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Question
Hello doctor,
I have bleeding rectal ulcer. I have been treated for 1 year of traditional medicine, then almost 1 year of Western medicine (using water-based pentasa), when there is medicine, it is normal, stop 2- After 3 days, ulcer bleeding continued. Currently, I use pentasa rectally, the disease is worse. I want to ask what is the treatment for ulcerative proctitis? Hope the doctors can help. Thank you.
Do Manh Dung (1980)
Answer
Answered by Specialist I Dong Xuan Ha - Gastroenterologist - Department of Medical Examination and Internal Medicine - Vinmec Ha Long International General Hospital
Hello,
With the question "What is the treatment for bleeding rectal ulcer?" , the doctor would like to answer as follows:
Ulcerative colitis - rectal bleeding in general or your bleeding rectal ulcer in particular is a chronic inflammatory disease, autoimmune disease, causing ulcers and bleeding colorectal blood, causing diffuse damage to the mucosa and submucosa, located mainly in the rectum and gradually decreasing to the right colon. This disease requires long-term treatment, depending on the nature, stage and severity of the disease as well as a combination of many different drugs.
Your lesions are only localized to the rectum (diagnosed by endoscopic examination) and have not spread to the sigmoid colon and descending colon, which can be considered mild.
The drug used in this case is 5 - ASA (Pentasa) orally or rectally combined with anti-inflammatory drugs. Topical steroids or enemas and antibiotics. In addition, digestive enzymes and mucosal protection drugs can be used. A healthy diet, regular exercise to improve health also increase the rate of disease stabilization. Particularly for mild cases, after the attack, you must continue to maintain treatment for at least 2 years.
Your case has not had enough treatment time, if the symptoms are worse, you must go back to the doctor immediately to re-evaluate the level, combine more treatment drugs.
If you still have questions about what is the treatment for bleeding rectal ulcers, you can go to the hospital of Vinmec Health System for further examination and advice. Thank you for trusting and sending questions to Vinmec. Wishing you lots of health.
Best regards!
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