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Radiation Proctitis

At GastroDoxs in Katy, our experienced specialists provide comprehensive radiation proctitis evaluations and individualized treatments, combining advanced diagnostics, targeted solutions, expert and compassionate care to relieve discomfort and improve quality of life for local patients navigating radiation-induced bowel inflammation.

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Bharat Pothuri
Symptoms

What is Radiation Proctitis?

Radiation proctitis is inflammation and damage of the rectal lining that occurs after pelvic radiation therapy, commonly used for prostate, bladder, or cervical cancer. It can appear acutely (within weeks of treatment) or chronically (months to years later), leading to symptoms ranging from mild discomfort to significant bleeding and bowel disturbances.

Common Symptoms

Symptoms of radiation proctitis vary in onset and severity. You may notice:

  • Rectal bleeding
  • Mucus discharge in the stool
  • Diarrhea or more frequent bowel movements
  • Cramping or lower abdominal pain
  • A sensation of incomplete evacuation

Causes

Radiation proctitis results from damage to the rectal mucosa and blood vessels. Risk factors include:

  • A high cumulative radiation dose to the pelvic region
  • Radiation fields that are close to or include the rectum
  • Concurrent chemotherapy that amplifies radiation effects
  • Individual sensitivity to radiation injury
Treatment

Treatment Options for Radiation Proctitis in Katy, TX

Treatment includes diet adjustments, medications, and advanced therapies:

  • Diet modifications: soft, low-fiber foods and small, frequent meals to reduce rectal irritation.
  • Pain relief & anti-inflammatory drugs: oral medications to ease cramping and swelling.
  • Enemas & suppositories: topical therapies (e.g., steroid or 5-ASA formulations) to control bleeding and inflammation.
  • Argon plasma coagulation: endoscopic procedure that seals active bleeding vessels in the rectum.
  • Hyperbaric oxygen therapy: pressurized oxygen sessions to enhance tissue repair and reduce chronic symptoms.
  • Ongoing monitoring: regular follow-up visits, endoscopic checks, and lab tests to track healing and prevent recurrence.

Why Choose GastroDoxs?

At GastroDoxs in Katy, we understand the impact radiation proctitis can have on your daily life. Our board-certified gastroenterologist and care team offer personalized treatment plans-from diet counseling and medication management to advanced endoscopic and hyperbaric therapies-delivered with compassion and expertise. Call us today at 832-632-4070 or click here to schedule your appointment and take the first step toward lasting relief.

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Patients Treated

We've successfully 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

When do chronic symptoms of radiation proctitis start?

Chronic symptoms often begin six months to several years after completing radiation therapy.

How long does radiation proctitis last?

Acute radiation proctitis typically lasts a few weeks, while chronic cases may persist for months or longer without proper management.

Is bleeding normal with radiation proctitis?

Yes. Rectal bleeding is a common symptom of radiation proctitis. Treatment aims to reduce and eventually stop the bleeding.

Can diet help manage radiation proctitis?

Absolutely. A low-fiber, soft diet can minimize bowel irritation and help control diarrhea and discomfort.

What medicines are used to treat radiation proctitis?

Treatment may include anti-inflammatory drugs, topical enemas or suppositories, and stool softeners to relieve pain and swelling.

When should I see a doctor about these symptoms?

If you notice any rectal bleeding, persistent pain, or significant changes in bowel habits after radiation therapy, schedule an evaluation without delay.

Does hyperbaric oxygen therapy work for radiation proctitis?

Yes. Hyperbaric oxygen therapy can promote tissue healing and reduce bleeding, especially in chronic or severe cases.

Is surgery ever needed for radiation proctitis?

Surgery is rare. We first employ dietary, medical, endoscopic, and oxygen therapies. Surgical options are reserved for severe, refractory cases.

What is argon plasma coagulation in endoscopic treatment?

Argon plasma coagulation is an endoscopic technique that uses ionized argon gas to seal bleeding blood vessels in the rectal lining.

Can radiation proctitis come back after treatment?

Yes. Flare-ups can occur. Ongoing follow-up and prompt management of symptoms help prevent recurrence.

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