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Acute radiation proctopathy often causes pelvic pain, diarrhea, urgency, and the urge to defecate despite having an empty colon (tenesmus). [4] Hematochezia and fecal incontinence may occur, but are less common. [4] Chronic radiation damage to the rectum (>3 months) may cause rectal bleeding, incontinence, or a change in bowel habits secondary.
Endoscopic therapies including argon plasma coagulation have been used for bleeding telangiectasia in radiation proctitis and at other intestinal sites, although there is a rick of perforation. [2] Surgical treatment may be needed for intestinal obstruction, fistulae, or perforation, which can happen in more severe cases. [12]
Radiation colitis is injury to the colon caused by radiation therapy. It is usually associated with treatment for prostate cancer or cervical cancer . [ 1 ] Common symptoms are diarrhea , a feeling of being unable to empty the bowel , [ 2 ] gastrointestinal bleeding, and abdominal pain.
Rectal bleeding due to proctitis from radiation to treat cancers of the cervix, prostate, and colon. [5] Grade 1 bleeding experienced immediate relief with sucrasulfate enema for 1 month. Grade 2 bleeding, sucrasulfate enema] and/or coagulation were effective. Grade 3 bleeding lasted for 1 year despite frequent transfusions and coagulation.
It may occur idiopathically (idiopathic proctitis, that is, arising spontaneously or from an unknown cause). Other causes include damage by irradiation (for example in radiation therapy for cervical cancer and prostate cancer) or as a sexually transmitted infection, as in lymphogranuloma venereum and herpes proctitis.
A new treatment for locally advanced rectal cancer (LARC) reduced the existence of tumors by twice the amount as previous approaches, eliminating the need for surgery, a new study found.
The lower bowel may be treated directly with radiation (treatment of rectal or anal cancer) or be exposed by radiation therapy to other pelvic structures (prostate, bladder, female genital tract). Typical symptoms are soreness, diarrhoea, and nausea. Nutritional interventions may be able to help with diarrhoea associated with radiotherapy. [25]
Symptoms of colorectal cancer include: changes in bowel habits, like frequent diarrhea or constipation, rectal bleeding or blood in stool, discomfort in the abdomen such as cramps, gas or pain, a ...
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