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Proctitis
At GastroDoxs in Houston, Dr. Nghia Nguyen specializes in diagnosing and treating proctitis—an inflammation of the rectal lining that can cause pain, bleeding and urgency. With gentle exams, testing and personalized plans, he helps patients relieve symptoms and improve comfort.
Dr. Nghia Nguyen, DO, is a board-certified gastroenterologist providing advanced digestive care in the Greater Houston area. He earned his medical degree from the Texas College of Osteopathic Medicine and completed both his Internal Medicine residency and Gastroenterology fellowship at the University of Texas at Rio Grande Valley. Dr. Nguyen specializes in treating conditions such as acid reflux, irritable bowel syndrome (IBS), inflammatory bowel disease (IBD), and liver disorders.
What Is Proctitis?
Proctitis means the inside lining of your rectum is swollen. It can cause pain, bleeding, and the sudden urge to go to the bathroom. If left untreated, it can worsen and affect your everyday life.
Common Causes and Risk Factors
Inflammatory bowel disease (IBD) such as ulcerative colitis
Infections from bacteria, viruses, or parasites
Radiation therapy to the pelvis
Sexually transmitted infections (STIs)
Frequent use of rectal medications like enemas or suppositories
Family history of IBD or other gut health issues
Signs and Symptoms
Pain or pressure in the rectum
Frequent or urgent need to have a bowel movement
Blood or mucus in the stool
Feeling of fullness or heaviness in the rectum
Diarrhea lasting more than a few days
Alcohol can trigger or worsen flare-ups
How Dr. Nghia Nguyen Diagnoses Proctitis?
Dr. Nguyen uses a step-by-step approach:
Medical History and Exam
He reviews your symptoms, bowel habits, family history of IBD, and any prior treatments.
Rectal Examination
A gentle digital exam checks for tenderness, swelling, and any structural issues.
Endoscopy
Flexible sigmoidoscopy or colonoscopy to directly visualize the rectal lining.
Biopsies taken, if needed, to distinguish between ulcerative proctitis and other conditions.
Stool Tests
Comprehensive stool analysis rules out bacterial, viral, or parasitic infections.
Imaging Studies (if needed)
Pelvic MRI or CT scan assesses deeper inflammation, strictures, or complications.
Treatment
Our Team offers a full range of care for proctitis.
1. Diet and Lifestyle Modifications
Eat small, low-fiber meals during flare-ups
Drink plenty of water to stay hydrated
Avoid spicy foods and alcohol
Keep a symptom journal to pinpoint triggers
2. Medications
Mesalamine suppositories to reduce rectal inflammation
Steroid enemas for stronger, targeted relief
Antibiotics when an infection is present
Immune-modulating drugs for long-term control
3. Minimally Invasive or Advanced Procedures
Balloon dilation to relieve strictures (narrowed areas)
Radiofrequency ablation in select cases to treat persistent lesions
Comprehensive nutritional support if malabsorption occurs
Dr. Nghia Nguyen, DO, is a board-certified gastroenterologist providing advanced digestive care in the Greater Houston area. He earned his medical degree from the Texas College of Osteopathic Medicine and completed both his Internal Medicine residency and Gastroenterology fellowship at the University of Texas at Rio Grande Valley. Dr. Nguyen specializes in treating conditions such as acid reflux, irritable bowel syndrome (IBS), inflammatory bowel disease (IBD), and liver disorders.
Frequently Asked Questions
What's the difference between ulcerative proctitis and ulcerative colitis?
Ulcerative proctitis is limited to inflammation of the rectum's lining. Ulcerative colitis involves a broader section or the entire colon, requiring different treatment approaches.
What is the ICD-10 code for ulcerative proctitis?
The ICD-10 code for ulcerative proctitis is K51.2. This code is used for accurate medical records, billing, and insurance claims.
Can alcohol make it worse?
Yes. Alcohol can irritate the rectal lining and trigger or worsen flare-ups, especially in patients with ulcerative proctitis.
How long until I feel better?
Many patients notice symptom relief within a few days of starting treatment. Complete healing and return to normal bowel habits can take several weeks.
What should I eat during a flare-up?
Stick to small, low-fiber, easy-to-digest meals and stay hydrated. Avoid spicy foods, caffeine, and alcohol, then gradually reintroduce fiber as inflammation subsides.
Is proctitis curable?
Proctitis is generally a chronic condition that can be well-managed but may recur. Ongoing care, medication, and lifestyle adjustments help prevent flare-ups.
What happens if I don't treat it?
Untreated proctitis can lead to rectal ulcers, strictures (narrowing), and increased risk of complications. Early evaluation and treatment prevent long-term damage.
