Materiały źródłowe

• #1 Proctitis: What it is, Symptoms, Causes & Treatment

  https://my.clevelandclinic.org/health/diseases/5964-proctitis

  You can reduce your risk of STIs by screening your partners before sex. Protection, such as condoms, helps in some cases, but some infections can spread orally. Dental dams can decrease your chance of spreading or contracting an STI through oral sex. You can reduce your risk of gastrointestinal infection from food poisoning by observing safe food handling practices and being cautious of what you eat, especially when traveling abroad. […] Unfortunately, theres no way to prevent IBD or radiation proctitis.

• #2 Proctitis Basics

  https://www.webmd.com/digestive-disorders/proctitis?page=25

  Prevention of proctitis begins with addressing any high-risk sexual behaviors that you may engage in. […] Ways to lower your risk of proctitis include: Using condoms, Knowing your sexual partners and their history, Avoiding anal intercourse. […] It is especially important to practice safe sex practices, such as using condoms, if you: Have or continue to have multiple sexual partners (or changing sexual partners), Have a previous history of any sexually transmitted disease, Have partner with a past history of any STD, Have partner with an unknown sexual history, Use drugs or alcohol (these may increase the likelihood of unsafe sexual practices), Have a partner who is an IV drug user, Engage in anal intercourse (anal sex with a condom decreases the risk of proctitis by STDs, but you can still get proctitis from anal trauma), Have unprotected intercourse (sex without the use of a condom) with an unknown partner.

• #3 Proctitis – Augusta HealthSearchClose SearchSearch IconSearch IconClose Search IconMobile Menu IconMobile Menu Close IconInstagramFacebookTwitterYoutube

  https://www.augustahealth.com/disease/proctitis/

  To reduce your risk of proctitis, take steps to protect yourself from sexually transmitted infections (STIs). The surest way to prevent an STI is to abstain from sex, especially anal sex. If you choose to have sex, reduce your risk of an STI by: […] Limiting your number of sex partners […] Using a latex condom during each sexual contact […] Not having sex with anyone who has any unusual sores or discharge in the genital area […] If you’re diagnosed with a sexually transmitted infection, stop having sex until after you’ve completed treatment. Ask your doctor when it’s safe to have sex again.

• #4 Proctitis Basics

  https://www.webmd.com/digestive-disorders/proctitis?page=25

  Prevention of proctitis begins with addressing any high-risk sexual behaviors that you may engage in. […] Ways to lower your risk of proctitis include: Using condoms, Knowing your sexual partners and their history, Avoiding anal intercourse. […] It is especially important to practice safe sex practices, such as using condoms, if you: Have or continue to have multiple sexual partners (or changing sexual partners), Have a previous history of any sexually transmitted disease, Have partner with a past history of any STD, Have partner with an unknown sexual history, Use drugs or alcohol (these may increase the likelihood of unsafe sexual practices), Have a partner who is an IV drug user, Engage in anal intercourse (anal sex with a condom decreases the risk of proctitis by STDs, but you can still get proctitis from anal trauma), Have unprotected intercourse (sex without the use of a condom) with an unknown partner.

• #5 Proctitis | Health Library | Memorial Health System

  https://www.mhsystem.org/health-library/con-20376915/

  To reduce your risk of proctitis, take steps to protect yourself from sexually transmitted infections (STIs). The surest way to prevent an STI is to abstain from sex, especially anal sex. If you choose to have sex, reduce your risk of an STI by: […] If you’re diagnosed with a sexually transmitted infection, stop having sex until after you’ve completed treatment. Ask your doctor when it’s safe to have sex again.

• #6 Proctitis and Anusitis Treatment & Management: Approach Considerations, Medical Therapy, Surgical Therapy

  https://emedicine.medscape.com/article/192910-treatment

  Doxycycline is being evaluated by the Centers for Disease Control and Prevention (CDC) for postexposure prophylaxis (Doxy-PEP) to prevent gonorrhea, chlamydia, and syphilis after unprotected anal sex in gay and bisexual men and transgender women. […] The CDC officially endorsed the use of doxycycline for postexposure prophylaxis, and its use is becoming more widespread across sexual health clinics. Early data on the impact of decreasing bacterial STI incidence have been encouraging.

