Therapy depends on the cause of the disease.
General measures
- To protect against sexually transmitted infectious diseases that can cause proctitis, condoms should be used (“safe sex”).
- Anal hygiene after going to the toilet in the following steps:
- Rough cleaning with untreated toilet paper (dyed toilet paper contains dyes that can possibly cause allergy).
- Careful cleaning with water at a comfortable temperature without the use of soap (over a bidet or in the shower; for travel use disposable washcloths for babies) or use of a body lotion, which is put on the next piece of toilet paper after the first rough cleaning
- Dry dabbing / blow dry
Attention. Do not use wet wipes (contains preservatives and often fragrances). These may contain, despite dermatological testing, substances that can lead to contact dermatitis with prolonged use. Furthermore, no use of disinfectants or intimate sprays.
- Care of the anal region: with frequent defecation, use soft zinc paste if necessary; no use of petroleum jelly.
Vaccinations
The following vaccinations are advised, as infection can often lead to worsening of the present disease:
- Flu vaccination
- Pneumococcal vaccination
Regular checkups
- Regular medical checkups
Physical therapy (including physiotherapy)
Sitz baths with appropriate bath additives are good for relieving discomfort (balneotherapy). Bath additives should be anti-inflammatory (anti-inflammatory) and/or nourishing:
- Oak bark extract: relieves itching, burning and oozing.
- Witch hazel: anti-inflammatory, analgesic.
- Potassium permanganate: relieves itching, acts disinfectant
- Chamomile: anti-inflammatory, promotes wound healing.