Acute proctitis antibiotics. Features of treating proctitis with antibiotics: a list of the most effective drugs. Types and forms of the disease

Treatment of a disease such as proctitis requires an integrated approach. His methods depend on the root cause that provoked the inflammatory process of the mucous membranes and on the form of the disease itself. Treatment of proctitis is based on a special diet, hygiene procedures, and medication. One of the radical treatment methods is surgery.

Suppositories, antibiotics

Before treating diseases, doctors conduct a study of the patient to determine the pathogen that provoked the inflammation. Depending on the root cause, doctors prescribe the necessary medications to the patient. During treatment, the medications used may be replaced by the doctor with medications from a different group.

The patient is recommended to use antibacterial and antiviral drugs. These may be antibiotics, for example, Penicillin, Clarithromycin. To eliminate the virus, Metronidazole, macrolides (for example, the drug Zithromax) and other drugs are used in the treatment of the patient.

For severe pain with spasms and discomfort during bowel movements, the patient is prescribed antispasmodics. No-shpa is often used for these purposes.

To relax the walls of the rectum, the patient should use anti-allergy medications.

To treat proctitis, laxatives are used, for example, Lactulose, to facilitate the process of defecation.

To normalize the intestinal flora, it is useful for a person to consume probiotics, for example, Linex.

For treatment, not only tablets and capsules are used, but also suppositories and antiseptic microenemas. For example, Relief is used for speedy healing and tissue restoration, and suppositories containing Methyluracil or sea buckthorn oil are used to improve metabolism.

If the disease develops severely, doctors prescribe hormonal therapy, for example, Prednisolone. Hormones are used both orally and as enemas. They eliminate severe inflammation.

Medicines based on 5-aminosalicylic acid are considered a popular remedy. This may be Mesacol, Mezavant and other drugs.

For proctitis, it is useful to use ointments that have an anti-inflammatory effect. Diclonefac copes well with the burning and inflammatory process, relieves the patient’s condition with Relief, and relieves itching with Ultraproct.

Posterisan ointment has a regenerating and restorative effect. It improves local immunity. To treat proctitis, doctors often prescribe Bezornil, Proctosan and other ointments for external use to patients.

Surgery

Surgical intervention is used for serious complications, for example, paraproctitis or narrowing of the rectum. These conditions pose a danger to the life and health of the patient. In case of paraproctitis, the doctor excises the adipose tissue along with the inflamed tissues, and when the lumen of the rectum is narrowed, the main goal is to facilitate defecation and reduce tissue trauma.

Uncomplicated proctitis is treated with surgery if conservative treatment is ineffective or a tumor develops in the rectum.

To treat ordinary proctitis, surgery is practically not used. When an uncomplicated pathology is treated in a timely manner, most symptoms disappear after home therapy.

If proctitis is not treated, the patient experiences a number of complications that lead to hospitalization and the need for surgical intervention.

Chronic form

In chronic proctitis, the symptoms of the disease are blurred or practically absent. A person feels burning and itching, slight pain in the rectal area. His temperature does not always rise, but there is discharge during bowel movements. There may be blood, mucus or pus in the stool. Treatment of chronic proctitis is based on treatment of the underlying pathology. To relieve inflammation, it is necessary to maintain the body's defenses and reduce the inflammatory process.

Additional methods of treatment after the acute phase has passed may include exercise therapy, a massage course, treatment in sanatoriums or resorts, and other methods.

If proctitis occurs due to autoimmune reactions, the patient is recommended to undergo hormonal therapy. If there are sexually transmitted diseases, the patient is treated with antibiotics and anti-inflammatory medications.

Acute form

Acute proctitis begins suddenly and develops quickly. The patient's temperature rises sharply, he has a fever, chills, pain, burning and heaviness in the rectum begin.

During the examination, the doctor sees severe swelling of the mucous membrane and bloody discharge. The patient has a frequent urge to defecate, and hemorrhoids may become inflamed.