• #7 Proctitis — symptoms, causes and treatment | healthdirect

  https://www.healthdirect.gov.au/proctitis

  You can prevent infective proctitis caused by STIs by having safe sex. Speak with your doctor or a sexual health counsellor to learn how. […] If you are sexually active and do not always have safe sex, there are ways to reduce your risk of some STIs, such as: pre-exposure prophylaxis (PrEP) or postexposure prophylaxis (PEP) prevent syphilis, chlamydia or HIV […] vaccinations for monkey pox (Mpox) and meningococcal disease.

• #8 Chronic radiation proctitis: tricks to prevent and treat

  https://pmc.ncbi.nlm.nih.gov/articles/PMC4575375/

  The purpose of this study was to give an overview of the measures used to prevent chronic radiation proctitis (CRP) and to provide an algorithm for the treatment of CRP. […] Excluding the rectum from the irradiation fields to prevent CRP has a high priority in RT. Optimizing the RT planning by using planning constraints reduces the irradiated rectal volume and consequently decreases the risk of rectal toxicity. […] The use of modern RT techniques (intensity-modulated RT) and the use of implanted fiducial markers into the prostate (image-guided RT) minimize the dose of radiation to the rectum while maximizing the dose to the prostate. […] Newer RT techniques which utilize heavy particles such as protons and carbon ions are currently being developed and tested to improve outcomes with reduced toxicity.

• #9 Early treatment and prevention of the radiation proctitis—composite enemas containing sodium butyrate

  https://pmc.ncbi.nlm.nih.gov/articles/PMC3898359/

  Multiple experiments confirmed indication and effectiveness for the prevention of radiation proctitis. […] In our opinion, there are three main steps to reduce the frequency and severity of the proctopathy after radiation: Early prevention of proctitis starting even before radiation: This may be achieved by anti-inflammatory treatment, usage of the physiological agents and promotion of colonocytes renewal. […] Very effective way of prevention of proctitis is a topical treatment using enemas. Prophylaxis should be administered as soon as possible. […] In our opinion, prevention is very important to reduce severity and frequency of radiation proctitis. Enemas under investigation, containing sodium butyrate, can be very effective in proctitis prophylaxis.

• #10

  https://link.springer.com/article/10.1007/s00384-015-2289-4

  The purpose of this study was to give an overview of the measures used to prevent chronic radiation proctitis (CRP) and to provide an algorithm for the treatment of CRP. […] Excluding the rectum from the irradiation fields to prevent CRP has a high priority in RT. Optimizing the RT planning by using planning constraints reduces the irradiated rectal volume and consequently decreases the risk of rectal toxicity. […] There is increasing evidence supporting the role of genetic variants in the development of RT-induced toxicity. […] The use of modern RT techniques (intensity-modulated RT) and the use of implanted fiducial markers into the prostate (image-guided RT) minimize the dose of radiation to the rectum while maximizing the dose to the prostate. […] Newer RT techniques which utilize heavy particles such as protons and carbon ions are currently being developed and tested to improve outcomes with reduced toxicity.

• #11 Proctitis

  https://www.eviq.org.au/Clinical-resources/Side-effect-and-toxicity-management/Gastrointestinal/421-Proctitis

  The primary approach to the prevention of radiation proctitis is to minimise the radiation dose to the rectum through highly conformal treatment using image-guided radiation therapy (IGRT) and intensity-modulated radiation therapy(IMRT) and/or volumetric arc therapy (VMAT). Other physical techniques have been used to minimise the dose of radiation reaching normal tissues e.g., transperineal injection of a temporary rectal spacer gel between the prostate and rectum. […] Attempts to use adjunctive medical therapy to prevent radiation proctitis have shown benefit in small trials, reducing symptoms of both acute and chronic radiation proctitis. The Multinational Association of Supportive Care in Cancer and International Society of Oral Oncology (MASCC/ISOO) clinical practice guidelines for the management of mucositis secondary to cancer therapy recommend intravenous amifostine for preventing radiation proctitis.

• #12 Chronic radiation proctitis: tricks to prevent and treat

  https://pmc.ncbi.nlm.nih.gov/articles/PMC4575375/

  The use of medical therapy (amifostine, sucralfate, 5-aminosalicylic acid, or sulphasalazine) to prevent the development of CRP has only a minimal effect and is not widely used. […] Newer insights have revealed that synbiotics and microbiotics can be used to manipulate the intestinal flora to prevent and treat CRP. […] Devices have been developed to spare rectal structures. These can be divided into endorectal balloons and relatively novel rectum spacers. […] The implantation of such rectum spacers is typically performed transperineally under real-time transrectal ultrasound guidance. […] First of all, care should be taken to minimize the risk of CRP by improving RT techniques (IMRT, IGRT) or to implement new devices to spare the rectum (spacers, balloons).

