Any acute swelling of the rectal mucosa, congestion and inflammation, or even mucosal bleeding, ulceration, necrosis, frequent defecation, and posterior urgency is called acute proctitis. Sometimes it can be complicated by abscesses, fistulas, etc. A. Etiology Mostly due to low mucosal defenses, or body weakness, weakened resistance to disease, coupled with constipation or diarrhea, or due to hemorrhoids, anorectal prolapse, anorectal stenosis, anal fistula, polyposis, foreign bodies, tumors; or due to dietary carelessness, gluttonous spicy, excessive alcohol consumption, or often laxatives and other triggers. Common pathogenic bacteria include staphylococcus, streptococcus, and E. coli. Common parasites, including pinworms, roundworms, tapeworms, amoebas, etc. Or from the spread of inflammation of the organs adjacent to the rectum, such as the uterus, fallopian tubes, prostate, vagina, etc. At the beginning, the rectal mucosa is swollen, congested and bright red. In mild cases, the inflammation can dissipate on its own and the mucosa returns to normal, but in severe cases, the inflammation can spread upward, downward and to deeper tissues, resulting in mucosal bleeding, ulceration and necrosis; in severe cases, abscesses, fistulas or rectal strictures can be created. The patient feels swelling and fever in the rectum, sometimes painful, and has frequent stools, but only a little mucus is excreted each time, and the stools are urgent and heavy afterwards; later, the stools are as thin as water, mixed with blood and mucus; occasionally the pain can radiate to the sacral area, and can cause painful and frequent urination. Diagnosis The skin of the anal region becomes red in color due to the stimulation of secretion, and there is tenderness. During finger examination, spasm of anal sphincter muscle is seen, and there is a feeling of swelling when the rectum is touched. On proctoscopic examination, edema, congestion, or even bleeding erosion of the mucosa is seen, and there are small yellow pseudomembranes or punctate ulcers on the mucosal surface. At the same time, the stool should be checked for parasitic eggs and stool culture or biopsy to determine the diagnosis. Treatment 1. Internal treatment: Chinese medicine treatment, refer to the first section of identification and treatment. If necessary, you can also take Huangliansu, haloperidol, dysentery, cotrimoxazole, etc. 2, external treatment: can use the yellow mold liquid, three yellow liquid retention enema, in the morning, after the stool and once before bed, each time 50 ~ 100 ml. If there is a dry hard fecal mass or foreign body in the rectum, it is appropriate to take out early. Also use sodium bicarbonate water or warm saline enema, 2 times a day. If mucosal erosion, can be in addition to 1% hydrocortisone acetate solution, or 5-10% silver nitrate solution. 3, systemic therapy: bed rest; attention to diet, into both nutritious, easy to digest, less dregs, non-irritating soft food, and should drink more water; forbidden to eat shrimp, crab and alcohol, etc..