Treatment of acute proctitis includes switching to a special diet, using chamomile and calendula enemas to cleanse the intestines.

Based on the tests and studies performed, the doctor prescribes medications to the patient.

How to treat proctitis with herbal medicine, diet and exercise

During the treatment period, the patient should remove alcohol from the diet, because such drinks provoke irritation of the mucous membrane. They increase inflammation, accelerate the appearance of erosions and can provoke bleeding. It is not recommended to smoke, eat fried foods, spices, or spicy foods. Foods containing fiber, sweets and salty foods are prohibited. You should not overload your intestines with rich, solid foods. Meals during the treatment period become fractional. The number of meals varies from 5 to 6 times.

If the patient wants fruits or vegetables, they are stewed or steamed before serving. Eating them fresh is not recommended.

Regime and physical activity

If a patient is diagnosed with proctitis, then he is not recommended to sit for a long time. In this position, the pelvic floor muscles begin to relax, and congestion occurs in the veins of the legs and pelvis.

During this period, you can perform light physical exercise, but without lifting heavy objects.

In case of necrosis, ulcers, polyps in the rectum, or in the acute stage of proctitis, a person is recommended to be hospitalized in a hospital.

For less dangerous forms of the disease, treatment is carried out on an outpatient basis.

The chronic stage of the disease is also treated on an outpatient basis. In case of sharp exacerbations of the pathology, the patient should be hospitalized.

Phytotherapy

To treat the disease, you should use traditional medicine recipes, which are prepared on the basis of medicinal herbs.

Herbal infusions can relieve inflammation, destroy pathogenic flora, and relieve pain.

Treatment with tincture of dandelion root, yarrow, chamomile flowers, rowan juice, decoctions of horse sorrel and other plants is effective.

The patient can also take warm sitz baths during an exacerbation, lasting no more than 10 minutes. An infusion of knotweed, immortelle flowers, sage, oak bark or horse chestnut should be added to warm water.

Microenemas made from calendula, dried fruit, oak bark and other herbal infusions are also beneficial for the patient’s health. It is recommended to drink herbal infusions and teas based on nettle, chamomile, raspberry leaves, oregano with added sugar or flower honey 3 times a day, 100 grams each.

Homemade ointments based on butter (animal fat) and plant extracts are also effective. For this purpose, aloe, calendula, water pepper, toadflax and other plants are used. To prepare the ointment, the ingredients are mixed until smooth and kept in a dark place for 24 hours so that the ointment “reaches”.

If erosion is present, the patient is recommended to receive microenemas with the addition of calendula infusion. To prepare it, take 15 g of dry plant material, which is poured with boiling water. The mixture is infused for about an hour, then filtered. You can drink this infusion 2 teaspoons 3 times a day or make microenemas with its addition. For microenemas, the infusion is diluted in a ratio of 1 to 10.

One of the most effective remedies is a sitz bath with horsetail infusion. To prepare this recipe, take 100 g of dry plant and add a liter of boiling water. The mixture is infused for 10-15 minutes, then the infusion is strained and poured into the prepared bath. The duration of the procedure lasts from 20 minutes to half an hour.

Physiotherapy

A course of physiotherapy for proctitis is prescribed only by the attending physician and with caution. Otherwise. It can provoke the development of pathology or the onset of internal bleeding.

During mud therapy, the substance is applied to the area of ​​inflammation or tampons.

Electrophoresis with the addition of Lidocaine or Novocaine helps reduce pain, eliminates inflammation and promotes the recovery process. The main part of the procedures is done during remission.

Proctitis is usually called an inflammatory lesion of the rectum of various origins, the severity of which varies from slight redness of the mucous membrane to deep ulcers. Depending on the reasons that caused it, coloproctologists, infectious disease specialists, surgeons, allergists or gastroenterologists can treat this disease, but the symptoms of proctitis are similar.

