3 Investigation Questions When Proctitis Is Suspected

When you keep feeling you need the bathroom, even after you have just been, leaving the house can become a negotiation with yourself. If your clinician is investigating proctitis, ask what each part of the assessment is meant to establish.

Three investigation questions

1. Which history matters here? The clinician may ask about bowel conditions, radiation treatment, sexual exposures, travel and medicines. These questions help investigate possible causes. Ask to discuss sensitive details privately if that would help you speak openly.²

2. Are we testing for an infection? Stool tests and rectal cultures may identify infections. Blood tests can also provide information about infection or other possible causes. Ask which samples are needed and how results will reach you.²

3. What would a scope or biopsy add? Endoscopy lets the clinician view the lining, and samples can be examined under a microscope. Sigmoidoscopy examines the rectum and lower colon; colonoscopy examines the entire colon as well.²

Keep the next appointment from starting over

Write down when the symptoms began, any treatments already tried and the names of tests already performed. Bring results you have access to, or ask how the team can obtain them.

Before leaving, confirm who will explain each result, whether another visit is booked and what to do if symptoms change while you wait.

Bloated by Dinner includes a Belly Clock log, a Test It list and a visit script. Use these to organize symptom notes and questions alongside the investigation arranged by your clinician. See the book.