• #13

  https://link.springer.com/article/10.1007/s00384-015-2289-4

  The use of medical therapy (amifostine, sucralfate, 5-aminosalicylic acid, or sulphasalazine) to prevent the development of CRP has only a minimal effect and is not widely used. […] Newer insights have revealed that synbiotics and microbiotics can be used to manipulate the intestinal flora to prevent and treat CRP. […] Devices have been developed to spare rectal structures. […] Rectum spacers are implanted as a tissue filler into the anterior perirectal fat to separate the rectum from the prostate. Increasing the prostate-rectum distance displaces the rectal wall away from the prostate and out of the regions of high-dose RT. The overall effect is a reduction in the maximum dose to the rectum and the total volume of irradiated rectum. […] First of all, care should be taken to minimize the risk of CRP by improving RT techniques (IMRT, IGRT) or to implement new devices to spare the rectum (spacers, balloons).

• #14 Radiation Proctitis: Causes, Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/radiation-proctitis

  Healthcare providers try to minimize or prevent radiation proctitis by using modern radiation therapy techniques, such as image-guided radiation therapy and intensity-modulated radiation therapy. These techniques destroy cancer cells while minimizing radiation exposure to your rectal tissue and other tissues in the surrounding area. […] They may also try to minimize radiation exposure to healthy tissue by: […] Injecting collagen between your rectum and prostate to provide protection […] Gently inserting a water-filled balloon (endorectal balloon) into your rectum to keep your prostate in place.

• #15 Proctitis

  https://www.eviq.org.au/Clinical-resources/Side-effect-and-toxicity-management/Gastrointestinal/421-Proctitis

  Several interventions have been trialled in patients receiving pelvic irradiation to either prevent or control gastrointestinal symptoms which can be caused by radiation proctitis or from more proximal bowel damage. The MASCC/ISOO clinical practice guidelines for the management of mucositis secondary to cancer therapy provide recommendations and suggestions for the use of medications to manage diarrhoea from radiation-induced proctitis. Dietary interventions that have been investigated include lactose restriction, fat restriction or modification and fibre supplementation. Although no specific treatments have been recommended, there is some evidence that dietary modification may reduce acute symptoms of diarrhoea in patients receiving pelvic irradiation.

• #16 Radiation Proctitis: The Potential Role of Hyaluronic Acid in the Prevention and Restoration of Any Damage to the Rectal Mucosa among Prostate Cancer Patients Submitted to Curative External Beam Radiotherapy

  https://www.mdpi.com/2036-7422/12/4/43

  Hyaluronic acid enemas might be effective in reducing the severity of radiation proctitis. […] The systematic use of this molecule from the start of the radiotherapy course does not appear to negatively affect the tolerance of the rectum to the high radiation doses, commonly used for curative intent among localized prostate cancer patients. […] This finding might promote the systematic use of a mucosal restorative or anti-inflammatory topical therapy from the first to the last day of radiotherapy treatment. […] The results reported by us show that hyaluronic acid could limit proctitis severity (a significantly higher rate of G2 toxicity in the corticosteroid group). […] Hyaluronic acid rectal enemas, administered daily, might have a role in the prevention of proctitis in patients undergoing curative static IMRT to the prostate or prostate bed, not having proved inferior to the daily beclomethasone dipropionate suppositories regarding rectal toxicity rates but being able to reduce its severity.

• #17 Prevention of acute radiation-induced Proctitis by Aloe vera: a prospective randomized, double-blind, placebo controlled clinical trial in Pelvic Cancer patients | BMC Complementary Medicine and Therapies | Full Text

  https://bmccomplementmedtherapies.biomedcentral.com/articles/10.1186/s12906-020-02935-2

  Acute radiation-induced proctitis (ARP) is the most common side effect following radiotherapy for malignant pelvic disease. This study evaluated the efficacy of Aloe vera ointment in prevention of ARP. […] The results of present study demonstrated a significant preventive effect for Aloe vera in occurrence of symptom index for diarrhea (p0.001), rectal bleeding (p0.001), and fecal urgency (p=0.001). […] This study showed that Aloe vera topical ointment was effective in prevention of symptoms of ARP in patients undergoing RT for pelvic cancers. […] A variety of prophylactic and therapeutic modalities have been proposed for the management of radiation-induced proctitis, but there is no widely accepted prophylactic or effective treatment for proctitis. […] Therefore, because of mentioned pathophysiology of radiation-induced proctitis and potential anti-inflammatory and anti-oxidant properties of Aloe vera, we hypothesized that it may be beneficial in prevention of radiation proctitis.