Proctitis is localized in a rather delicate area of ​​the human body, so many try to postpone visiting a specialized doctor or are panicky about examining this area. However, in order to get rid of an unpleasant disease as quickly as possible, it is necessary to thoroughly know its cause. Treatment at random or on the advice of non-professionals is fraught with chronicity of the process, its aggravation and the appearance of complications that require surgical manipulation.

Causes

And many reasons for the development of proctitis have been discovered. Inflammatory changes in the rectum can lead to:

Proctitis of different origins may have an identical clinical picture, but require completely different therapeutic measures.

Symptoms

Symptoms of proctitis can be caused by the damage to the rectum itself (local) or be associated with a systemic reaction of the whole body to inflammation (systemic).

Systemic manifestations of proctitis, indicating the seriousness of the process, may include:

• fever;
• weight loss;
• decreased appetite;
• weakness;
• psycho-emotional disorders;
• rash;
• joint pain;
• lacrimation, redness of the eyes.

The last three symptoms are observed with allergic, immune or infectious damage. Sometimes they even precede local manifestations.

Diagnostics

Regardless of the origin of proctitis, patients need a full examination. Only a specialist can correctly determine its volume. Most often, the list of diagnostic procedures includes:

Instrumental examinations are not very pleasant for the patient, but are quite tolerable. If the doctor insists on the need for fibrocolonoscopy, then you should not immediately reject this sometimes painful procedure. In most hospitals and modern outpatient clinics, it can be performed by placing the patient in a state of short-term medicated sleep.

Treatment

Only after finding out the exact causes of proctitis can the doctor begin treatment. Its composition and character vary greatly, as they are determined by the nature of proctitis, its severity, the presence of systemic symptoms, the development of complications (constrictions, fistulas, intestinal obstruction, precancerous transformation of the mucosa, etc.). Some patients are prescribed a short-term course (usually for acute proctitis), while others require lifelong treatment and medical supervision.

The complex of treatment for proctitis may include:

• pharmacological (local and systemic) agents;
• physiotherapy;
• herbal medicine;
• surgical operations.

In the treatment of proctitis (as opposed to inflammation of other parts of the intestine), the role of local therapy is extremely important. The anatomical location and short length of the rectum make it possible to widely use all kinds of therapeutic enemas (with medicines, herbs, oils, fish oil, mineral water, etc.), suppositories, foams, which are injected directly into the anus. In some situations, you can even limit yourself to local therapy only.

Drug treatment

A wide range of pharmacotherapy for proctitis may include:

Of course, all of the listed drug groups are not prescribed to one patient. They are selected purely individually, sometimes a change in medications is required.

Physiotherapy

For proctitis, physiotherapeutic procedures should be prescribed very thoughtfully and carefully. Otherwise, they will cause even greater activation of the pathological process or bleeding.

In order to reduce inflammation, physiotherapists can recommend sessions of electrophoresis with calcium chloride or novocaine, sinusoidal modulated currents, UHF, intestinal irrigation with mineral water (subaquatic baths), mud therapy, electropuncture, etc. Some of these procedures are allowed in the acute period, but most are used outside the acute phase .

Phytotherapy

For microenemas or therapeutic sitz baths, infusions or decoctions of plants that have an antiseptic, anti-inflammatory or astringent effect are used. They are prepared from St. John's wort, sage, flax seed, chamomile, celandine, cinquefoil, calendula, elderflower, burnet root, oak bark, knotweed, and string.

is an inflammatory process in the area of ​​the rectal mucosa. It is a polyetiological disease. Accompanied by frequent urge to stool, discomfort during bowel movements, burning, itching and a feeling of a foreign body in the anus. In acute forms, hyperthermia and symptoms of intoxication are observed; in chronic pathology, the general condition is not disturbed. Proctitis is diagnosed based on complaints, examination results, rectal and endoscopic examination. Treatment - elimination of provoking factors, diet, antimicrobial drugs, painkillers and disinfectants.

