Medical treatment of radiation proctitis includes both oral therapies and rectal therapies. Oral medications include 5-ASA and metronidazole; rectal therapies include 5-ASA, hydrocortisone, sucralfate, and formalin. In terms of steroid enemas, hydrocortisone seems to be more effective in relieving symptoms and also in relieving rectal bleeding compared to other steroids, such as betamethasone. Studies demonstrate sucralfate enemas to be the most effective medical therapy for radiation proctitis when administered twice daily for 3 months.
For more information see: http://emedicine.medscape.com/article/192910-treatment
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My 22 yr old son was diagnosed with proctitis 8 weeks ago. He has up to 10 bouts of rectal bleeding?
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