Ulcerative proctitis or colitis

This is a chronic inflammatory disease that may affect the rectum only (proctitis) or the rectum and a variable length of large intestine or colon (colitis). It may present with profuse watery or bloody diarrhoea and low abdominal pain. It is essential to exclude infection by providing stool specimens at onset of symptoms. Treatment is usually very effective; the route of administration of treatment may depend upon the site of the disease or inflammation. Thus, disease limited to the bottom few centimetres of the bowel (rectum) may be best treated using a suppository whereas more extensive disease may require treatment with tablets by mouth or even foam enemas (inserted into the bottom and squeezed or squirted up into the colon). First line treatment for mild to moderate symptoms is usually with a drug called mesalazine; steroids are reserved for more severe cases or for patients with fail to respond to mesalazines. Some patients require treatment with drugs to suppress the immune system such as mercaptopurine or cyclosporin.

Occasionally treatment with drugs is ineffective or poorly tolerated and surgery may be required. Modern surgical management involves creating a “new bottom” or pouch (properly called ileal pouch anal anastomosis) but this may not be possible in all cases or if emergency surgery is required.

At Digestive Health City & Docklands, we work hard to provide our patients with top-class care. You will enjoy friendly, fast and modern treatment by a highly experienced gastroenterologist. We carefully review patient satisfaction and feedback, and at Digestive Health we are continuously making improvements to our services, ensuring the highest level of care possible.

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@dradamharris - 2 months

Was pleased to organise and speak at the 3rd annual “Update in Medicine for GPs” event that took place on Saturday…

@dradamharris - 6 months

Listen to my podcast on Helicobacter pylori at

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