ICD-10

K52 Other non-infectious gastroenteritis and colitis

General information

Causes of proctitis

There are two groups of factors that cause the development of the disease - general and local. Local damaging factors include mechanical injuries, the introduction of chemicals, hot or cold solutions into the rectum, the transfer of infection from nearby organs, as well as neoplasms of the rectum. Proctitis can be caused by mechanical injuries during unqualified massage or self-massage of the rectum and prostate gland, homosexual sexual intercourse and the introduction of various objects into the rectum for the purpose of arousal and satisfaction.

Proctitis, caused by exposure to irritating chemicals, hot and cold solutions, usually occurs when trying to treat with “folk remedies”, improper or excessive use of enemas, rectal suppositories, etc. As “folk remedies” that provoke the development of proctitis, can be used alcohol, turpentine, essential oils (clove, eucalyptus, peppermint oil), iodine solution, concentrated calcium chloride solution, mustard and capsicum tinctures. All of these substances have an irritating effect, and patients often use them to treat hemorrhoids, anal fissures and other diseases, which aggravates the existing pathology and causes inflammation of the mucous membrane.

Proctitis can also occur when infection spreads through contact from an inflamed vagina, urethra, bladder or perirectal tissue. Along with nonspecific infectious agents, the causative agent can be gonococci, chlamydia, trichomonas, etc. In patients suffering from cancer, the cause of proctitis can be disintegrating malignant tumors of the rectum and other perineal organs.

Proctitis is often diagnosed in patients with colon dyskinesia and irritable bowel syndrome, as well as in patients who have undergone surgery on the pelvic organs or suffer from chronic circulatory disorders in this area. The likelihood of developing proctitis increases with diseases of the pancreas, liver and gallbladder. Another reason for the development of proctitis is irradiation during the treatment of malignant neoplasia of the pelvic organs, most often uterine cancer and cervical cancer. The likelihood of developing a disease directly depends on the radiation dose.

Classification

• Catarrhal mucous- upon examination, swelling and redness of the mucous membrane are revealed; There is intense mucus secretion.
• Catarrhal-hemorrhagic- the mucous membrane is swollen, hyperemic, covered with numerous small hemorrhages.
• Catarrhal-purulent- redness and swelling of the mucous membrane are observed in combination with purulent discharge.
• Purulent-fibrinous- the inflamed mucous membrane becomes covered with purulent-fibrinous films that are difficult to remove.
• Erosive- superficial defects form on the surface of the intestinal mucosa.
• Ulcerative- deep defects appear on the surface of the mucosa.
• Ulcerative-necrotic- the formation of deep defects is combined with the formation of areas of necrosis.
• Polyposis- accompanied by the appearance of small growths resembling rectal polyps.

Treatment is conservative, usually carried out by a specialist in the field of outpatient proctology, and includes etiopathogenetic and symptomatic therapy. Patients are prescribed a gentle diet and bed rest, and are advised to avoid prolonged periods of sitting. After the condition improves, it is advised to maintain moderate physical activity. In severe forms of acute proctitis (ulcerative, ulcerative-necrotic), hospitalization in a hospital is indicated at the initial stage.

The human body is constantly exposed to irritating environmental factors that adversely affect health. The intestine is an important organ not only of the digestive system, but also of the body as such. Diseases of the intestines, namely the rectum, cause a lot of inconvenience. And today we will talk about what are the symptoms and treatment of proctitis.

Causes of proctitis

Let's start with what kind of disease proctitis is. Proctitis is inflammation of the rectum. The rectum is the part of the intestine that completes the digestive tract. It is located directly in front of the anus.

Inflammation of the rectum can be caused by a number of reasons, which conditionally divided into two large groups:

• The causes are local, when inflammation occurs under the influence of direct irritation of the rectum by something.
• General causes that affect the entire body, or any of its organs and systems, and as a result, inflammation of the rectum appears.

To make it easier to familiarize yourself with these two broad groups, let's look at them in a table.

