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Acute radiation proctitis — symptoms occur in the first 3 months after therapy. [4] These symptoms include diarrhea and the urgent need to defecate. Radiation associated vascular ectasias (RAVE) and chronic radiation proctopathy — previously known as "chronic radiation proctitis" occur 3-6 months after the initial exposure. RAVE is ...
Early radiation enteropathy is very common during or immediately after the course of radiotherapy. This involves cell death, mucosal inflammation and epithelial barrier dysfunction. This injury is termed mucositis and results in symptoms of nausea, vomiting, fatigue, diarrhea and abdominal pain. [1] [6] It recovers within a few weeks or months.
Chronic radiation proctitis is usually treated first-line with sucralfate enemas. These are non-invasive and are effective in diffuse, distal disease. Other treatments may include mesalamine suppositories, vitamin E, hyperbaric oxygen, or short chain fatty acid enemas; however these treatments are only supported by observational or anecdotal ...
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.
Radiation proctitis can be found in 0.5–21.4% of patients who received prostate brachytherapy due to the proximity of the prostate and the large bowel, with significant injury occurring in 1–2.4% of patients. [citation needed] erectile dysfunction (difficulty getting and/or keeping an erection; impotence).
The diagnosis of portal hypertensive gastropathy is usually made on endoscopy. The usual appearance of portal hypertensive gastropathy on endoscopy is a mosaic-like or reticular pattern in the mucosa. Red spots may or may not be present. The pattern is usually seen throughout the stomach. [2]
Side effects of radiation therapy might occur after a few weeks into treatment. Both types of radiation therapy may cause diarrhea and mild rectal bleeding due to radiation proctitis, as well as potential urinary incontinence and impotence. Symptoms tend to improve over time except for erections which typically worsen as time progresses.
Proctitis is an inflammation of the anus and the lining of the rectum, usually involving the distal, or lower, 10–15 cm (3.9–5.9 in) of the colon, including the rectum. Approximately 30% of ulcerative colitis patients initially present with proctitis.