• #18 Prevention of acute radiation-induced Proctitis by Aloe vera: a prospective randomized, double-blind, placebo controlled clinical trial in Pelvic Cancer patients | BMC Complementary Medicine and Therapies | Full Text

  https://bmccomplementmedtherapies.biomedcentral.com/articles/10.1186/s12906-020-02935-2

  Results of this study indicate the topical application of Aloe vera reduced the incidence of ARP in patients undergoing radiotherapy for malignant pelvic disease, targeting the possible pathophysiology of injury. […] The results of the present study were so inspiring, revealing that prevention with Aloe vera 3% ointment at a dose of 1g/day, 1 day before and during radiotherapy for 6 weeks, is significantly more effective compared to the placebo group. […] Therefore, Aloe vera, with its anti-inflammatory, anti-oxidant effects, and wound healing properties, enhances healing of mucosal lesions and reduces related symptoms and might be effective in the underlying pathology of the damage to irradiated rectal tissue. […] Aloe vera ointment was superior to placebo in prevention of ARP in patients during RT. It prevented the symptoms of radiation-induced proctitis, especially diarrhea, hemorrhage, and fecal urgency.

• #19

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=ut2402

  Avoid anal intercourse. This will prevent further damage to the anal canal and give it time to heal. […] Some complementary treatments may help. These include acupuncture and natural health products. Be sure to talk to your doctor before you use any complementary treatment. […] Avoid foods that seem to make your symptoms worse. Common problem foods include dairy products, foods and drinks that contain caffeine, and high-fat foods. These foods can irritate the digestive tract and make conditions like ulcerative colitis worse.

• #20 Proctitis Treatment and Prevention

  https://lacolon.com/article/proctitis-treatment-and-prevention

  The best proctitis cure starts with prevention and safe sexual practices. If you do engage in sexual activity, you should use a condom. Any kind of anal trauma from sexual activity or a foreign object increases your risk for proctitis. And many common sexually transmitted diseases can lead to proctitis. […] Eating a healthy diet with fruits, vegetables, nuts and seeds, legumes, and whole grains, along with drinking plenty of water can also protect your bowel health. And if you have inflammatory bowel disease and develop proctitis, following strict dietary guidelines and taking medication as prescribed can help.

• #21 4 Ways to Treat Proctitis – wikiHow

  https://www.wikihow.com/Treat-Proctitis

  Practice safe sex. Safer sex practices can help prevent the STIs that commonly cause proctitis. This includes wearing a condom during each sexual encounter. Using lubrication for anal sex activities can also help reduce tearing and inflammation that may cause proctitis. […] Eat a healthy diet rich in fruits, vegetables, and fiber. A healthy diet of fresh fruits and vegetables can help promote overall colon health. In addition, adding regular servings of nuts, seeds, legumes, whole grains, and other fiber-rich foods can help keep your colon healthy and reduce the risk of proctitis. […] Drink plenty of water. Drinking water whenever you are thirsty helps protect your bowel health. Avoid sugary drinks like soda and fruit juices, and opt for water whenever you are thirsty. […] Practice stress reduction to help manage IBD. Irritated bowel disorder (IBD) can contribute to both acute and chronic proctitis. Daily use of stress management techniques like yoga, tai chi, and meditation can help reduce your risk of IBD.

• #22 Radiation Proctitis – MD Searchlight

  https://mdsearchlight.com/gut-health/radiation-proctitis/

  Helping prevent the effects of radiation proctitis, a condition that causes inflammation and damage to the lower part of the colon, is heavily reliant on teaching patients about it and how to care for themselves. Healthcare professionals can give people who are undergoing pelvic radiation therapy the knowledge to spot the early signs and symptoms. This includes teaching patients how to adjust their lifestyles, diet, and personal care to lower risks and keep the rectum healthy. […] Patients should know that eating foods high in fiber can help soften the stool and alleviate some symptoms. Taking fiber supplements, like psyllium, can also help improve symptoms. Patients should try to avoid things like caffeine, smoking, complex sugars, and alcohol, as these can make diarrhea worse and can increase pain and bleeding.

