1.9K Reviews    |    4.7 Star Rating    |    20+ years of experience    |    72k+ Patients Treated

Proctitis

In Houston, Dr. Bharat Pothuri at GastroDoxs specializes in diagnosing and treating proctitis, a painful inflammation of the rectum. Utilizing advanced endoscopic techniques, personalized medication and lifestyle guidance, he delivers comprehensive, patient-focused care to relieve symptoms and restore digestive health.

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Texas Medical Board
Harris County Medical Society
American College of Gastroenterology
American Society for Gastrointestinal Endoscopy
Memorial hermann
Houston Methodist leading Medicine
HCA Houston Healthcare
Bharat Pothuri

About the Expert

Dr. Bharat Pothuri is a board-certified gastroenterologist and the founder of GastroDoxs. 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.

Common Causes and Risk Factors

  • Infections, such as bacterial, viral, or parasitic (including STIs)
  • Inflammatory bowel disease (ulcerative colitis, Crohn's disease)
  • Radiation therapy to the pelvic area
  • Medications like NSAIDs
  • Sexual activity with STI risk (e.g., receptive anal intercourse)
  • Autoimmune reactions in the rectal lining

Signs and Symptoms

  • Pain or pressure in the rectum
  • Urgent or frequent need to defecate
  • Blood or mucus in the stool
  • Diarrhea or loose stools
  • Spasms or cramps in the rectal area

Expert Treatment for Proctitis by Dr. Bharat Pothuri

Dr. Pothuri uses a step-by-step approach:

Medical History and Physical Exam

He reviews the onset, location and character of your pain, dietary triggers, medication use (NSAIDs, aspirin), alcohol intake, smoking history and any weight changes. A focused abdominal exam checks for tenderness, masses or organ enlargement.

Blood Tests

Routine labs include a complete blood count (CBC) to look for anemia or infection, comprehensive metabolic panel (CMP) to assess liver and kidney function, amylase and lipase to screen for pancreatitis, and H. pylori serology or stool antigen.

Imaging and Endoscopy

  • Abdominal ultrasound evaluates the gallbladder, liver and pancreas for stones or inflammation.
  • Upper endoscopy (EGD) directly visualizes the esophagus, stomach and duodenum to detect ulcers, gastritis, reflux esophagitis or hiatal hernia.
  • CT scan or MRI abdomen may be obtained if pancreatitis or other structural disease is suspected.

Advanced Testing (if needed)

Additional studies can include a urea breath test for H. pylori, gastric emptying study to assess for gastroparesis, endoscopic ultrasound for detailed pancreatic evaluation or pH-impedance testing when refractory reflux is suspected.

Bharat Pothuri
Treatment

Our Team offers a full range of care for proctitis.

1. Diet and Lifestyle Tips

  • Add fiber slowly to your meals
  • Drink plenty of water
  • Avoid spicy food, coffee, and alcohol during flares
  • Eat smaller meals more often

2. Medications

  • Suppositories or enemas with mesalamine
  • Oral 5-ASA medicines for mild to moderate cases
  • Steroids to calm flares
  • Biologics or immune-modulating drugs for more serious cases

3. Minimally Invasive or Advanced Procedures

  • Balloon dilation to open up narrowed areas
  • Radiofrequency ablation for deep or persistent sores
  • Targeted injections during endoscopy for localized treatment
286

Patients Treated

Dr. Pothuri has treated more than 286 patients, helping individuals improve their digestive health and overall well-being through expert, personalized care.

20Y

Years of Experience

With over 20 years of experience, GastroDoxs has been a trusted provider of gastroenterology care, focusing on delivering the best outcomes for patients

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's the difference between ulcerative proctitis and ulcerative colitis?

Ulcerative proctitis affects only the rectum, while ulcerative colitis involves larger portions of the colon.

What are the ICD-10 codes for proctitis?

K62.5 is used for general proctitis, and K51.3 applies specifically to ulcerative proctitis.

Can proctitis raise my risk of colon cancer?

Yes. Long-term inflammation from IBD, including proctitis, can increase colon cancer risk. Regular surveillance is important.

How long does treatment for proctitis usually take?

Some patients feel relief in a few weeks, but chronic cases may require ongoing management over months or longer.

Can I try home remedies along with medical treatment?

Yes. Warm sitz baths, a gentle diet, and proper hydration can ease symptoms-but don't skip your medical appointments.

Is proctitis treated the same way as ulcerative colitis?

There is overlap in therapies, but treatment is tailored to how much of your colon is affected and the severity of inflammation.

When should I seek emergency care?

Contact your doctor right away if you experience heavy rectal bleeding, high fever, severe abdominal pain, or signs of dehydration.

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