Can Proctitis spread ?

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New Member

Date Joined Feb 2009
Total Posts : 15
   Posted 2/4/2009 6:36 PM (GMT -6)   
Ive just been diagnosed with Ulcerative Proctitis afer having had a colonoscopy , but i am a bit confused as the the results showed definite inflamation in the rectum but also some slight inflamation in the transverse colon. I have read on many websites that colitis only spreads in a contiguous way and doesnt appear in patches. I wondered if anyone else has had this happen to them .

Regular Member

Date Joined Jan 2008
Total Posts : 381
   Posted 2/4/2009 7:17 PM (GMT -6)   
My Uc started in the rectum and moved its way up - first to the transverse colon and then eventually all over. So yes, it is possible to spread. Nip it in the bud- if you can.
Good Luck
Jackie, 43
Pancolitis, DX October 06

Lexapro, colazal 3x3, Synthroid, Protonix, 6MP (75 mg)
Prednisone 20mg, Iron, Vitamin D
Surgery almost certain

Regular Member

Date Joined Aug 2008
Total Posts : 327
   Posted 2/4/2009 10:06 PM (GMT -6)   
Yes, proctitis can spread; several people on this forum can attest to that. UC is supposed to spread in a contiguous way, but from what I understand, there is a rare form, Crohn's colitis, that can be patchy. Have you specifically asked your doctor whether your colonoscopy showed a) inflamed rectum, normal descending colon, and slightly inflamed transverse colon; or b) inflamed rectum, slight inflammation extending into transverse colon?

Hope you quickly find a form of treatment that works for you, and welcome to the forum!
41, female
Dx ulcerative proctitis, 3-5 cm, June 2008. Still flaring? Not sure.
Canasa 1000 mg suppositories and 1 tsp smooth texture Metamucil nightly
25 mg hydrocortisone suppositories (tapering) and 1 Garden of Life Primal Defense Ultra in a.m.
Effexor 37.5, Remeron 30 mg, and Trazodone 75 mg for sleep/anxiety (clonazepam as needed)
2.5 mg methimazole for thyroid
Had some success with acupuncture
Osteopenia and other assorted ailments

Elite Member

Date Joined Feb 2004
Total Posts : 20577
   Posted 2/4/2009 11:13 PM (GMT -6)   
Crohn's colitis is patchy inflammation (CD in general is patchy with healthy tissues in between) with UC the entire area(s) will be inflammed, not patchy...if you have patchy inflammation that coincides with CD not UC even if you have inflammation in your rectom as with CD it can affect the entire GI tract (anus to the mouth), UC is limited to the colon/rectom.

My bum is broken....there's a big crack down the middle of it! LOL :)

New Member

Date Joined Feb 2009
Total Posts : 15
   Posted 2/5/2009 3:07 AM (GMT -6)   
Ok thanks for the quick replies i suppose i should have asked the doctor more questions

Regular Member

Date Joined Jul 2008
Total Posts : 197
   Posted 2/5/2009 10:12 AM (GMT -6)   
Unfotunately yes it does spread. My inflammation has gone from my rectum (about an inch) now up my left side about 7 inches.

severe ulcerative proctitis - march 05 diagnosed
proctosigmoiditis - january 09 diagnosed
hospitalized - 3/08 for 6 days of IV steriods
hospitalized - 1/09 for 5 days of IV steriods / put on 6MP (50 mgs)
past meds: colozol, sulfasalzine, hydrocortisone enemas, canasa, rowasa and prednisone 
current meds: 6MP (50mgs), Asacol 12 pills,  Primal Defense Ultra Probiotic, fish oil, calcium w/ vitamin d 2x a day, prenatal vitamin & extra vitamin c and b12

Veteran Member

Date Joined Aug 2008
Total Posts : 5975
   Posted 2/5/2009 1:55 PM (GMT -6)   
     I've had UC for over ten years now.  When admitted to the hospital last May the CT scan showed inflamation throughout the colon.  However, when they performed the colonoscopy six days later it showed only inflamation in the rectum.

62 yr old granny. South Jersey
Diagnosed with ulcerative proctitis in 1998 in hospital
Hospitalized (2nd time) in May 2008
Update 11/03/08...finally in remission!!  Hope I don't jinx myself.  Off the prednisone since 11/01/ see if I can stay off for longer than two weeks.  Other meds: 6MP (75 mgm), colazal (6 per day), Benicar and Toprol (high blood pressure meds), Probiotic (2 per day), fish oil capsule and multi-vitamin and calcium with vitamin D.

Regular Member

Date Joined Feb 2009
Total Posts : 402
   Posted 2/5/2009 6:25 PM (GMT -6)   
Yer I was diagnosed with just Proctitis a year ago, but a flexi sigmoidoscopy a few weeks ago showed the start of some inflammation a few inches further up.

Regular Member

Date Joined Feb 2009
Total Posts : 473
   Posted 2/8/2009 11:05 PM (GMT -6)   
I've had Proctitis since 2000. the right diet(for me) and getting enough sleep has helped me a lot. Has not spread, so it doesn't have to with you either. good luck.
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