Treatment of rectal mucus with drugs. Methods of treating the rectum with folk remedies

If the disease does not have serious complications, then treating proctitis at home is quite possible. Treatment is also very effective using folk remedies that can relieve unpleasant pain and reduce or even stop the development of the inflammatory process.

Many herbs have antibacterial effects. True, it is best to carry out treatment after consultation with a specialist, who will select the necessary fees. In addition, herbal treatment can be combined with tablet treatment.

Herbal treatment - recipes

Herbal infusions occupy a special place in the folk treatment of proctitis, and if you follow all the recommendations, the result will not come for a long time.

• Recipe No. 1 We combine three parts of tartar, with four parts of comfrey root and nettle. Take two tablespoons of the resulting mixture, pour two glasses of boiling water and leave to steep overnight. Take half a glass of herbal decoction four times a day 30 minutes before meals.
• Recipe No. 2 Three times a day, immediately before meals, you need to eat one teaspoon of tea powder made from dandelion root, and wash it down with yarrow infusion (pour a glass of boiling water over one spoon of herbs and leave).
• Recipe No. 3 Pour one tablespoon of chamomile flowers into one glass of boiling water and leave for half an hour. Take one tablespoon four times a day.
• Recipe No. 4 Take a quarter glass of rowan juice three times a day. If necessary, add sugar and drink with water.
• Recipe No. 5 Drink one glass of horse sorrel immediately before bed.
• Recipe No. 6 We are preparing a collection that consists of sage grass, knotweed grass and flowers taken in equal parts, two parts of horse chestnut bark and oak bark. Pour three tablespoons of these herbs into 2.5 liters of water and boil for ten minutes.

Enemas and microenemas for proctitis

One of the proven and reliable non-traditional methods of treating proctitis is and. However, it should be noted that enemas will be effective in the inflammatory process at the bottom of the large intestine.

The most popular in folk medicine is an enema using a decoction of oak bark. To prepare it, take five tablespoons of oak bark and one liter of boiled water, and boil for 30 minutes. Then add a spoonful of starch, which is diluted with boiled water.

Chamomile infusion is no less effective. In a liter thermos, pour four tablespoons of chamomile flowers with boiling water. Leave for 30 minutes. The broth is filtered, cooled and used for enemas.

We do these enemas once a day after bowel movements. After two days, you need to switch to the every other day regimen. The procedures are carried out within ten days. The enema volume should be between 30-50 milliliters.

Another excellent recipe for an enema for proctitis is calendula tincture. Pour two tablespoons into two glasses of boiling water. Simmer in a water bath for 15 minutes, and then leave for 45 minutes. To prepare an enema, take one tablespoon of the prepared infusion and add one tablespoon of 3% boric acid solution. We do the enema for 10 days at night.

Remember that treatment of this disease using folk remedies is not limited to strict prescriptions. You can mix painkillers and anti-inflammatory herbs. However, you need to be patient, as the course of herbal treatment will be long and can reach two months.

The rectum is the lower section of the intestine. Due to the performance of its functions, it often suffers from inflammatory processes. Pathology often affects not only the tissues of the organ, but also neighboring ones.

Damage to the rectal mucosa is called proctitis. Both females and males of different ages suffer from this disease.

There are many provoking factors for the development of the disease. Therefore, it is necessary to know what complications of rectal inflammation, symptoms and treatment with folk remedies may be.

Proctitis is caused by a variety of causes. Its development is provoked by both mechanical damage and negative processes in the body itself.

The main cause of this disease is infection with pathogenic microflora, which can enter the gastrointestinal tract orally and rectally.

Other pathogens include the following:

Microorganisms that provoke an inflammatory process in the rectum:

• pathogenic microorganisms;
• tuberculosis microbacteria enter the rectum through cracks in the walls or through the bloodstream;
• gonococci - in the presence of gonorrheal vaginitis, this type of microorganisms can enter the intestinal tract through the vaginal wall;
• pale spirochetes - affect the rectum and provoke the formation of chancre in it;
• helminths - proctitis sometimes develops due to the negative effects of worms.

In addition, inflammation of the lower intestine can be triggered by surgery in the anal area. If the cause of this disease is identified in a timely manner, treatment will not be difficult.

According to the nature of the disease, acute and chronic forms are distinguished. In the acute form, the symptoms are permanent, but disappear after a while.

With acute inflammation of the rectum, body temperature rises, the general condition of the body deteriorates significantly, weakness and lethargy appear. This form of proctitis is provoked by infectious diseases or intestinal injuries.

Based on the nature of the pathological changes, the following types of acute inflammation of the rectum are distinguished:

In the chronic form of proctitis, the symptoms are not so pronounced. But they cause discomfort to a person for quite a long period.

The disease is characterized by periods of exacerbations and remissions. Its development is provoked by various chronic infections, autoimmune and oncological diseases, as well as vascular pathologies.

Depending on the pathological changes, chronic proctitis is divided into the following types:

1. Hypertrophic. It manifests itself as thickening of the intestinal mucosa and the presence of pronounced folds.
2. Normotrophic. With this form of the disease, the appearance of the mucous membrane does not undergo any changes.
3. Atrophic. Accompanied by thinning of the walls of the mucous membrane and smoothing of folds on its surface.

Each type of chronic form of proctitis has a different degree of severity of hyperemia and swelling of the mucous membrane.

Acute and chronic forms of proctitis can be distinguished by the clinical manifestations of the disease.

Acute inflammation of the rectum is characterized by the following symptoms:

Symptoms of the acute form appear within several hours or days. But if you know how to treat inflammation of the rectum, you can get rid of them quite quickly.

The main symptoms of chronic proctitis:

1. Mild pain in the rectum that does not cause severe discomfort to the person.
2. Mild itching and burning in the rectum.
3. Slight increase in body temperature.
4. Constant discharge from the rectum.
5. Not very often, but bloody discharge may appear in the stool.
6. Pallor and signs of anemia, which occur due to chronic bleeding in the rectum.
7. General exhaustion, which can be caused by cancer or other severe diseases.

Having correctly established the cause of proctitis, depending on the stage of the disease, they determine how to treat such an ailment. Recovery can take place in a hospital or at home.

Treatment methods are prescribed individually, based on the stage of the disease, the type of pathogenic microorganism, and the severity of symptoms.

Treatment should be comprehensive and include:

At an early stage of development, such a disease can be treated using proven traditional medicine recipes. And also used as an addition to the main treatment.

