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

Ulcerative Proctitis

Ulcerative proctitis is a mild form of ulcerative colitis causing inflammation and ulcers confined to the rectum. At GastroDoxs in Houston, Dr. Bharat Pothuri offers personalized diagnosis, targeted treatments to reduce symptoms, prevent flares and improve patients' quality of life.

Call Us 832-632-4070 Schedule Now Click Here Text Us 832-632-4070 Learn More Click Here
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.

What Is Ulcerative Proctitis?

Ulcerative proctitis is a mild form of ulcerative colitis limited to the rectum. It leads to inflammation, swelling and small ulcers in the rectal lining. Many people experience light symptoms and respond well to treatment.

Common Causes and Risk Factors

  • An autoimmune reaction where the immune system attacks rectal tissue
  • Having a parent or sibling with ulcerative proctitis or colitis
  • Typical onset between ages 15 and 30
  • Possible triggers such as stress, certain foods or medications

Signs and Symptoms

  • Blood in the stool
  • Frequent or urgent need to have a bowel movement
  • Mild abdominal or rectal cramping
  • Mucus in bowel movements

Expert Treatment for Ulcerative Proctitis by Dr. Bharat Pothuri

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

Medical History and Exam

He reviews your symptom pattern (bleeding, urgency, mucus), bowel-movement changes, family history of IBD, and any potential triggers. A focused abdominal exam and digital rectal exam help assess tenderness and inflammation.

Blood Tests

He orders a complete blood count to check for anemia, C-reactive protein and ESR to gauge inflammation, and basic metabolic panels. Stool studies may also be done to rule out infections and measure fecal calprotectin.

Imaging Studies

  • Flexible sigmoidoscopy allows direct visualization of the rectal lining.
  • Colonoscopy may be performed when wider colon evaluation is needed.
  • Cross-sectional imaging (CT or MR enterography) is used only if complications or deeper bowel involvement are suspected.

Advanced Testing (if needed)

If the diagnosis remains unclear or to assess microscopic disease activity, a small tissue biopsy is taken during endoscopy for histologic confirmation.

Bharat Pothuri
Treatment

Our Team offers a full range of care for ulcerative proctitis.

1. Lifestyle and Dietary Modifications

  • Eat small, frequent meals to minimize discomfort
  • Drink plenty of water to stay hydrated
  • Avoid known trigger foods and alcohol; partner with a dietitian for a tailored plan
  • Incorporate stress-reduction techniques such as walking, yoga, or deep breathing

2. Medications

  • Aminosalicylates (e.g., mesalamine suppositories or enemas) to reduce rectal inflammation
  • Topical therapies delivered directly to the rectum for targeted relief
  • Short-term corticosteroids during flares to swiftly control symptoms
  • Biologics or immunomodulators for patients with persistent or severe disease

3. Advanced Therapies and Surgical Options

  • Endoscopic interventions to identify and control bleeding
  • Biopsy and regular monitoring to track disease progression
  • Rare surgical removal of the rectum (proctectomy) when all other treatments fail
1.5K

Patients Treated

Dr. Pothuri has treated more than 1.5K 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 is the difference between ulcerative proctitis and ulcerative colitis?

Ulcerative proctitis involves inflammation only in the rectum, whereas ulcerative colitis affects larger portions of the colon.

Is treatment different?

Yes. Proctitis often responds to milder therapy, including topical suppositories or enemas, while colitis may require oral or systemic medications.

Can food help manage this condition?

Dietary changes can ease symptoms but do not cure the disease. Most patients still need prescribed medications for long-term control.

What does ICD-10 K51.2 mean?

ICD-10 K51.2 is the official diagnosis code for ulcerative proctitis, used for insurance billing and medical record keeping.

How fast does treatment work?

Many patients notice improvement within a few days to weeks of starting therapy, though full remission may take longer.

What happens if I ignore symptoms?

Untreated proctitis can lead to anemia, severe bleeding, increased infection risk, and a small long-term cancer risk.

Is it passed down in families?

Having a close relative with inflammatory bowel disease raises your risk, though it's not directly inherited in every case.

Related Blogs
Abdominal Pain

I'm at Risk for Colon Cancer - What Should I Do?

Read More
Abdominal Pain

How Serious Is Rectal Bleeding?

Read More