There are also factors that increase the risk of rectal inflammation:

• weakening of the immune system, especially long-term;
• frequent constipation, in rare cases diarrhea;
• hypothermia of the body;
• susceptibility to colds.

Video:

One of the main causes of constipation and diarrhea is use of various medications. To improve bowel function after taking medications, you need to do it every day. drink a simple remedy ...

Types of proctitis

There are two main forms of proctitis according to its course and nature, the third is isolated separately, since it has its own etiology and cannot be attributed to the previous two:

1. Spicy Proctitis is most often caused by reasons from the first column, that is, by local irritation in the rectum. Acute proctitis occurs much more often than others.
2. Chronic Proctitis occurs a little less frequently and is usually provoked by diseases of the digestive tract, as well as other systems.
3. Ray Proctitis occurs due to radiation exposure of the body to treat cancer. Sometimes post-radiation syndrome is inevitable, since it is better to get rid of cancer and then treat proctitis than to die from a tumor.

Acute and chronic proctitis can differ in the nature of damage to the intestinal mucosa, that is, in the presence of ulcerations, pus, mucus and other factors.

Symptoms of rectal inflammation

With inflammation of the rectum, the symptoms will be characteristic of one form or another of proctitis. Signs may differ, be similar, or have a recurrent course. Let's consider these symptoms for each of the three types of proctitis separately.

If proctitis is not treated, it can lead to complications, namely:

Diagnostics

Only a proctologist can diagnose proctitis; if the disease has an oncological basis, then an oncologist. In any case, it is impossible to do this on your own. Diagnosis of rectal inflammation is carried out comprehensively. It includes the following stages (it is not necessary to complete all of them, but they are carried out only as prescribed by a doctor):

After making a diagnosis, the doctor will determine the causes of proctitis and tell you how to treat this inflammation and what measures should be taken to eliminate it.

Treatment

Most often, proctitis is treated at home, less often in a day hospital or hospital. Folk remedies cannot cure rectal inflammation; it can only be supportive therapy, so it should not replace drug treatment and other doctor’s prescriptions.

Diet

This is a necessary condition in order to restore the mucous membrane during proctitis. She should not be irritated by heavy, spicy, sour foods. There should be no stagnation of feces, they should be soft. Therefore, it is important to eat small meals and maintain a drinking regime. Meals should be timely (do not take long breaks - 2-3 hours maximum), food should be warm.

Daily regime

A patient with proctitis at first with acute proctitis needs bed rest and good sleep. After the main symptoms have passed, a small exercise is prescribed; heavy lifting is prohibited.

People with chronic proctitis can lead an active lifestyle, which will only improve the situation.

Drug treatment

Anti-inflammatory drugs for the intestines, antibiotics, anthelmintic drugs, suppositories that relieve inflammation and eliminate bacteria (sea buckthorn suppositories), and glucocorticosteroids are prescribed.

Supportive therapy is important: administration of aqueous solutions for diarrhea, painkillers and antispasmodics (even narcotic painkillers are indicated for people with radiation proctitis), laxatives to eliminate constipation and ease the condition and the act of defecation.

You can use ointment to relieve pain and burning in the anal area. You cannot use medications on your own; they must be prescribed by a doctor. And if you buy a cheap product at the pharmacy without consulting a doctor, you can only harm yourself.

If the cause of proctitis is a tumor or cancer, then a consultation with an oncologist is necessary.

conclusions

If you detect the problem in time and contact a specialist immediately, then curing proctitis will not be difficult. Inflammation of the rectum is now treated very well, regardless of the causes of its occurrence.

The main thing is not to self-medicate, and to approach the implementation of treatment procedures responsibly. And in order to prevent proctitis, you need to undergo annual medical examinations, as well as monitor your health and not overload the body, then there will be less inflammation and diseases.

The rectum is the lower terminal section of the intestine, ending at the anus. Under the influence of various factors, its mucous membranes can become inflamed, in which case a disease called proctitis develops. Often it is of a combined nature and also affects the sigmoid colon or fatty tissue. The first disease is called proctosigmoiditis, the second is paraproctitis.