All recipes are simple and easy to prepare at home. Their use will help to heal proctitis faster.

An enema will effectively and quickly help relieve symptoms of inflammation of the rectum:

There are other ways to relieve inflammation of the rectum at home. Infusions and decoctions of some medicinal herbs can be taken orally.

The most effective recipes:

Before using any traditional medicine recipes, you need to undergo an examination and consult a proctologist. The correct diagnosis and treatment method will speed up the recovery process.

Diet for inflammation of the rectum plays a big role in the healing process. Therapeutic nutrition reduces the load on the digestive system and relieves the gastrointestinal mucosa from a variety of food irritants.

The diet consists of completely eliminating certain foods and drinks from the diet. You need to minimize the consumption of various cereals, sweet pastries and bread.

And also the list of products that are best avoided includes the following:

• fatty and fried foods;
• smoked, salted and canned food;
• dishes containing a large amount of spices and herbs;
• alcohol.

• fresh vegetables and fruits;
• dairy products;
• soups and lean meats.

It is very important to follow a diet for this disease.. It is one of the important components of complex treatment.

Therapeutic exercise gives good results in the treatment of proctitis. In addition, gymnastics has a general tonic effect on the body, which promotes a speedy recovery.

To select the correct exercises and load level, you need to take into account age, body condition and doctor’s recommendations.

Effective exercises:

Inflammation of the rectum is an unpleasant disease that brings a lot of inconvenience to a person and does not allow a person to live normally. The symptoms of the disease are easy to identify and with timely treatment they can be quickly eliminated.

An active lifestyle, hygiene, complete cure of diseases that can provoke proctitis make it possible to prevent the pathological process of the rectum.

Proctitis is an inflammatory disease that affects the mucous membrane of the rectum. Proctitis may be accompanied by inflammation of the intestinal area above the rectum. Proctitis is often confused with paraproctitis. With paraproctitis, the tissues surrounding the rectum become inflamed.

Causes, forms and symptoms of proctitis

Proctitis can develop with poor diet, excessive consumption of alcohol, and spicy foods. Often, rectal proctitis develops against a background of constant constipation. Regular constipation contributes to the occurrence of venous stagnation in the rectum. Stagnation of blood in the walls of the rectum injures the intestinal mucosa. All these factors lead to the development of congestive proctitis.

Rectal proctitis can develop with hypothermia, diseases of the pelvic organs (cystitis, prostatitis). The development of this disease can be provoked by diseases of the rectum that occur without an inflammatory process (for example, hemorrhoids). There are acute and chronic forms of proctitis. Acute proctitis is divided into catarrhal-hemorrhagic, catarrhal-purulent and polypous proctitis. Acute proctitis is characterized by superficial damage to the intestinal mucosa. With the catarrhal-hemorrhagic form of proctitis, point-like scattered hemorrhages form in the rectal mucosa. In the catarrhal-purulent form of the disease, the mucous membrane of the rectum is evenly covered with purulent plaque. In the polypous form of proctitis, polypoid formations (growths) form on the rectal mucosa.

Ulcerative (erosive) proctitis is accompanied by the development of ulcerations or erosions of the rectal mucosa. Acute proctitis most often develops within a few days. Chronic proctitis usually develops over several months or even years. With this form of the disease, the deep layers of the intestinal mucosa are affected. Chronic proctitis can be atrophic or hypertrophic. With atrophic proctitis, the mucous membrane is thinned and its folds are smoothed. With hypertrophic proctitis of the rectum, the folds of the mucous membrane become loose due to thickening.

The main symptom of acute rectal proctitis is pain in the rectal area. The pain is usually accompanied by purulent and bloody discharge from the anus. Pain in acute proctitis usually intensifies during bowel movements. Other symptoms of acute proctitis are diarrhea, constipation, pain in the perineum, radiating to the lower back and genitals.

In the chronic form of the disease, phases of exacerbation and subsidence alternate. As the disease worsens, pain periodically appears in the rectum, hindgut, or left iliac region. During the remission (quiescence) stage, the only manifestation of the disease is the presence of mucus in the stool. Gonorrheal proctitis may be accompanied by narrowing of the rectum and the development of chronic constipation.

Diagnosis and treatment of proctitis

When symptoms of proctitis appear, special studies are carried out to clarify the diagnosis. During a digital rectal examination, the doctor probes the inflamed intestinal walls with his finger. During rectoscopy, the intestinal walls are examined using a rectoscope. This research method allows you to accurately distinguish proctitis from other diseases with similar symptoms.

Cytology of intestinal contents and biopsy of the intestinal wall are prescribed to determine the extent and nature of inflammatory changes. These methods also make it possible to distinguish proctitis from an intestinal tumor.

Treatment of proctitis largely depends on the form and cause of the disease. The treatment regimen for proctitis includes a treatment regimen, hygiene measures, and diet. In severe forms of acute proctitis (catarrhal-purulent, erosive, ulcerative, polyposis), hospitalization is indicated. A patient with acute proctitis is prescribed bed rest.

With proctitis, the amount of fiber consumed is limited, and spices and any spicy foods, alcohol, and fried foods are completely excluded. The basis of the diet for this disease should be soups based on lean meats, fermented milk products, and ground lean meat.

To treat acute proctitis, antibiotics are prescribed to suppress the development of infection. The dosage of the antibiotic and the duration of treatment should be determined by the attending physician.

For topical use in this disease, oil microenemas, microenemas with collargol solution, chamomile decoction, and sitz baths with potassium permanganate are used.

For chronic proctitis in remission, baths and mud therapy are indicated. A good effect is obtained by washing the intestines with warm mineral water (Borjomi, Essentuki). Rinsing activates the motor function of the digestive tract and helps remove mucus.

Surgical treatment of proctitis is prescribed very rarely. With timely treatment, the disease ends in complete recovery. Compliance with hygiene recommendations and diet significantly reduces the risk of developing exacerbations of the disease.

Proctitis - treatment with folk remedies

Some methods of treating proctitis with folk remedies help relieve the inflammatory process occurring in the rectal area. When treating proctitis with folk remedies, you need to take two tablespoons of calendula flowers and pour a glass of boiling water over them. All this must be heated in a water bath for 15-20 minutes (stirring constantly). The resulting infusion should be cooled and filtered. The infusion should be consumed daily three to four times a day, after diluting it with water.

