Radiation proctitis: Difference between revisions

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{{SI}}
{{Infobox medical condition
| name            = Radiation proctitis
| image          = [[File:Radiation_proctitis_APC.jpg|left|thumb|Radiation proctitis as seen during [[endoscopy]]]]
| caption        = Endoscopic view of radiation proctitis
| field          = [[Gastroenterology]]
| synonyms        = Radiation proctopathy
| symptoms        = [[Rectal bleeding]], [[diarrhea]], [[abdominal pain]], [[tenesmus]]
| complications  = [[Stricture (medicine)|Strictures]], [[fistula]]s, [[ulcer (dermatology)|ulcers]]
| onset          = Weeks to years after [[radiation therapy]]
| duration        = Can be chronic
| causes          = [[Radiation therapy]] to the [[pelvis]]
| risks          = Higher doses of radiation, concurrent [[chemotherapy]]
| diagnosis      = [[Endoscopy]], [[biopsy]]
| differential    = [[Inflammatory bowel disease]], [[infectious colitis]], [[ischemic colitis]]
| treatment      = [[Endoscopic therapy]], [[medications]], [[surgery]]
| medication      = [[Sucralfate]], [[steroids]], [[5-aminosalicylic acid]]
| frequency      = Common in patients receiving pelvic radiation
}}
'''Radiation proctitis''' is a medical condition that involves inflammation and damage to the lower parts of the colon after exposure to x-rays or other ionizing forms of radiation as part of radiotherapy.
'''Radiation proctitis''' is a medical condition that involves inflammation and damage to the lower parts of the colon after exposure to x-rays or other ionizing forms of radiation as part of radiotherapy.
== Causes ==
== Causes ==
Radiation proctitis is primarily caused by the radiation therapy used to treat certain cancers, such as [[cervical cancer]], [[prostate cancer]], and [[colon cancer]]. The radiation used in these treatments can damage the colon and rectum, leading to inflammation and other symptoms.
Radiation proctitis is primarily caused by the radiation therapy used to treat certain cancers, such as [[cervical cancer]], [[prostate cancer]], and [[colon cancer]]. The radiation used in these treatments can damage the colon and rectum, leading to inflammation and other symptoms.
== Symptoms ==
== Symptoms ==
The symptoms of radiation proctitis can vary depending on the severity of the condition. They may include:
The symptoms of radiation proctitis can vary depending on the severity of the condition. They may include:
* [[Rectal bleeding]]
* [[Rectal bleeding]]
* [[Diarrhea]]
* [[Diarrhea]]
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* [[Nausea]]
* [[Nausea]]
* [[Vomiting]]
* [[Vomiting]]
== Diagnosis ==
== Diagnosis ==
The diagnosis of radiation proctitis is typically made based on the patient's medical history and a physical examination. Additional tests may be needed to confirm the diagnosis and rule out other conditions. These tests may include:
The diagnosis of radiation proctitis is typically made based on the patient's medical history and a physical examination. Additional tests may be needed to confirm the diagnosis and rule out other conditions. These tests may include:
* [[Colonoscopy]]
* [[Colonoscopy]]
* [[Sigmoidoscopy]]
* [[Sigmoidoscopy]]
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* [[CT scan]]
* [[CT scan]]
* [[MRI]]
* [[MRI]]
== Treatment ==
== Treatment ==
The treatment for radiation proctitis depends on the severity of the condition. Mild cases may be managed with medications and dietary changes, while severe cases may require more invasive treatments. These may include:
The treatment for radiation proctitis depends on the severity of the condition. Mild cases may be managed with medications and dietary changes, while severe cases may require more invasive treatments. These may include:
* [[Anti-inflammatory drugs]]
* [[Anti-inflammatory drugs]]
* [[Antibiotics]]
* [[Antibiotics]]
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* [[Surgery]]
* [[Surgery]]
* [[Hyperbaric oxygen therapy]]
* [[Hyperbaric oxygen therapy]]
== Prognosis ==
== Prognosis ==
The prognosis for radiation proctitis varies depending on the severity of the condition and the patient's overall health. With appropriate treatment, most people with radiation proctitis are able to manage their symptoms and maintain a good quality of life.
The prognosis for radiation proctitis varies depending on the severity of the condition and the patient's overall health. With appropriate treatment, most people with radiation proctitis are able to manage their symptoms and maintain a good quality of life.
== See also ==
== See also ==
* [[Radiation therapy]]
* [[Radiation therapy]]
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* [[Inflammatory bowel disease]]
* [[Inflammatory bowel disease]]
* [[Colitis]]
* [[Colitis]]
[[Category:Medical conditions]]
[[Category:Medical conditions]]
[[Category:Radiation health effects]]
[[Category:Radiation health effects]]
[[Category:Gastrointestinal disorders]]
[[Category:Gastrointestinal disorders]]
{{stub}}
{{stub}}
<gallery>
File:Radiation proctitis APC.jpg|Radiation proctitis
</gallery>

Latest revision as of 22:33, 6 April 2025

Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
W8MD medical weight loss NYC and sleep center NYC

Radiation proctitis
Radiation proctitis as seen during endoscopy
Synonyms Radiation proctopathy
Pronounce N/A
Specialty N/A
Symptoms Rectal bleeding, diarrhea, abdominal pain, tenesmus
Complications Strictures, fistulas, ulcers
Onset Weeks to years after radiation therapy
Duration Can be chronic
Types N/A
Causes Radiation therapy to the pelvis
Risks Higher doses of radiation, concurrent chemotherapy
Diagnosis Endoscopy, biopsy
Differential diagnosis Inflammatory bowel disease, infectious colitis, ischemic colitis
Prevention N/A
Treatment Endoscopic therapy, medications, surgery
Medication Sucralfate, steroids, 5-aminosalicylic acid
Prognosis N/A
Frequency Common in patients receiving pelvic radiation
Deaths N/A


Radiation proctitis is a medical condition that involves inflammation and damage to the lower parts of the colon after exposure to x-rays or other ionizing forms of radiation as part of radiotherapy.

Causes[edit]

Radiation proctitis is primarily caused by the radiation therapy used to treat certain cancers, such as cervical cancer, prostate cancer, and colon cancer. The radiation used in these treatments can damage the colon and rectum, leading to inflammation and other symptoms.

Symptoms[edit]

The symptoms of radiation proctitis can vary depending on the severity of the condition. They may include:

Diagnosis[edit]

The diagnosis of radiation proctitis is typically made based on the patient's medical history and a physical examination. Additional tests may be needed to confirm the diagnosis and rule out other conditions. These tests may include:

Treatment[edit]

The treatment for radiation proctitis depends on the severity of the condition. Mild cases may be managed with medications and dietary changes, while severe cases may require more invasive treatments. These may include:

Prognosis[edit]

The prognosis for radiation proctitis varies depending on the severity of the condition and the patient's overall health. With appropriate treatment, most people with radiation proctitis are able to manage their symptoms and maintain a good quality of life.

See also[edit]

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