Understanding Proctosigmoiditis

Proctosigmoiditis is an inflammatory bowel disease that affects the rectum, sigmoid colon, and their associated tissues. It is also known as proctitis sclerosans, proctosigmoidal inflammation, and recto-sigmoidal Sebastianitis. Patients with proctosigmoiditis may experience recurring and chronic pain, diarrhea, and rectal bleeding.

Proctosigmoiditis is caused by an underlying medical condition, such as an infection or allergy. While it is not considered a standalone disease, proctosigmoiditis is often associated with other inflammatory bowel diseases, such as ulcerative colitis and Crohn’s disease.

Symptoms of Proctosigmoiditis

The most common symptoms of proctosigmoiditis are abdominal pain, bloody stools, diarrhea, and constipation. Other symptoms include urgency to have a bowel movement, anal itching, and mucus in the stool.

In some cases, patients may also experience nausea, vomiting, dehydration, fatigue, and fever. The symptoms of proctosigmoiditis can be mild to severe, and depend on the underlying cause.


The treatment for proctosigmoiditis depends on the underlying cause. Common treatments include:

  • Anti-inflammatory medications, such as corticosteroids, to reduce inflammation.
  • Immunosuppressants to control the immune system and reduce inflammation.
  • Antibiotics to treat any underlying infection.
  • Antidiarrheal medications to treat diarrhea.
  • Pain medications to relieve pain associated with proctosigmoiditis.
  • Laxatives to regulate the digestive system.

In some cases, a high-fiber diet may be recommended to reduce symptoms and regulate the digestive system. Surgery is rarely recommended for proctosigmoiditis, except in cases where there is a blockage in the intestines.


If left untreated, proctosigmoiditis can lead to complications such as malnutrition, dehydration, and anemia. In some cases, it can also lead to serious conditions such as colorectal cancer, ischemic colitis, and immunosuppression.


Preventing proctosigmoiditis begins with preventing the underlying causes. To prevent infection, wash your hands regularly and practice good hygiene. To prevent allergies, identify and avoid triggers. Speak with your doctor if you are taking any medications, as they may increase your risk of developing proctosigmoiditis.

It is also important to practice healthy lifestyle habits, such as eating a balanced diet, getting regular exercise, and getting enough sleep. If you are experiencing any symptoms of proctosigmoiditis, seek medical advice – early detection and treatment can help prevent serious complications.