This infusion can be used for intestinal lavage. To do this, pour one tablespoon of boric acid (3%) into one tablespoon of infusion. The resulting medicine is administered by enema every day before bedtime.

For proctitis, you can take half a tablespoon of lemon balm and oregano, mix and pour a glass of boiling water. Then place in a water bath for 25 minutes, then let the broth brew for an hour and a half. The resulting decoction can be used to produce retained enemas.

For a sitz bath, you can use an infusion of horsetail. To prepare the infusion, take half a glass of horsetail and pour one liter of boiling water over it. Let the broth sit for about ten minutes and strain. The resulting decoction can be used for a sitz bath.

For inflammation of the rectal mucosa, a mixture of oak bark, toadflax flowers and water pepper herb will help. All components must be taken in equal volumes, ground to a pulp in a mortar and poured with melted warm pork fat. After 12 hours, the resulting mixture should be slightly warmed and strained. Then take a little of the prepared mixture onto a gauze swab and insert it into the anus. Keep for at least five hours. The course of treatment should last approximately three weeks.

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Proctitis is an inflammation of the rectal mucosa. Often associated with inflammation sigmoid colon(the part of the large intestine that passes into the rectum), and then the disease is called proctosigmoiditis. If inflammation spreads to the adipose tissue that surrounds the rectum, then this disease is called paraproctitis.

There is no exact data on how common proctitis is. The disease occurs in people of different ages, with approximately the same frequency in men and women.

Anatomy and physiology of the rectum

The rectum is the final section of the intestine. Its main function is to remove undigested food. The rectum is located in the pelvic cavity and is surrounded on all sides by adipose tissue. It starts from the sigmoid colon and ends at the anus. The wall of the organ consists of a mucous membrane and muscles that push feces.

The rectal mucosa produces a lot of mucus, which serves as a lubricant to facilitate the passage of stool. The gut has two sphincter- muscle rings. By contracting, they hold feces, and during defecation(stool) relaxes.

Rectal mucus contains some digestive enzymes. But they act weaker than in the rest of the intestine. Here the remaining nutrients are digested, and everything that is not digested is compacted and removed out.

Around the rectum is the hemorrhoidal venous plexus. This is a network of a large number of veins that are located under the mucous membrane and serve to connect bottom hollow(collecting blood from the entire lower body) and portal vein(collecting blood from the intestines to the liver).

In men, the rectum is adjacent to the bladder and prostate, and in women, it is adjacent to the vagina and uterus.
Defecation is a complex reflex that involves many muscles and nerves. Therefore, there are many nerve endings in the rectal mucosa.

Causes of proctitis and paraproctitis

Infectious causes of proctitis:

Causes of rectal damage:

• surgical interventions for hemorrhoids, anal fissures and other diseases of the rectum;
• anal sexual intercourse: proctitis is widespread among men who engage in homosexual sexual intercourse;
• undigested sharp objects in the stool, for example, pieces of bones, etc.;
• injuries resulting from accidents and intentional damage;
• birth trauma - rupture of the vagina, perineum, rectal wall;
• anal fissure is a defect in the mucous membrane and skin of the anus.

Poor nutrition

Inflammation of the rectum, which develops with poor nutrition, is called alimentary proctitis.

Foods that, if consumed frequently, can develop nutritional proctitis:

1. spicy dishes;
2. seasonings and spices;
3. systematic alcohol abuse.

These types of foods irritate the rectal mucosa and lead to the formation of excess mucus.

Diseases of other organs of the digestive system

When digestion is impaired, incompletely processed food remains enter the rectum. They irritate the mucous membrane, leading to the release of excessive mucus and inflammation. Many diseases of the digestive system lead to diarrhea and constipation, which are also factors in the development of proctitis.

Diseases of the digestive system leading to proctitis

• Hepatitis (liver inflammation): viral, toxic (poisoning), alcoholic, medicinal (as a result of side effects of drugs). The liver produces bile acids, which emulsify fats in the intestines and promote their digestion. If this process is disrupted, constipation, diarrhea, bloating are observed, and feces irritate the rectum.
• Cirrhosis (liver disease accompanied by the death of its cells).
• Cholecystitis is inflammation of the gallbladder. The accumulation and secretion of bile and bile acids is impaired.
• Pancreatitis is an inflammation of the pancreas, which secretes the enzymes trypsin (breaks down proteins) and sucrase (breaks down carbohydrates). This disrupts the digestion of proteins and carbohydrates. Undigested proteins undergo decay in the colon. Digestive disorders and dysbacteriosis develop.
• Gastritis and gastric ulcer. With these diseases, digestion in the stomach is disrupted. A large amount of gastric juice is released, which contains hydrochloric acid. Together with food, it enters the small, thick, and then rectum.
• Intestinal dysbiosis

Dysbacteriosis is a disease in which the composition of the intestinal microflora is disrupted. The reproduction of “beneficial” microorganisms is suppressed, and conditionally pathogenic ones (capable of causing inflammation under certain conditions) are activated.

Dysbacteriosis manifests itself in the form of constipation, diarrhea, frequent bowel movements, the presence of undigested food residues in the stool, and bloating. All this leads to the development of proctitis.

Blood vessel disorders

• With stagnation in the hemorrhoidal veins, the outflow of blood from the rectum is disrupted. Its mucous membrane receives less oxygen, its regeneration, protection from infection and other damaging factors are weakened.
• Diseases accompanied by venous stagnation and leading to proctitis:
• hemorrhoids: dilation of hemorrhoidal veins, as a result of which nodes form under the mucous membrane of the rectum;
• varicose veins: dilation of veins, accompanied by stagnation of blood and impaired blood supply to various organs, including the rectum;
• thrombophlebitis: formation of blood clots in the veins and inflammation of their walls;
• heart failure: due to dysfunction of the heart, blood stagnates in the vessels of the lower half of the body;
• venous insufficiency in people who spend a lot of time sitting.

Malignant tumors of the rectum

Rectal cancer always leads to the development of proctitis. This is due to the fact that cancer cells are foreign; in response to them, the body secretes antibodies. A malignant tumor produces toxins that affect the rectal mucosa.

Gradually, tumor metastases spread to the peritoneum and lead to the development of peritonitis - inflammation of the abdominal cavity.

Radiation damage

Proctitis is one of the manifestations of radiation sickness. Large doses of radiation cause damage to the rectal mucosa and a chronic inflammatory process. Inflammation of the rectum is a characteristic complication of long-term radiation therapy for malignant tumors

Effect of toxic substances

Poisoning with lead and other heavy metals can lead to proctitis.

