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Ulcerative Proctitis

At GastroDoxs in Houston, our dedicated and experienced team provides ulcerative proctitis care with advanced diagnostics, tailored treatment plans and compassionate support to help local patients manage symptoms, improve quality of life and regain comfort right here in our community.

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Symptoms

What is Ulcerative Proctitis?

Ulcerative Proctitis is a mild form of ulcerative colitis that causes inflammation and tiny ulcers in the lining of the rectum-the last few inches of your large intestine. Unlike broader ulcerative colitis, it's confined to the rectal area. Early diagnosis and treatment can ease symptoms and help you stay comfortable.

Common Symptoms

Symptoms often vary in intensity but may include:

  • Bright red blood in your stool
  • An urgent, sudden need to have a bowel movement
  • Cramping or mild pain in the lower abdomen
  • A feeling of incomplete evacuation (tenesmus)
  • Mucus discharge from the rectum

Causes

The exact cause isn't known, but several factors can contribute:

  • Immune system dysfunction - the body mistakenly attacks healthy colon tissue
  • Family history - a genetic predisposition to inflammatory bowel diseases
  • Environmental or lifestyle triggers - stress, alcohol consumption, or NSAIDs
  • Gut microbiome imbalance - shifts in beneficial vs. harmful bacteria
Treatment

Treatment Options for Ulcerative Proctitis in Houston

Treatment includes medications and lifestyle adjustments:

  • Suppositories or enemas: Deliver anti-inflammatory medication directly to the rectum to control bleeding and pain.
  • Oral medications: Mesalamine, corticosteroids, or immunomodulators for more severe or persistent symptoms.
  • Biologics: Targeted therapy for moderate to severe cases when standard treatments aren't sufficient.
  • Diet and lifestyle guidance: Personalized nutrition plans, stress management techniques, and avoiding triggers like alcohol to reduce flare-ups.
  • Regular monitoring: Follow-up visits, blood work, and periodic scopes to track disease activity and adjust your plan.

Book Your Appointment Today

Experiencing bleeding, cramping, or changes in your bowel habits? Don't wait-schedule a consultation with our Houston specialists at GastroDoxs. Call 832-632-4070 or book online now to get personalized, compassionate care and take the first step toward lasting relief.

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Bharat Pothuri

About the Author

Dr. Bharat Pothuri is a Board-Certified Gastroenterologist and Hepatologist. With extensive experience in digestive health, he specializes in advanced endoscopic procedures, chronic GI disorder management, and preventive care. Dr. Pothuri is dedicated to providing expert, patient-focused insights to help improve gut health and overall well-being.

Frequently Asked Questions

What is the ICD-10 code for Ulcerative Proctitis?

The ICD-10 code for Ulcerative Proctitis is K51.2. This code is used by healthcare providers and insurers to classify and bill for services related to this specific condition.

How is Ulcerative Proctitis different from Ulcerative Colitis?

Ulcerative Proctitis is limited to inflammation of the rectum (the last few inches of the colon), whereas Ulcerative Colitis can involve the entire colon. Symptoms and treatment may overlap, but the extent of disease is the main distinction.

Can alcohol make Ulcerative Proctitis symptoms worse?

Yes. Alcohol can irritate the digestive tract and trigger or exacerbate symptoms such as cramping, urgency, and bleeding. Limiting or avoiding alcohol may help reduce flare-ups.

Is Ulcerative Proctitis curable?

There is currently no cure for Ulcerative Proctitis. However, with the right combination of medications, lifestyle changes, and monitoring, you can achieve and maintain symptom relief and remission.

Should I see a specialist if I suspect Ulcerative Proctitis?

Yes. If you experience rectal bleeding, persistent urgency, cramping, or changes in bowel habits, you should consult a gastroenterologist. Early evaluation and treatment can prevent complications and improve quality of life.

Are suppositories better than oral pills for treating Ulcerative Proctitis?

Suppositories and enemas deliver medication directly to the inflamed rectal tissue, often providing faster relief for localized disease. Oral pills may be added if inflammation extends beyond the rectum or if suppositories alone are not sufficient.

Does diet play a role in managing Ulcerative Proctitis?

Yes. While there's no one "ulcerative proctitis diet," eating a balanced, low-residue diet during flares and identifying personal trigger foods can help reduce symptoms. A registered dietitian can tailor recommendations to your needs.

Do I need regular colonoscopies with Ulcerative Proctitis?

Most patients with Ulcerative Proctitis should undergo surveillance colonoscopies every 1-2 years to monitor for disease progression and dysplasia. Your gastroenterologist will recommend the appropriate interval based on your history and risk factors.

Can stress worsen Ulcerative Proctitis?

Yes. Stress can influence immune function and gut motility, potentially triggering or intensifying flare-ups. Stress-management techniques such as mindfulness, therapy, or gentle exercise may help keep symptoms in check.

What's the difference between proctitis and colitis?

Proctitis refers specifically to inflammation confined to the rectum. Colitis denotes inflammation that involves a larger portion of the colon or the entire colon. Treatment strategies overlap but depend on the disease's extent.

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