Types and forms of the disease

Proctitis is an inflammatory disease affecting the mucous membrane of the rectal wall. It can occur in chronic or acute form.

• The chronic form of proctitis develops gradually. In the presence of this pathology, deeper tissue damage is noted. Its symptoms are not very pronounced, but they bother the patient for quite a long time. The disease progresses in waves, with periods of exacerbation followed by periods of remission.
• The acute form of proctitis develops quickly, affecting the superficial layers of the mucosa. The symptoms of the disease are pronounced and constant, but the patient is bothered for a short period.

Depending on the changes occurring in the rectum, chronic proctitis is divided into:

1. Atrophic. With this pathology, thinning of the mucous membrane occurs, all folds of its surface are smoothed out.
2. Normotrophic. With it, no major changes occur in the mucous membrane; it has a normal appearance.
3. Hypertrophic. In the presence of this type of disease, the mucous membrane is thickened, its folds are very well expressed.

Depending on the nature of the changes in the intestinal mucosa, acute proctitis is divided into:

• Erosive - superficial lesions - erosions - appear on the intestinal tissues.
• Ulcerative - the intestinal mucosa becomes covered with deeper lesions - ulcers.
• Ulcerative-necrotic - ulcers are present on the intestinal tissues; in some areas, necrosis of the mucous membrane and its rejection occur.
• Catarrhal-hemorrhagic - the mucous membrane is bright red, swollen, and many small hemorrhages are visible on it.
• Catarrhal-mucous - the tissues become bright red, swell, and begin to secrete a lot of mucus.
• Catarrhal-purulent - the tissues look swollen, there is pus on them.
• Purulent-fibrous - the intestinal tissue is covered with a thin film - purulent-fibrous plaque.
• Polypous - growths appear on the mucous membrane that look like polyps.

The most severe is catarrhal-purulent, polypous, erosive and ulcerative proctitis.

Causes of pathology

Many factors can cause the disease. This can range from very minor damage to the colon to malignant formations. Let's look at the causes of proctitis in more detail:

In addition to the direct causes of proctitis, there are predisposing factors that indirectly contribute to the development of inflammation, these are:

1. weakened immune system;
2. inflammation in organs located near the rectum - bladder, prostate, vagina, ovaries, uterus, urethra;
3. hypothermia of the body;
4. frequent colds.

The disease develops with equal frequency in men and women; the risk group includes people who practice unconventional sex, suffer from colon diseases, etc.

Proctitis may occur in children. It is usually seen in infants under one year of age. Its most common causes are:

• intolerance to the protein contained in breast milk or artificial formulas made from soy or cow's milk;
• intestinal infections;
• worms;
• dysbacteriosis;
• improper use of rectal suppositories, gas tubes, enemas;
• ingestion of foreign bodies by the baby;
• frequent problems with stool.

More often, the disease occurs in breastfed babies. As a rule, sick babies look quite healthy; one can guess that they have a disease only after examining the stool, which contains mucus and bloody streaks.

Symptoms of rectal inflammation

The clinical manifestations of the disease differ and depend on the form.

Signs of acute proctitis:

• discomfort in the anus - heaviness, foreign body sensation, burning;
• increasing during defecation;
• pain in the perineal area, in women the pain can radiate to the vagina, labia, in men to the penis, scrotum;
• pulling pain in the lower back;
• purulent or bloody discharge from the anus;
• increase in body temperature, usually no more than 38 degrees;
• increased fatigue, chills;
• frequent urge to defecate, which may be painful;
• the presence of blood clots or impurities in the stool;
• or .

Acute proctitis develops quickly, within several hours or days. It goes away just as quickly, but with adequate therapy.