Autoimmune diseases

Autoimmune causes of proctitis:

1. Crohn's disease. This is a chronic inflammation of the intestines that can spread to the rectum.

2. Chronic ulcerative colitis is an autoimmune inflammatory disease of the large intestine, accompanied by the formation of ulcers on the mucous membrane.

Factors that are not the direct cause of proctitis, but contribute to its development:

• hypothermia;
• frequent infections;
• decreased immunity;
• inflammatory diseases of neighboring organs: bladder (cystitis), internal female genital organs (vaginitis - inflammation of the vagina, vulvovaginitis - inflammation of the vagina and external genitalia, oophoritis - inflammation of the ovary);
• any stool disorders.

Types of proctitis

Classification of proctitis depending on the course of the disease:

Acute proctitis. The symptoms are constant, but bother the patient for a short time. The disease is often accompanied by fever, general weakness and malaise. Acute proctitis can be caused by acute infectious diseases, rectal trauma,

Chronic proctitis. Symptoms of the disease are less pronounced, but they bother you for a long time. The course is usually wave-like: periodic exacerbations are replaced by remissions (improvement of the condition). Chronic proctitis is often caused by chronic infections, autoimmune diseases, malignant tumors of the rectum, and vascular pathologies.

Classification of acute proctitis depending on the nature of pathological changes in the rectum:

• catarrhal-hemorrhagic - the rectal mucosa is swollen, has a bright red color, and has a large number of small hemorrhages;
• catarrhal-purulent - the mucous membrane of the rectum is swollen, there is pus on it;
• catarrhal mucous – the rectal mucosa is bright red, it is swollen, it secretes a large amount of mucus;
• polypous - growths resembling polyps form on the rectal mucosa;
• erosive - erosions form on the rectal mucosa - surface defects;
• ulcerative – deeper defects – ulcers – form on the rectal mucosa;
• ulcerative-necrotic - there are ulcers on the rectal mucosa, its necrosis and rejection in certain areas occur;
• purulent-fibrinous - the mucous membrane of the rectum is covered with purulent-fibrinous plaque - a thin film.

The most severe forms of acute proctitis are: catarrhal-purulent, erosive, ulcerative, polyposis.

Classification of chronic proctitis depending on the changes that occur in the rectum:

1. hypertrophic: the rectal mucosa is thickened, all its folds are very well defined;
2. normotrophic: the mucous membrane has a normal appearance;
3. atrophic: the mucous membrane is thinned, all folds on its surface are smoothed out.

Symptoms of proctitis

Symptoms of acute proctitis

• Pain in the rectum. It is acute and worsens with defecation.
• Other unpleasant sensations in the rectum: burning, feeling of heaviness.
• Pain in the perineum - the area located between the anus and genitals. In women it can spread to the labia and vagina, in men – to the scrotum and penis.
• Lower back pain – occurs with proctitis in some patients.
• Discharge from the rectum. Most often they are purulent and bloody.
• Increased body temperature. Usually up to 37 - 38*C.
• General malaise, chills, increased fatigue.
• Bowel problems: constipation or diarrhea.
• Frequent painful urge to defecate.
• Impurities of fresh blood or blood clots in the stool. This symptom is characteristic of ulcerative and ulcerative-necrotic proctitis.
• Bloody discharge, burning and heaviness of the rectum are signs characteristic of radiation damage to the rectum.

Symptoms of acute proctitis occur within hours or days. With proper treatment they go away quickly. If they occur, you need to contact a proctologist as soon as possible.

Symptoms of chronic proctitis

• Pain in the rectum is present, but it is very mild and practically does not cause concern to the patient.
• Itching and burning. Also relatively weakly expressed.
• An increase in body temperature is not always observed. Most often, its indicators do not exceed 37*C.
• Constant discharge from the rectum. They look like mucus or pus.
• Impurities in feces in certain forms of proctitis, for example, caused by ulcerative colitis, chronic anal fissures.
• Pallor, anemia. Develops with chronic bleeding in the rectum.
• Exhaustion. Occurs if proctitis is caused by cancerous tumors of the rectum and other serious diseases.

Chronic proctitis can be initially an independent disease or the result of untreated acute proctitis.

Complications of proctitis

acute paraproctitis - inflammation of the fatty tissue that surrounds the rectum;

• chronic paraproctitis and rectal fistulas - holes that form due to purulent melting of tissues and connect the rectum with the surface of the skin and neighboring organs (for example, rectal-vesical fistulas);
• pelvioperitonitis - inflammation of the pelvic peritoneum - a thin film that lines the abdominal cavity from the inside;
• sigmoiditis and colitis - an inflammatory process in the overlying parts of the large intestine: the sigmoid and colon;
• polyps and malignant tumors of the rectum - complications of a chronic polyp;
• narrowing of the rectum due to scarring caused by severe inflammation;
• decreased immunity caused by chronic infection and inflammation.

