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Suggest Treatment For Chronic Incomplete Defecation And Hyperemic Inflamed Rectum
Question: I suffer from incomplete evacuation of stool for past 6 years.My recent colonoscopy report shows distal rectum proctitis and distal rectum is XXXXXXX of hyperaemia.I feel congestion in rectum.The biopsy report shows no parasite ,nothing wrong.Is my hyperaemic inflammed rectum obstructing complete evacuatio?I have tried lactulose syrup which is not clearing my bowel at one go.Is there any cure?
Brief Answer:
Modify diet; take medicine as suggested
Detailed Answer:
Hi,
Thank you for posting your query in Healthcaremagic.com.
This is Dr. Swarnava Dattagupta answering your query.
I have gone through your query and understand your concern.
Proctitis can have many causes and in many cases, it is idiopathic i.e. no reason can be found. Malabsorption and infections are other common causes.
Yes, it can lead to incomplete evacuation of bowels.
One cannot definitely tell about complete cure unless the cause is not identified but decrease in severity of symptoms can be done.
In patients coming with such symptoms, I generally advise the following-
Diet modification- avoiding rich spicy diet, small frequent meals to take, taking lots of water and oral fluid, taking lots of dietary fibers or fiber supplements, avoiding alcohol and smoking if any.
Exercise- daily exercise like brisk running, cycling, swimming are very effective and it enhances metabolism.
A course of ampicillin or ciprofloxacin might be helpful.
Lactulose syrup with ispaghula husk at night. Once, some regularity is restored, one may stop these gradually.
Pantoprazole-levosulpiride in the morning for a month.
You can consult the above with your treating or family doctor and get these prescribed.
Hope I have answered your question.
If you have any further questions I will be happy to help.
Regards.
Modify diet; take medicine as suggested
Detailed Answer:
Hi,
Thank you for posting your query in Healthcaremagic.com.
This is Dr. Swarnava Dattagupta answering your query.
I have gone through your query and understand your concern.
Proctitis can have many causes and in many cases, it is idiopathic i.e. no reason can be found. Malabsorption and infections are other common causes.
Yes, it can lead to incomplete evacuation of bowels.
One cannot definitely tell about complete cure unless the cause is not identified but decrease in severity of symptoms can be done.
In patients coming with such symptoms, I generally advise the following-
Diet modification- avoiding rich spicy diet, small frequent meals to take, taking lots of water and oral fluid, taking lots of dietary fibers or fiber supplements, avoiding alcohol and smoking if any.
Exercise- daily exercise like brisk running, cycling, swimming are very effective and it enhances metabolism.
A course of ampicillin or ciprofloxacin might be helpful.
Lactulose syrup with ispaghula husk at night. Once, some regularity is restored, one may stop these gradually.
Pantoprazole-levosulpiride in the morning for a month.
You can consult the above with your treating or family doctor and get these prescribed.
Hope I have answered your question.
If you have any further questions I will be happy to help.
Regards.
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Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Answered by
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