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Jul 21, 2014

Ileostomy and Proctitis: Seeking Treatment Experiences

This topic is about managing a condition called proctitis in the rectal stump for people who have had an ileostomy. Proctitis is an inflammation of the lining of the rectum, and it can be a concern for those who have undergone this type of surgery. Here are some insights and advice shared by others who have dealt with this issue:

1. Anti-inflammatory topical steroids:
- Prednisolone Rectal Foam: This is often provided in single-use aerosol canisters and can help temporarily relieve symptoms like bleeding and mucus.
- Predsol Retention Enema: This contains prednisolone sodium phosphate and can also offer temporary relief. However, it's important to note that these treatments do not usually lead to lasting remission, and symptoms may return once the treatment is stopped.

2. Surgical removal of the rectal stump (proctectomy):
- This is considered the only definitive cure if medications do not work.
- The procedure can often be done laparoscopically by an experienced colorectal surgeon, which can lead to a quicker recovery. Some have reported being pain-free and able to resume activities within a week after surgery.
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