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Anyone been diagnosed with Radiation Proctitis?
Cancer: Managing Symptoms | Last Active: Dec 9, 2024 | Replies (9)Comment receiving replies
Yes, but you need a gastroenterologist. They will perform a partial colonoscopy anoscopy or rectoscopy and document the bleeding.
This link "Treatment of chronic radiation proctopathy with radiofrequency ablation," is interesting. I had a lengthy search finding a practitioner. You have to be sure they are using the halo 90 catheter. The depth of the ablation is 0.1 to 1mm which allows for re-epililialization of the squamous cell layer. The catheter looks like the tiniest of fly swatters.
Hyperbaric oxygen therapy can also be successful. The trouble is that it's 2 hours a day for 40 sessions. Some injuries require 90 session.
There are other palliaitive ( useless from my experience) meds Rawassa and Sulfacrate.
Best wishes.
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Not prostate but cervical cancer. Radiation burned my sign mold colon causing stricture and microperforation. Severe radiation proctopathy with rectal ulcers that was getting worse despite hyperbaric oxygen (48session) , steroid and mesalamine , sucrafate enemas ended up in er with massive hemorrhage and ended up begging for a diverting colostomy. The general surgeon locally put one in and resected the sigmoid colon. I still have the radiation proctitis and large ulcer right at the anal verge . I am finally not bleeding as much (just spotting and streaking) but still painful at rectum even 6 weeks post (much better managed with fentanyl patch 25mcg). It is very likely it will be a permeant end colostomy for me ... continued hyperbaric oxygen after surgery, I just want to heal enough return to work. I am still very fatigue and it still feel weird in anus. Plus I still pass mucus (sometimes pink/ bloody mucus with blood clot/ streaking, sometimes frank blood spotting ) via rectum still and everytime I see the blood it's PTSD all over again.