Diagnosis of proctitis

Type of diagnosis	How is it carried out?	What helps to identify
Digital rectal examination of the rectum	The study can be performed without special preliminary preparation. The patient assumes the knee-elbow position: The doctor washes his hands and puts on sterile gloves. Lubricating his right index finger with Vaseline, he inserts it into the rectum and conducts an examination. Digital rectal examination is uncomfortable for many patients, so the doctor must perform it carefully and quickly.	assessment of the condition of the mucous membrane and wall of the rectum; identification of defects and deformations on the mucous membrane, polyps, ulcers; assessment of rectal discharge; assessment of the condition of the closing muscles - sphincters; assessing the readiness of the rectum for endoscopic examination; assessment of the condition of neighboring organs.
Rectoscopy	Proctoscope It is a metal tube with a diameter of 1.5–2 cm and a length of 25–30 cm with an eyepiece for inspection and a light bulb. Flexible fiber colonoscopes– endoscopic equipment similar to that used for gastroscopy. Before the study, a cleansing enema is performed. The patient is in a knee-elbow position. The doctor carefully inserts a rectoscope, lubricated with Vaseline, into his rectum. In order to better examine the lumen of the rectum, it is slightly inflated with air. General recommendations for proctitis Diet If you have proctitis, you need to exclude from your diet all foods that irritate the rectum: spicy, salty, sour, fatty, spices. During acute proctitis and exacerbation of chronic proctitis, you should temporarily avoid vegetables, fruits, berries, and any sweets. Sample diet for proctitis: Regime and physical activity With proctitis, prolonged sitting is contraindicated, as this leads to weakening of the pelvic floor muscles and congestion in the veins of the pelvis and lower extremities. Even if the patient is in serious condition and is in bed rest, a minimum set of physical exercises is often prescribed. In case of ulcerative, ulcerative-necrotic, polypous acute proctitis, the patient is usually hospitalized in a hospital. In other forms, treatment is carried out on an outpatient basis in a clinic. Chronic proctitis is also treated on an outpatient basis. Hospitalization is indicated in some cases during exacerbation. Bad habits During the treatment of proctitis, you should stop drinking alcohol. Treatment of proctitis using medications, enemas What to use? Why use it? How to use? Treatment of acute proctitis and exacerbations of chronic Antibacterial drugs (antibiotics): penicillins; ·cephalosporins; macrolides; aminoglycosides; · tetracyclines; Levomycetin; metronidazole In order to destroy pathogenic microorganisms that cause proctitis. A specific antibiotic is prescribed depending on the pathogen (established during bacteriological examination). Used in the form of tablets or injections. Antibacterial drugs are used strictly on time - every 6, 8, 12 or 24 hours. For herpesvirus and cytomegalovirus infections, antiviral drugs are used. Antispasmodics ·elimination of rectal muscle spasm; · stool relief; ·relief of pain. 1 - 2 tablets (0.04 - 0.08 mg) 2 - 3 times a day. In injections: 2 – 12 ml of 2% solution intramuscularly 1 time per day. Antihistamines sodium cromoglycate; · nalokrom; bicromat; Vividrine; Relaxation of the muscles of the rectum; · stool relief; · pain relief. 2 capsules Nalokrom 0.2 g 4 times a day 30 minutes before meals or bedtime. (Mashkovsky M.D., “Medicines”, reference book, 15th edition). Treatment of proctitis with enemas Cleansing enemas Regular cleansing of the rectum. They are performed daily with water at room temperature using a special container - an Esmarch mug. Therapeutic enemas · with chamomile; with calendula; with collargol; · with sea buckthorn and other oils. rectal cleansing; ·antiseptic effect – destruction of infection; ·relieves irritation of the rectal mucosa. Therapeutic enemas are performed after cleansing ones. Enemas with chamomile and calendula. Pour 8 tablespoons of dried flowers with 4 cups of boiling water. Cool to a temperature of 36*C. Inject 100 ml of infusion into the rectum for one hour using a pear-shaped enema. Enemas with 0.355% collargol (100 ml of solution once a day) are replaced by enemas with chamomile in the second week. During the entire acute period, 50 ml of sea buckthorn or vegetable oil is injected into the rectum for one hour at night. Sitz baths with potassium permanganate (potassium permanganate) · antiseptic effect (destruction of pathogenic microorganisms). Baths with 0.01% potassium permanganate for 15 minutes - add 2 - 3 drops of solution to the bath. Additional measures for the treatment of ulcerative and ulcerative-necrotic proctitis Agents that improve tissue regeneration · suppositories with methyluracil; injections with etadene. · activation of regeneration of the rectal mucosa; · restoration of metabolic processes. 1 - 4 suppositories of methyluracil 0.5 g rectally (into the rectum) daily. Presacral injections (injections into the wall of the rectum) 0.2 g of etadene 1 time per day with an interval of 5 - 6 days for 15 - 30 days. (Mashkovsky M.D., “Medicines”, reference book, 15th edition). Combination drugs · aerosol “Gipozol”: sea buckthorn oil, methyluracil, sodium etazol. ·improving tissue regeneration; elimination of the inflammatory process; · simplification of defecation. Inject the aerosol into the rectum using a special nozzle, 1 cut per day for 2 to 3 weeks. Press the valve during insertion for 2–4 seconds. (Mashkovsky M.D., “Medicines”, reference book, 15th edition). Preparations of hormones of the adrenal cortex - glucocorticoids methylprednisolone; ·dexamethasone; hydrocortisone; triamcinolone; budesonide; ·betamethasone. · Suppression of the inflammatory process in proctitis caused by ulcerative colitis. The drug and its dose are selected strictly by the attending physician, taking into account the severity and course of the disease. Treatment of chronic proctitis during remission (the process subsides) Spa treatment. Mud therapy. Radon baths. Drinking mineral waters “Borjomi” and “Essentuki”. Physiotherapy. Physiotherapy: diathermy. Indications for surgical treatment of proctitis Complication in the form of paraproctitis. It is necessary to excise the focus of purulent inflammation in the adipose tissue that surrounds the rectum. Complication in the form of narrowing of the rectum - the operation is aimed at restoring the normal width of its lumen. Long-term, low-grade inflammation that cannot be cured with medications. Nonspecific ulcerative colitis - surgical intervention is performed according to indications. Proctitis caused by rectal tumors. Prevention of proctitis Proper nutrition with moderate consumption of spicy, fried, fatty, spicy, extractive foods. Quitting bad habits: smoking and alcohol abuse. Careful hygiene of the genitals and anus. Use of protection during sexual intercourse. Timely treatment of inflammatory diseases of neighboring organs. Can proctitis develop in a child, for what reasons? How to identify the symptoms, what are the principles of treatment of this disease in children? Proctitis also occurs in children, and this disease most often affects children under 1 year of age, which is associated with milk intolerance. Causes of proctitis in children: 1. The primary cause of proctitis is trauma to the rectal mucosa: with improper administration of an enema or rectal suppositories; if the gas outlet tube is used incorrectly; ingestion of foreign bodies by a child: toys, fruit seeds, bolts, and so on; habitual constipation – injury from solid feces; child abuse. 