• #23 Health Library

  https://www.limamemorial.org/health-library/Complementary%20and%20Alternative%20Medicine/33/000134

  You can take several steps to prevent proctitis: […] Practice safe sex. Using condoms and having only one sex partner can prevent STDs that cause proctitis. […] Eating a well-balanced diet and cutting back on caffeine, alcohol, and high-fat foods may help reduce symptoms of ulcerative colitis. Ulcerative colitis can cause proctitis. […] Stress-reduction techniques, such as yoga, tai chi, and deep relaxation, may also lower the risk of IBD, which can cause proctitis.

• #24 Proctitis – What You Need to Know

  https://www.drugs.com/cg/proctitis.html

  How can I help treat or prevent proctitis? […] Ask about medicines to help prevent proctitis: If you are having radiation, these medicines may help prevent you from having proctitis after your therapy. […] Practice safe sex: Do not have sex with someone who has an STI. This includes oral or anal sex. Do not have sex while you or your partner is being treated for a STI. Use new a latex condom or proper barrier each time you have sex. […] Get regular check-ups: Have a regular sexual health check if you often change sexual partners. […] Wash your hands often: Use soap and water. Use gel hand cleanser when there is no soap and water available. This will prevent the spread of germs. Always wash your hands after you use the toilet, when you work with food, and before and after you have sex. Clean your toilet seats, water taps, and door handles often.

• #25 Proctitis – Gastro Surgery

  https://gastrosurgery.co.uk/2024/04/06/proctitis/

  To prevent proctitis and reduce the risk of recurrence, it is essential to: […] Practice safe sex by using condoms or dental dams to reduce the risk of sexually transmitted infections. […] Seek prompt treatment for any rectal trauma or injury to prevent complications such as proctitis. […] Follow recommended screening guidelines for colorectal cancer and discuss any concerns or symptoms with healthcare providers. […] Maintain good hygiene practices, including regular cleansing of the anal area and practicing safe hygiene habits after bowel movements. […] Practicing safe sex, maintaining good hygiene, and seeking prompt medical attention for symptoms are essential for effective management and prevention of proctitis.

• #26 Radiation Proctitis – MD Searchlight

  https://mdsearchlight.com/gut-health/radiation-proctitis/

  Preventing radiation proctitis is not only about avoiding the condition but also about giving patients the tools to actively take part in their care. This encourages teamwork between the healthcare professionals and patients to get the best results and helps improve overall health during and after radiation therapy.

• #27 Proctitis In Pediatric Patients: Diagnosis And Management – Klarity Health Library

  https://my.klarity.health/proctitis-in-pediatric-patients-diagnosis-and-management/

  Preventive approaches centre on infection control and early detection of inflammatory disorders. Proper hygiene, proper food handling, and prompt infection treatment can all help lower the incidence of infectious proctitis. […] Early identification and treatment of IBD are crucial to prevent severe complications. Patient and family education play a vital role in recognising symptoms early and adhering to treatment programs. Understanding the disease process, treatment options, and lifestyle improvements can empower families to better manage the condition and achieve improved outcomes.

• #28 Proctitis: Causes, Treatment, and Surgery

  https://www.healthline.com/health/proctitis

  Use a condom during anal sex. This reduces your risk of contracting an STI that can affect your rectum and cause proctitis. […] You can prevent complications by reporting all symptoms to your doctor as soon as possible. The earlier your proctitis is treated, the better your chances are of a full recovery.

• #29 Proctitis – Premier Medical Group

  https://www.premiermedicalhv.com/divisions/services/proctitis/

  The treatment for proctitis will depend on its cause. The primary goal is to reduce inflammation, control symptoms, and eliminate infection, if there is one. The most important thing is to get the proper diagnosis and medical attention. Since the most common cause is STDs (sexually transmitted diseases) the doctor will prescribe a course of antibiotics. Sometimes there is more than one type of infection and you may need more than one type of medication; either way if infection is present with proctitis, antibiotics can be used to kill bacteria and antiviral medications can treat viral infections. You will be instructed to practice safe sex using condoms. […] Remember, prevention starts with evaluating any high-risk sexual behaviors that you may engage in. Using condoms, knowing your partners history and avoiding anal intercourse will help avoid infections.

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