Symptoms of radiation proctitis

summary

Radiation proctitis is also a common complication of pelvic radiotherapy, which is a self-healing disease. If the treatment and nursing are timely and proper, it can shorten the course of disease, reduce the pain and economic burden of patients, and improve their quality of life. Tell us about the symptoms of radiation proctitis.

Symptoms of radiation proctitis

Early symptoms: due to the nervous system response to radiation, early gastrointestinal symptoms can appear. It usually occurs within 1-2 weeks after radiotherapy. Nausea, vomiting, diarrhea, discharge of mucus or bloody stool. The rectal involvement was accompanied by severe back pain. Persistent hematochezia can cause iron deficiency anemia. Constipation is rare. I have low fever occasionally. Irritable bowel syndrome with abdominal pain indicates involvement of the small intestine. Sigmoidoscopic examination shows mucosal edema and hyperemia. In severe cases, there may be erosion or ulcer.

Late symptoms: persistent symptoms in the acute stage or significant symptoms 6 months to several years after the end of radiotherapy all indicate that the disease continues and will eventually develop into fibrosis or stenosis. The symptoms in this period can occur as early as half a year after radiotherapy, and as late as 10 years or even 30 years later. Most of them are related to vasculitis of intestinal wall and sequelae.

Systemic, 1, according to the condition of oral, intramuscular or intravenous drip. 2. Traditional Chinese medicine, chronic weakness, mainly to discharge mucus. When chronic proctitis acute attack, give clear heat detoxification, Runchang Tongbian. It can be used as Liqi Shuchang prescription. Surgery, intestinal stenosis, obstruction, fistula and other late lesions need surgery, distal colon lesions, can be transverse colostomy, in order to achieve permanent or temporary bowel diversion, the risk is high.

matters needing attention

High energy and high protein can compensate the nutrition consumption caused by long-term diarrhea, and the supply can be gradually increased according to the patient's digestion and absorption tolerance. General heat energy is supplied by 40 kcal / kg body weight per day. Protein is 1.5g per kilogram of body weight per day, 50% of which is high quality protein.