Diagnosed with proctitis- treatment question

Ask to be placed in any upcoming cancellation spots. Are their other gasteroenterologists within your area in the same or other practices? Be a hornet in their ear and persistent and then they will likely find a way to schedule you sooner.

If your condition warrants a hospital stay (due to pain, dehydration, or weakness/dizziness) then you often get seen sooner.

So I had an appointment today at my local clinic up here with a PA I've never seen before. Talked about my diagnosis, how the proctofoam has done nothing and that my GI appointment is almost a month away. He admitted he had little to no experience treating proctitis but you know what, he took the time to do some research on the treatments and prescribed me a 28 day course of mesalamine suspension enemas to take. Unfortunately, the local pharmacies did not have them in stock and I have to wait until Monday to get them but he did prescribe me some hydrocortisone 25mg suppositories to take twice a day thru the weekend until I can get the mesalamine. So hopefully that sets me on the right course. So high five to the PA who took the time to try to help me out instead of the surgeon who's been practicing medicine for 30 years, performed untold number of colonoscopy's over his career, knows what proctitis is, and threw me a weeks worth of proctofoam and told me to go see someone else if it didn't work. Yeah, I'm a little salty......

Physician Assistant. It's a healthcare provider who is supervised by an actual Physician. Very similar to a Nurse Practitioner. In the US they are not full MD's but are both supervised by an MD. I think. There is probably some differences but they aren't full fledged doctors. They can diagnose and usually have the same prescribing privileges as doctors.

My next scheduled appointment is May 2nd with the actual GI doc. So the next step is to take the hydrocortisone suppositories thru the weekend and start the mesalamine enemas Monday and see how it goes from there. So I have 4 weeks of mesalamine enemas to try and if it hasn't resolved by then then I am in the hands of an actual GI doc.

Post Edited (Wolsnik) : 4/8/2017 12:10:30 AM (GMT-6)

So I've been on the mesalamine enemas going on three weeks and I can say I feel like the proctitis has much improved. I haven't seen any blood or mucus at all in a while. However, while it's improved as well, I still am getting some pain. Mainly associated with bowel movements. I have my first actual GI doc appt this coming Tuesday. Do you think the doc will/should just continue with the mesalamine treatment. I'm guessing so but do you see her adding something else? Or is it just how it is with this condition? Very slow going to full remission?

Definitely no nsaid use recently. I can't remember the last time I've taken motrin. I used to get chronic headaches years ago though and ate it like candy and never had any gastro issues.

I had my first apt today with GI doc. Well not a doc but a NP. Plan is to continue with the mesalamine enemas for another month and see if things continue to improve.

One thing I don't agree with is she wants me to try a course of flagyl because I guess she thinks this could've been caused secondary to some infection. Even though nothing was found in the last GI pathogen panel. I really don't think I'm going to take it. Antibiotics can cause as many problems as they treat and I feel like it's a reach. Did another CBC and CRP which I'm sure is going to come back normal. But any thoughts on that are appreciated.

Post Edited (Wolsnik) : 5/2/2017 2:33:27 PM (GMT-6)

Are you lifting weights? Possibly repetative strain injury...does your job include being on computer all day? Do you use yiur cell phone or text continually?
Are yiu having neck issues.?

q

orthoinfo.aaos.org/topic.cfm?topic=a00007

Definitely get it checked out.....but look into a brace or support wrap anyway, especially while you sleep. You could ask your doc for a script of topical voltaren or try the otc brand.


q

Thanks for the info you all. It's just very strange because it really hurts and I am positive it's not because of any trauma. I am going to go buy a wrist brace today and start using it for a bit. If not better soon back to the doc for something else, ugghh.