Many people do not pay much attention to their dietary health in life, so they always think that inflammation in the body has nothing to do with diet. In fact, the so-called rectal inflammation is also proctitis, and most of them are related to diet. For example, many people do not pay attention to taking medicine or do not adjust in time, which will slowly lead to mild inflammation and different consequences. Treatment Conditioning Patients should get adequate rest, eat light, low-residue, nutritious, non-irritating food, and be in a good mood, combining work and rest. Systemic treatment 1. Antibiotics can be taken orally, injected intramuscularly or intravenously according to the condition. 2. Treatment with Chinese medicine for regulating qi and soothing intestines: (1) In the chronic stage, the patient is weak and frail, and mainly discharges mucus. Commonly used prescriptions include: Pseudostellaria baicalensis, roasted Astragalus membranaceus, Atractylodes macrocephala, Licorice, Poppy shell, White Peony Root, Pomegranate peel, and Alum. Decoction in water and take orally, twice a day. (2) When chronic proctitis attacks acutely, it is used to clear away heat, detoxify, moisten the intestines and promote bowel movements. For those with tenesmus and frequent bowel movements, use Zhishi Daozhi Pills to clear out the congestion. Topical treatments For those with rectal mucosal edema, the rectum can be irrigated with normal saline, tannic acid, or potassium permanganate solution. For mucosal erosion, apply cortisone acetate solution or silver nitrate solution. For those with sphincter and levator ani muscle spasms, warm olive oil can be injected into the rectum. If the rectal mucosa is atrophied and dry, an appropriate amount of peppermint oil can be injected into the rectum every night. Clinically, using honey, sesame oil and yellow mold solution, alternating enema every other day, twice a day, has a good therapeutic effect. Recommendation: For patients with long-term proctitis or patients with recurrent proctitis, it is recommended to use Chinese medicine to regulate qi and soothe the intestines for treatment, and at the same time pay attention to eating habits. Use medicine Salicylic acid sulfazopyridine drugs: Salicylic acid sulfazopyridine (SASP for short) is generally used as the first choice drug. It is suitable for patients with mild or severe cases who have been relieved by adrenal glucocorticoid treatment and has a good effect. Adrenal glucocorticoids: Suitable for patients with fulminant or severe diseases. They can control inflammation, inhibit the autoimmune process, alleviate poisoning symptoms, and have a good therapeutic effect. Hydrocortisone or dexamethasone is commonly used for daily intravenous drip, with a course of 7-10 days. After the symptoms are relieved, oral prednisolone is used instead. After the disease is under control, the dosage is gradually reduced. After stopping the medication, sulfapyridine salicylate can be given to prevent recurrence. The main treatment for proctitis is local topical medication or retention enema, and it can also be combined with oral Chinese medicine depending on the situation. Patients should go to a regular anorectal hospital to get their medicine. The types of drugs used include cimetidine, tin-like powder, plus ofloxacin or metronidazole (these two enemas are used alternately) for enema treatment. Avoid spicy, greasy, raw or cold food. |
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