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  Ulcerative Proctitis

Ulcerative Proctitis is an inflammation of the last seven inches of the large intestines known as the rectum. The inflammation may be accompanied by swelling, redness and ulcers or open sores. This is the least severe type of Inflammatory Bowel Disease.

Ulcerative Proctitis
Ulcerative Proctitis


Presenting symptoms of ulcerative Proctitis are diarrhea, bleeding, pressure or urge to have a bowel movement, known as tenesmus, mucus discharge from the rectum, rectal soreness, or constipation. Blood and mucus may be passed with or without a bowel movement. Bleeding is usually in small amount, though sometimes it can occur suddenly and in a large amount. These symptoms can occur without notice or warning at any time.


Diagnosis is made through a rectal exam or a sigmoidiscope. A sigmoidiscope is a tube the size of a finger that is used to examine the rectum to ensure that the symptoms are not caused by any other more serious disease. Ulcerative Proctitis is a chronic persistent disease and requires regular exams. This is a painless procedure that can be performed quickly without anesthesia or sedation.


It is possible that ulcerative Proctitis is caused by a virus that is attacked via inflammation of the lining of the rectum. The exact cause has yet to be determined. Patients who lead busy, stressful lifestyles note that an increase in stress will trigger or aggravate the symptoms. This is not a contagious disease.


The amount of inflammation and the number of attacks dictate the treatment for ulcerative Proctitis. Mild inflammation can be treated with suppositories, foams or enemas that are medicated. Severe inflammation may require oral medication that will help prevent further attacks. Regular monitoring via sigmoidiscope is important.

Dietary changes may help with ulcerative Proctitis. Increasing fiber intake, water and fluid intake can help. Some patients find relief when milk products and spicy foods are avoided. Active participation from the patient in managing the disease greatly improves the quality of life.

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