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Gastroenterology (Expert Forum)
proctitis ,leakage
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com
This forum is for questions regarding Gastroenterology issues such as Acid Reflux (GERD), Barretts Esophagus, Colitis, Colon/Bowel Disorders, Crohn's Disease, Diverticulitis/Diverticulosis, Digestive Disorders, IBS, Stomach Pain.
proctitis ,leakage
by bubblehead, Aug 11, 2005 12:00AM
10 days ago i was diagnosed with chronic proctitis (im 29) after
going through a
colonoscopy examination.
since then I had this one time a symptom which drove me into an anxiety , after an attempt for BM (to give a stoolsample)
which I initally thought didnt produce anything I discovered
small remanants of stool ( similiar to those appear after a wipe )
that day i had an unusual stomach pain and went to the bathroom
3 times before noon in the last BM I had something that could be described as mild diarreah
however when I tried to make a BM I didnt
push very hard and had no gas
I fear those remanants might have gotten there before however there were no stains at my underwear
the possibility of not wiping myself completely after the 3 bm i had before is not existent i know i did .
since then i checked myself
several times ( after i feel gas or after bm but nothing yet)
my questions are
1)what should I make from all of this
2) can this symptom occure sometime with proctitis (ihad mucus before but that was WHITE)?
3)if its related to proctitis it definetly can be expected not to occur again,right?
if my proctitis is removed even if i would have diarreah ?
4)should I go through digital rectal exam to check out my sphincter muscles I also had problems concerning post void dribbling which
were greatly diminished to not more than one drop after voiding by using urethral milking but which can also be an additional sign that my sphincter muscle doesnt work well
(i made an ultrasound to check if there are any remanants of urine after voiding which turned out to be negative)
5)whats the prognosis for proctitis under the treatment of salofalx 250/500 per dose three times daily
tnx alot
a,d
going through a
colonoscopy examination.
since then I had this one time a symptom which drove me into an anxiety , after an attempt for BM (to give a stoolsample)
which I initally thought didnt produce anything I discovered
small remanants of stool ( similiar to those appear after a wipe )
that day i had an unusual stomach pain and went to the bathroom
3 times before noon in the last BM I had something that could be described as mild diarreah
however when I tried to make a BM I didnt
push very hard and had no gas
I fear those remanants might have gotten there before however there were no stains at my underwear
the possibility of not wiping myself completely after the 3 bm i had before is not existent i know i did .
since then i checked myself
several times ( after i feel gas or after bm but nothing yet)
my questions are
1)what should I make from all of this
2) can this symptom occure sometime with proctitis (ihad mucus before but that was WHITE)?
3)if its related to proctitis it definetly can be expected not to occur again,right?
if my proctitis is removed even if i would have diarreah ?
4)should I go through digital rectal exam to check out my sphincter muscles I also had problems concerning post void dribbling which
were greatly diminished to not more than one drop after voiding by using urethral milking but which can also be an additional sign that my sphincter muscle doesnt work well
(i made an ultrasound to check if there are any remanants of urine after voiding which turned out to be negative)
5)whats the prognosis for proctitis under the treatment of salofalx 250/500 per dose three times daily
tnx alot
a,d
Doctor's Answer
by Kevin Pho, MD, Aug 11, 2005 12:00AM
, Aug 11, 2005 12:00AM
To answer your questions:
1) Difficult to say. A colonoscopy would have detected most of the major causes that could have led to these symptoms.
2) It is possible that the proctitis may have led to these symptoms.
3) If the symptoms were related to the proctitis, it would likely improve if the disease were adequately treated.
4) More specialized testing can be considered to evaluate the anal sphincter - this can include anal manometry, endorectal ultrasound or an EMG. Thses options can be discussed with your GI physician.
5) There are several options for treatment if the initial medication is not working. This can include steroid enemas as well as immunomodulator therapy (such as 6-MP or azathioprine). These options should be discussed with your personal physician or gastroenterologist.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
http://www.straightfromthedoc.com
1) Difficult to say. A colonoscopy would have detected most of the major causes that could have led to these symptoms.
2) It is possible that the proctitis may have led to these symptoms.
3) If the symptoms were related to the proctitis, it would likely improve if the disease were adequately treated.
4) More specialized testing can be considered to evaluate the anal sphincter - this can include anal manometry, endorectal ultrasound or an EMG. Thses options can be discussed with your GI physician.
5) There are several options for treatment if the initial medication is not working. This can include steroid enemas as well as immunomodulator therapy (such as 6-MP or azathioprine). These options should be discussed with your personal physician or gastroenterologist.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
http://www.straightfromthedoc.com