2. Secondary causes: protein intolerance – the most common cause of proctitis in children under 1 year of age (usually under the age of 1-2 months) who are breastfed or on cow’s milk or soy formula; intestinal infections (acute gastroenterocolitis, colitis) caused by various pathogens: dysentery, salmonellosis, and others; intestinal dysbiosis; worms: roundworms, pinworms and others; poor nutrition and other reasons. Symptoms of proctitis in infants: the general condition of the child is usually not disturbed , the baby is active, calm, sleep and appetite are not disturbed; on a diaper or diaper detect mucous, mucopurulent discharge , possible with bloody inclusions; possible constipation and bloating (due to narrowing of the anus); Possible insufficient weight gain and height, anemia, developmental delay; proctitis resulting from protein intolerance, often manifests itself in combination with atopic dermatitis (diathesis) and other manifestations of allergies. Proctitis associated with protein intolerance is a chronic form of proctitis. Features of the course of proctitis in older children: severe intoxication (increase in body temperature to high levels, weakness, refusal to eat); frequent false urges to the act of defecation; severe itching in the anal area (children tear the “butt” to wounds and cracks). Features of diagnosing proctitis in childhood: finger examination rectum through the anus in children is carried out in extreme cases and under anesthesia, which is associated with the anatomically narrow anus and its narrowing during illness; rectoscopy and colonoscopy; stool analysis: general, for worm eggs, for occult blood, stool culture; with proctitis in infants the diagnosis is made by contradiction - a diet is prescribed with a highly adapted mixture with split protein, if the discharge has stopped, this is proctitis associated with protein intolerance, and if not, then further examination of the rectum is carried out; in infancy, in the presence of skin manifestations of allergies, a blood test for immunoglobulins E is used, thus excluding an allergic cause of proctitis. Treatment of proctitis in children: 1. For infants, the only method treatment is to transfer the baby to artificial nutrition with mixtures with split protein. Breastfeeding can be maintained provided that the mother completely abstains from dairy products (including fermented milk), eggs (especially protein), soy, and other legumes, seafood and other obvious allergens. 2. For older children: eliminating the causes that led to the development of proctitis: treatment of intestinal infections, helminthic infestations, constipation, and so on; special diet, drinking medicinal mineral waters; treatment with enemas, suppositories; antispasmodics; physiotherapy (UHF, electrophoresis, ultrasound and others). Surgical treatment of proctitis in children is used extremely rarely. How often do children experience complications of proctitis? Complications of proctitis in children occur less frequently than in adults. The most common cases are narrowing of the rectum and paraproctitis. Negative consequences after proctitis occur only with incorrect or untimely treatment, and especially with self-medication. Prevention of proctitis in children: strict diet of the mother during pregnancy and breastfeeding; healthy child nutrition; gradual introduction of solid foods into complementary feeding for the child and only when chewing skills appear; eating only fresh and properly processed foods; hand hygiene and proper regular washing of the child; careful introduction of an enema, gas tubes, suppositories into the rectum; monitoring the child while playing with small objects, peeling seeds from berries and fruits; timely treatment of any diseases of the gastrointestinal tract and urinary system. Rectal fistula and paraproctitis with proctitis, how to identify, why is it dangerous? With prolonged inflammation of the rectum, purulent ulcers form in its wall. Pus is always looking for a way out. A more favorable outcome is if pus breaks through into the intestinal lumen. But the intestinal wall, melted by pus, becomes thinner over time, so a breakthrough of purulent contents can occur in nearby tissues, namely in the fatty layer surrounding the rectum. This condition is called paraproctitis (« para-" from Latin "about"). Paraproctitis often develops against the background of chronic proctitis, but it also happens during an acute process. This complication of proctitis requires surgical intervention in the form of removal of the abscess (abscess). If this was not done at the time, then pus from the fatty tissue seeks a way out and forms rectal fistulas(abnormal passages formed by destruction of tissue connecting the rectum with surrounding organs or skin). Rectal fistulas are a manifestation of chronic paraproctitis. What symptoms indicate the development of paraproctitis? increased pain in the rectum, sharp, shooting pain, often localized in the perineum; redness in the perineum, an abscess can be felt - possibly with lower localization of paraproctitis; increase in body temperature to high numbers; deterioration in general health (severe weakness, poor appetite, headache, sleep disturbance, and so on); painful false urge to defecate; constipation; Frequent urination in small portions. As we can see, the symptoms are very similar to the course of uncomplicated proctitis. But at the time of development of acute paraproctitis, all these symptoms sharply worsen. If, against the background of proctitis, the body temperature suddenly rises and the pain intensifies, then it is necessary to urgently run to a surgeon or proctologist. Since many patients put off going to the proctologist for an indefinite period of time (until it gets really hot, because unpleasant manipulations await them), especially patient patients adapt to the condition of paraproctitis. Its chronic course occurs, the intensity of symptoms decreases, and over time they may appear symptoms of the formation of rectal or pararectal fistulas. Symptoms of rectal fistulas, depending on the type. Types of rectal fistulas Characteristic Symptoms Anorectal fistulas(Figure No. 1): Fistulas that connect the rectum and anus. All anorectal fistulas are chronic in nature with exacerbations and remissions of the process. intrasphincteric (intra- or inside) The exit of the fistula is localized in the perineum near the anus. The appearance of a dark spot surrounded by redness of the skin. Pus, blood and/or feces are released from this point. There may be several of them, they can merge, forming one large wound. transsphincteric (trance- or through) The exit of the fistula is located directly in the lumen of the anal sphincter. Such fistulas often narrow the anus due to the formation of scars. Therefore, the act of defecation is very painful. Pain in the anal area also occurs when walking, sitting for long periods of time, coughing and sneezing. Pus, blood, and feces are constantly released from the anus. In some cases, incompetence of the anal sphincter occurs, resulting in fecal incontinence. extrasphincteric (extra- or higher) The fistula emerges above the anal sphincter. Pain in the rectum intensifies during defecation, and is characterized by frequent urge to defecate, which does not bring relief. Along with the feces, pus and blood are released. Rectovaginal fistulas The fistula opens into the woman's vaginal lumen. Pus, feces, and intestinal gases are released from the vagina. Such a fistula is almost always accompanied by inflammatory processes in the genitourinary system. Rectovesical fistulas The fistula extends into the lumen of the bladder. The patient produces purulent urine, cloudy, with impurities of feces, especially at the beginning of urination. Symptoms of cystitis often develop. Rectoscrotal fistulas Exit of the fistula into the scrotum in men. The scrotum increases in size, its cyanosis is observed, and fistulas may appear on the skin of the scrotum. Often this complication occurs with fistulas extending onto the anterior surface of the thighs. Internal fistula A fistula that opens into the lumen of the rectum. There are no special symptoms. Such a fistula is discovered by the doctor during a detailed examination of the rectum. Common symptoms of rectal fistulas: discharge from the outlet of the fistula in the form of feces, pus, feces, these discharges are permanent and have an extremely unpleasant fetid odor; periodic pain in the perineum and anus, greatly intensifying during defecation; psychosis, neurosis and depression; periodic increase in body temperature up to 38 0 C; weakness, malaise. Rice. No. 1. Schematic representation of the types of anorectal fistulas. For diagnostics such fistulas, in addition to inspection, are used instrumental research methods: What to do, how to treat? 1. Only surgical treatment is effective - opening ulcers, removing fistulas, sanitation of affected structures, etc. 2. Antibacterial therapy is mandatory before and after surgery. 3. Symptomatic treatment. 