurrent rectal bleeding, surgical options such as total colectomy, rectal resection, and ileostomy may be considered. However, surgical indications and the impact on postoperative quality of life should be carefully evaluated. 4. Lifestyle adjustments: Pay attention to dietary regulation, avoid spicy, greasy, raw, and cold foods, and consume more easily digestible, nutrient-rich foods. Additionally, maintain adequate sleep, engage in moderate exercise, and enhance physical fitness.