Proctitis - is this normal

Hi, I am new on this forum. Two years ago I was first diagnosed with proctitis. It was treated with Flagyl and Canasa suppositories. After the first dose of Flagyl, all the nausea, cramping and diarrhea were gone within hours and I could eat normally again. This made me think the cause may have been bacterial. Then after a week or two, the bleeding, mucous and urgency were gone as well - I assume because of the Canasa. I ended up having a delayed allergic reaction to Flagyl, so I cannot take it again.

I am having my first big flare and my GI doctor prescribed Canasa suppositories again - said to use for 30 days and then come back and if I still have symptoms he will need to do a scope and try other solutions. He did not prescribe an antibiotic, saying it was not usually necessary (and I cannot have the most common one for UP- Flagyl). Well, it has been 9 days and the only improvement I see is a slight reduction in blood, and I have nausea, cramping and diarrhea that seems to be getting worse. Does Canasa sometimes take this long to improve things? I am wondering if I should give it the time he suggested, or try to get back in sooner and request something different? Is the stomach upset/diarrhea normal for proctitis? Any thoughts or advice would be appreciated!

Welcome to the forum.

Yes, stomach upset and nausea are normal for flaring. Ask for an antispasmodic....I use dicyclomine.

What exactly is the extent location (cms or inches) of your proctitis, do you have a copy of the biopsies results, and were you diagnosed via colonoscopy or sigmoidoscopy?

My opinion is that you were undertreated without full med coverage, and at the very least should have been put on the retention enemas and not the suppositories.

How often have you seen your GI since diagnosis, and did you have stool samples done?

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