4. Strict diet. Radiation proctitis, what are the causes, symptoms, diagnosis and treatment? Radiation proctitis is a chronic proctitis caused by long-term ionizing radiation. Most often, this process is the result of radiation therapy to the abdomen and pelvis, used to treat cancer patients (cancer tumors of the intestine, genital organs in men and women, and so on). Among such patients, radiation proctitis develops in every tenth case. Symptoms of this complication do not develop during radiation therapy, but after several months. Symptoms of radiation proctitis: aching pain in the rectal area; bloating; itching and burning sensation in the anal area; mucous, mucopurulent, purulent and/or bloody discharge from the rectum; constipation or diarrhea; increase in body temperature up to 38 0 C; weakness, fatigue. If radiation proctitis is detected in time, treatment gives positive results. The later treatment begins, the greater the risk of developing complications of proctitis, including rectal cancer. Therefore, if such symptoms occur after radiation therapy, it is necessary to urgently consult a proctologist and oncologist. For diagnostics This type of proctitis uses the same research methods as for other types, and biopsy of the rectal mucosa is necessarily included in the research algorithm for the purpose of differential diagnosis of radiation proctitis and cancer. For a biopsy, material is taken in several places; it is imperative to capture not only the mucous, but also the submucosal layer of the intestine. The histological picture of radiation proctitis differs from other types of inflammation of the rectum, although, as with other processes, nonspecific inflammation is observed. In addition to biopsy, they also perform mandatory stool culture, since radiation proctitis in most cases is accompanied by intestinal dysbiosis. Associated lesions of the rectum are common: radiation proctitis and rectal cancer; radiation proctitis and metastases to the rectum from the primary tumor; radiation proctitis and growth of cervical cancer onto the wall of the rectum (a common complication of cervical cancer). Treatment of radiation proctitis: 1. Mostly radiation proctitis after full examination does not require hospitalization , patients with concomitant pathology and severe and/or complicated course of the disease require inpatient treatment. 2. Strict diet and regimen (see article section). 3. Antibacterial therapy: according to the results of stool culture and antibiogram (determination of pathogen sensitivity to antibiotics). 4. Preparations containing lactobacilli and lactulose (Hilak, Duphalac, Normaze, Bio-Gaya and other medicines). 5. In some cases it is prescribed glucocorticosteroids (Prednisolone). 6. Vitamins: C, group B, E, which are powerful antioxidants. 7. Antihistamines: Suprastin, Loratadine and others. 8. Enemas: chamomile decoction, collargol and other anti-inflammatory solutions, oil enemas with sea buckthorn. 9. Painkiller suppositories and suppositories that relieve intestinal spasms. After the symptoms of the disease subside: sitz warm baths with solutions that have an anti-inflammatory effect; physiotherapy: UHF , electrophoresis; stimulators of scar resorption processes : extracts of aloe, placenta, FIBS, Lidaza, Dimexide and others. Indications for surgical treatment for radiation proctitis: 1. the presence of complications of proctitis, 2. combined pathology of radiation proctitis and rectal cancer. How to treat proctitis at home? Is traditional treatment for proctitis effective? Is it possible to completely cure proctitis? Any uncomplicated proctitis with a mild course can be treated at home. But still, at home you should follow the recommendations of the proctologist, and not self-medicate, since it is imperative to diagnose the disease and differentiate it from many other pathologies of the rectum. After all, all the symptoms are similar to such a terrible and widespread disease in modern times as rectal cancer, in which self-medication means deterioration of the condition and loss of precious time. Principles of treating proctitis at home: 1. Diet with the exception of spicy, salty, fatty, fried foods, as well as raw foods of plant origin. 2. Lightweight physical exercise , avoid prolonged sitting. 3. Hygiene intimate places. 4. Refusal of anal sex during illness. 5. Rejection of bad habits , especially any alcohol. 6. Drug treatment of proctitis: tablets (less often injections), administration of medications in the form of enemas, suppositories. 7. Warm sitz baths . 8. Traditional methods of treatment should be in combination with traditional ones, and not replace them. It must be remembered that improper treatment of acute proctitis leads to chronic proctitis, that is, the patient dooms himself to the disease for life. 9. In the presence of complications of proctitis It is necessary to urgently consult a doctor; surgery may be necessary. The most effective methods of traditional medicine for the treatment of proctitis. Method Expected therapeutic effect How to cook at home? Mode of application Calendula flower decoction Anti-inflammatory, antiseptic, analgesic effects on the rectal mucosa. Pour 2 tablespoons of calendula flowers into 200.0 ml of boiling water and place in a water bath for 20 minutes, stirring occasionally. Cool and bring to a volume of 200.0 ml. For an enema: 100.0 ml of decoction is diluted with 50.0 ml of boiled water and administered as an enema (the diluted decoction should be at room temperature). For a boric acid enema: 1 tablespoon of calendula infusion + 1 tablespoon of 3% boric acid. For oral administration: 2 tablespoons 30 minutes before meals 3 times a day. Enema with lemon balm and oregano decoction This enema has an antibacterial and analgesic effect. Pour 1 tablespoon of lemon balm + 2 tablespoons of oregano into 250.0 ml of boiling water and place in a water bath for 20-25 minutes, then leave for 90 minutes. Enema volume of 100 ml, infusion should be at room temperature. Try to delay the act of defecation as much as possible. Horsetail Contains silicic acid, helps normalize blood circulation and relieve swelling. Half a glass of herb is poured with 1000.0 ml of boiling water and left for 10 minutes, then filtered. This infusion is recommended for warm sitz baths, the duration of the procedure is 20-30 minutes. Carry out daily until recovery. Enema with sea buckthorn Healing effect, sea buckthorn restores damaged intestinal epithelium. Sea buckthorn oil is prescribed only to relieve the acute process and symptoms of the disease. Usually, a ready-made pharmaceutical form of sea buckthorn oil is used. For an enema, use warm oil (not hot). Microenemas up to 50 ml are administered. Enemas with propolis Propolis is a powerful natural antibiotic. This enema can be used after the first positive results of treatment using other methods. 1 tablespoon of propolis + 4 tablespoons of refined sunflower oil. The heated mixture is administered as an enema in a volume of 50.0 ml. Enema with onions, orange peels and aloe This mixture has antiseptic and anti-inflammatory properties. 20 g dried orange peels + 5 g chopped onions + 8 ml aloe juice. Stir, pour in 50.0 ml of hot water (not boiling water), let it brew for 3 hours. Enema in a volume of 50 ml in a warm form. Oak bark Oak bark has an anti-inflammatory and enveloping effect. 1 tablespoon of bark is poured into 500.0 ml of boiling water and boiled for 10 minutes. This enema is administered in a volume of 500.0 ml. Is it possible to completely cure proctitis? Acute proctitis is completely curable with adequate and timely treatment. But if the disease has become chronic, then no treatment methods lead to complete recovery. But with proper therapy and diet, you can achieve long-term remission of the disease and prevent the development of complications. Photos of what the signs and symptoms of proctitis and its complications may look like? This is what it looks like rectal mucosa with ulcerative proctitis . There are multiple ulcers on the intestinal mucosa (with purulent contents), against the background of vascular injection (vascular reaction to inflammation, hyperemia). Photo of an endoscopic examination of the rectum with herpetic proctitis. Herpetic blisters are visualized on the mucous membrane, the intestinal lumen is deformed due to scar changes, this is chronic proctitis. Photo: endoscopic examination of the rectum for rectal cancer – one of the types of complications of chronic proctitis. There are several small masses and deformation of the intestinal wall with blood vessel damage and bleeding. Photo of an endoscopic examination of the rectal mucosa with radiation proctitis. Radiation proctitis is characterized by polypous growths of the rectal mucosa, proliferation of connective tissue, which results in deformation of the intestinal lumen. Pallor of the mucous membrane is also observed as a result of poor circulation and vascular hyalinosis. And this is what the other one looks like form of radiation proctitis – hemorrhagic proctitis . Bleeding from the blood vessels of the rectal mucosa and multiple hemorrhages (petechiae) are observed. And this is what they look like external signs of paraproctitis . There is redness and slight swelling in the perineal area. This formation is soft to the touch, with a feeling of being filled with liquid. Photo of the perineum of a child under 1 year of age with a complicated course of chronic proctitis, with the formation of paraproctitis and rectal fistulas.

