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Medgeeks with Andrew Reid

Radiation Proctitis

Medgeeks with Andrew Reid

Medgeeks

Medicine, Health & Fitness, Education

4.8996 Ratings

🗓️ 19 February 2024

⏱️ 10 minutes

🧾️ Download transcript

Summary

In this latest podcast episode, we will talk about radiation. No, not the radiation that gives you superpowers like in the movies. But, radiation proctitis, which is inflammation of the rectum caused by exposure to radiation therapy. Typically for pelvic cancers like prostate, cervical and rectal cancers.

There are two types of radiation proctitis, acute and chronic. Acute develops up to 3 months after treatment and chronic develops more than 3 months after. To treat acute radiation proctitis, it is often managed with dietary changes and medications like stool softeners and antidiarrheal drugs. Treatment for chronic proctitis will vary depending on severity and may involve medications, lifestyle modifications, procedures like balloon dilation or surgery.

Join Dr. Niket Sonpal, your friendly neighborhood internist and gastroenterologist.

February 19, 2024

Do you work in primary care medicine? Primary Care Medicine Essentials is our brand new program specifically designed for primary care providers to increase their core medical knowledge & improve patient flow optimization. Learn more here: Primary Care Essentials

 

Transcript

Click on a timestamp to play from that location

0:00.0

When I say the word's radiation to you, it conjures up a great deal of imagery.

0:05.0

The first could possibly be something out of a TV or movie episode,

0:09.5

perhaps something out of the Marvel Cinematic Universe, the Incredible Hulk being exposed to gamma radiations and turning into a big green monster with some significant issues with anger.

0:20.0

If it's not the Incredible Hulk, then perhaps imagery of the first woman to win a Nobel Prize comes up,

0:26.0

which is basically Mary Curie, who was a Polish and naturalized French physicist and chemist who actually pioneered research on radioactivity and unfortunately it also led to her demise.

0:36.0

Her contributions to science and the understanding of radioactivity were staggering at the time and unfortunately what is believed is that her long-term exposure to

0:44.2

radioactivity may have led to a plastic anemia. But if you're in health care

0:48.2

the term radioactivity and radiography has a great deal of imagery and

0:52.1

implications it's an entire division of radiology and allow has a great deal of imagery and implications.

0:53.0

It's an entire division of radiology

0:55.0

and allowing us to make diagnoses,

0:56.0

and ironically, Mary Currie developed the first mobile

0:59.0

radiography units.

1:00.0

And there's also a form of radiation therapy, and there are some adverse effects of this.

1:05.0

Today we're going to be talking about one of the more common adverse effects that I see as a

1:09.0

gastrantroly quite frequently. It's known as radiation proctitis. So we're going to be taking a

1:14.2

step away from the bugs and drugs and we're going to be talking about a very

1:17.5

common cause of bright red blood perectum. I'm Dr. Niket-Sonpal, your

1:21.4

friendly neighborhood internist and

1:22.7

gastrantrolyists, so stay tuned while we talking about radiation proctitis.

1:42.1

Well the last couple of weeks I've had

1:43.7

several cases come in with patients complaining a bright red blood perectum and you

...

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