Symptoms of chronic proctitis:

• mild pain in the rectum, usually they do not cause much discomfort to the patient;
• mild burning and itching;
• constant purulent or mucous discharge from the anus;
• anemia, pallor of the skin, these signs occur in the presence of chronic bleeding;
• with some types of proctitis, blood may be present in the stool;
• exhaustion, it develops when the cause of the disease is cancer or other severe pathologies.

Chronic proctitis can occur as a result of improper treatment of acute proctitis or initially be an independent disease.

Inflammation of the rectum can spread to surrounding tissues or even organs, leading to the development of extensive pathologies. Proctitis most often leads to the following complications:

• Acute paraproctitis is the transition of the inflammatory process to fatty tissue located near the rectum.
• Chronic paraproctitis with the occurrence of fistulas - purulent inflammation develops in the fatty tissue, which causes the melting of the affected tissues and the formation of cavities between the intestines and nearby organs, and fistulas often come out.
• , – the pathological process involves the overlying parts of the intestine;
• , cancer - occurs in chronic forms of the disease;
• Scarring of tissue and, as a result, narrowing of the intestinal lumen - pathology usually develops with severe proctitis.
• Dysbacteriosis, decreased general and local immunity.
• Pelvioperitonitis is an inflammation of the thin film lining the inside of the abdominal cavity.

Diagnostic methods

The doctor can assume the presence of proctitis after interviewing the patient. However, it is impossible to establish an accurate diagnosis without examination. For this purpose the following are usually used:

• – allows you to assess the condition of the mucous membrane, the functioning of the sphincter, identify intestinal deformations, and the presence of discharge;
• rectoscopy - performed using an instrument with a microcamera, which allows you to examine the intestinal walls from the inside and detect any changes on their surface;
• stool analysis (for the presence of worm eggs, bacterial culture) - this way the presence of worms, pathogens, blood impurities, and digestive disorders is revealed;
• biopsy - material is collected during rectoscopy; this is necessary to study the mucous membrane under a microscope.

Features of treatment

Acute proctitis is completely curable with timely and proper treatment. However, if the disease has become chronic, no therapy can lead to a complete recovery. In this case, it is only possible to achieve long-term remission and prevent the development of complications.

Treatment of proctitis in most cases is carried out using conservative methods. The basis of therapy is diet, taking medications and using enemas, moderate physical activity and regimen.

1. Diet. Changing your usual diet can increase the effectiveness of therapy. For proctitis, a gentle diet is prescribed. All foods that can irritate the mucous membranes are excluded - sour, salty, hot, spicy, fatty. In acute forms of the disease and exacerbation of chronic ones, sweets, fruits, berries, and vegetables are also excluded. It is recommended to give preference to liquid and semi-liquid dishes, lactic acid products, lean soups, and ground lean meat.
2. Drug therapy. The patient may be prescribed different drugs; the use of certain drugs depends on the form and type of the disease. In acute proctitis of the rectum, antibiotics are usually used to suppress the development of the infection that caused the disease. First, a culture of the intestinal contents is carried out, then, based on its results, a suitable antibacterial drug is selected. In addition to them, antispasmodics and antihistamines are used to relax the intestinal walls. To improve tissue regeneration, relieve symptoms of inflammation, improve metabolic processes, and restore mucous membranes, suppositories can be prescribed. To treat proctitis caused by ulcerative colitis, hormonal drugs are often used.
3. Sitz baths and enemas. As additional measures, cleansing enemas may be recommended. After them, it is useful to do therapeutic microenemas with decoctions of chamomile or calendula, sea buckthorn or other oils. A good antiseptic effect is obtained by taking sitz baths with a solution of potassium permanganate. It is advisable to do them after each bowel movement.
4. Physical activity and regimen. For patients with proctitis, prolonged sitting is contraindicated, as this leads to congestion in the pelvis and weakening of the pelvic floor muscles. With this disease, it is necessary to perform feasible physical activity. A minimal set of exercises is prescribed even to patients who are prescribed bed rest.

Surgery for proctitis is prescribed in the presence of serious complications. These include.