Proctitis: symptoms and causes

Doctors note that this disease most often occurs due to the following external factors:

• If you often eat spicy foods or alcohol.
• Constipation that is permanent.
• Constant hypothermia of the body.
• Diseases of the internal organs that are located near the intestines.

Proctitis can also occur against the background of previous diseases such as hemorrhoids, paraproctitis, prostatitis, cystitis and some types of lesions of the intestinal mucosa.

Doctors note that the main symptom of the disease is acute pain in the rectum area. This process may be accompanied by discharge of pus or blood from the anus. The patient complains of acute pain during defecation. In some cases, the acute course of the disease can lead to an increase in the patient's body temperature. There is acute pain in the perineum, which can even radiate to the genitals and lower back. Additionally, the presence of constipation or diarrhea is noted. It should be noted that these symptoms can develop within a few hours, and in some cases it takes a day.

Diagnosis of proctitis

In order to make this diagnosis, the doctor must perform a rectoscopy, as well as a biopsy of the rectal mucosa. After this, as a rule, a bacteriological examination of the rectum is prescribed. Establishing the correct diagnosis will be much more difficult if it is accompanied by spasms of the sphincter, which is located in the anus. This spasm can be easily eliminated by inserting a finger coated in Vaseline into the anus. Since inflammation is accompanied at this moment, in some cases blood can be found on the glove after this manipulation.

Sigmoidoscopy notes pronounced hyperemia. The intestinal mucosa has a bright red color, on which the pattern of blood vessels can be easily seen. In some cases, swelling or infiltration is recorded in the posterior sinuses of the rectum. Doctors note the periodic presence of hemorrhage, which manifests itself on the surface in the form of erosion. Most often, proctitis is spread over an area of ​​no more than five centimeters, with a separate lesion of the perianal skin.

Traditional treatment of the disease

Treatment of the acute form of this disease must be carried out in a hospital. Thus, catarrhal-purulent, erosive, polypous, ulcerative proctitis is also treated. A diet for proctitis must be followed in combination with bed rest. At the same time, you should definitely reduce your intake of fiber, spicy and fried foods, as well as spices and alcohol. Stool culture should determine further medical management with antibiotics and sulfonamides. Thus, the sensitivity of microflora to the action of various drugs is also determined. Additionally, the doctor will prescribe enemas with collargol and chamomile tincture. When the disease begins to recede, it is necessary to change to enemas with oil, and also use them with sitz baths of 0.01% potassium permanganate. Don't forget to take a warm shower between these procedures. Corticosteroids should only be used to treat severe forms of the disease.

To treat the chronic form of the disease, it is necessary to be in an outpatient clinic. In this case, similar means are used. Doctors recommend undergoing spa treatment once a year. This process is accompanied by the appointment of subaqueous baths, mud treatment, and rinsing the intestines with warm water. Treatment involves the use of water with alkali (Borjomi, Essentuki). With its help, you can effectively activate the movement of the large intestine. Particular attention should be paid to combating constipation. To do this, you should perform massage and gymnastic exercises, which will be aimed at developing the press.

Treatment of complex diseases is possible only through surgery. If you seek help from a specialist in time, the treatment gives the most favorable results.

Traditional methods in the treatment of proctitis

Proctitis can also be treated using various alternative medicines. They should be aimed at eliminating inflammatory processes in the rectum. Medicines should be combined with procedures aimed at physical activity. Folk remedies give maximum results when combined with a properly selected diet. Traditional medicine recommends fighting proctitis with enemas, which are made from decoctions and herbs.

The main folk remedy is enemas, which perfectly help eliminate the symptoms and cause of proctitis:

Remember that the drug must be absorbed into the intestines after administration. To do this, you should be in a supine position for at least five minutes. After this, the position changes - kneel down and lower your head down. The first improvement can be felt after just a couple of days of using enemas.

Another proven folk remedy is sitz baths with medicinal herbs. To do this, you will need half a glass of horsetail, which is filled with one liter of boiled water. You should insist for fifteen minutes. The procedure should take twenty minutes.