proctitis การใช้

• Shared enema usage has been shown to facilitate the spread of Lymphogranuloma venereum proctitis.
• It includes solitary rectal ulcer syndrome, rectal prolapse, proctitis cystica profunda, and inflammatory polyps.
• Systemic steroids such as prednisone are not used unless proctitis fails to respond to the above treatments.
• Herpetic proctitis ( inflammation of the anus and rectum ) is common for individuals participating in anal intercourse.
• Medical treatments include the use of hyperbaric oxygen which has beneficial effects in radiation proctitis or anal damage.
• Pseudodiarrhea is often associated with rectal urgency and accompanies irritable bowel syndrome, hyperthyroidism, and anorectal disorders such as proctitis.
• Endoscopic therapies including argon plasma coagulation have been used for bleeding telangiectasia in radiation proctitis and at other intestinal sites, although there is a rick of perforation.
• The degree of involvement endoscopically ranges from proctitis or inflammation of the rectum, to left sided colitis, to pancolitis, which is inflammation involving the ascending colon.
• Radiation induced FI may involve the anal canal as well as the rectum, when proctitis, anal fistula formation and diminished function of internal and external sphincter occur.
• Causes of increased pre-sacral space are : ulcerative colitis, granulomatous colitis, lymphogranuloma venereum, and in postirradiation changes, thrombosis of the inferior vena cava and tuberculous proctitis, tumor of the sacrum or posterior wall of the rectum.
• Maintenance therapy is with Mesalazine 1g QHS or Q3HS . Those with anal irritation or discomfort from the suppositories may switch to oral medications, such as sulfasalazine, Mesalazine, or Colazol, although they are not as effective as suppositories for proctitis.