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- $Unique_ID{BRK00673}
- $Pretitle{Digestive System}
- $Title{Can Colitis Also Occur Only In the Rectum?}
- $Subject{rectum proctitis Digestive Ulcerative colitis colon proctosigmoiditis
- inflamed rectal bleeding stool mucus}
- $Volume{I-12, I-13}
- $Log{}
-
- Copyright (c) 1991-92,1993 Tribune Media Services, Inc.
-
-
- Can Colitis Also Occur Only In the Rectum?
-
-
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-
- QUESTION: I've heard of colitis of the large intestine, but can the disease
- also occur only in the rectum?
-
- ------------------------------------------------------------------------------
-
- ANSWER: Ulcerative colitis is an inflammatory disease of the inner lining of
- the large intestine, or colon. Ulcerative proctitis and proctosigmoiditis, on
- the other hand, are similar inflammations of the rectum and of the final curve
- of the colon leading to the rectum, and occur more frequently than colitis.
- The symptoms of these two diseases include rectal bleeding and mucus in the
- stool.
- Medical experts disagree on the nature of ulcerative proctitis and
- proctosigmoiditis. Some say the two are a mild, limited form of colitis.
- Others argue that they are a completely separate disease. However, it has
- been shown that if the disease hasn't spread to the rest of the colon after
- six months, then it probably never will. Furthermore, the prognosis for
- proctitis and proctosigmoiditis is better than the outlook for colitis.
- Patients with the more limited disease rarely need to be hospitalized or
- treated with system-wide corticosteroids. Therefore, it is most important to
- distinguish between the diseases.
- In any case, ulcerative proctitis is generally a fairly mild disease.
- Since most of the colon is not affected, normal stools are usually formed. In
- fact, a patient with the disease may even be constipated. Treatment involves
- medication for the inflammation and hydrocortisone or corticosteroid foam
- enemas.
-
- ----------------
-
- The material contained here is "FOR INFORMATION ONLY" and should not replace
- the counsel and advice of your personal physician. Promptly consulting your
- doctor is the best path to a quick and successful resolution of any medical
- problem.
-