What should I do if hemorrhoids and proctitis are diagnosed during a colonoscopy?

Nov 28, 2024 Source: Cainiu Health
Disease description:

Today, I went to the hospital for a medical checkup and was diagnosed with hemorrhoids and proctitis through colonoscopy. What should I do?

Doctor's answer (1)
Dr. Li Jingxiang

When hemorrhoids and proctitis are detected during a colonoscopy, the following are common treatment approaches:

1. Dietary adjustments: Increase intake of dietary fiber, consume more vegetables and fruits to maintain regular bowel movements, and avoid, or preferably eliminate, spicy and irritating foods to reduce gastrointestinal irritation.

2. Lifestyle modifications: Avoid prolonged sitting, maintain regular bowel habits, prevent constipation and diarrhea, engage in appropriate physical activity, and avoid excessive straining during bowel movements.

3. Medication therapy: For mild to moderate hemorrhoids and proctitis, conservative treatment with effective antibiotics and medications that clear heat and remove dampness may be selected. For example, oral antibiotics such as amoxicillin capsules or cefixime dispersible tablets can be used for anti-infective treatment.

4. Medication enema: Administration of medicated enemas is an effective treatment for proctitis, directly targeting the inflamed areas.

5. Surgical treatment: Severe hemorrhoids or proctitis unresponsive to medication may require surgical intervention, such as hemorrhoid ligation or excision.

6. Regular follow-up: Even after symptoms improve, regular follow-up examinations as recommended by a physician are important to monitor disease progression.

The specific treatment plan should be developed by a qualified physician based on the individual patient's condition. Patients should follow medical advice during treatment, maintain a bland diet, and avoid, or preferably eliminate, spicy and irritating foods to alleviate symptoms.