What lifestyle and dietary modifications can I suggest to a patient with proctitis to help manage their symptoms?

Lifestyle and dietary modifications for managing proctitis symptoms include:

• Maintaining a balanced diet with regular meals and avoiding long gaps between eating can help manage symptoms.

• Drinking at least 8 cups of fluid daily, focusing on water and non-caffeinated drinks such as herbal teas, is recommended to maintain hydration and support bowel function.

• Limiting intake of tea and coffee to no more than 3 cups per day, and reducing alcohol and fizzy drink consumption, may help reduce irritation.

• Reducing high-fibre foods such as wholemeal or high-fibre breads, bran-rich cereals, and whole grains like brown rice may be beneficial, as these can exacerbate symptoms.

• Limiting fresh fruit intake to about 3 portions per day (approximately 80 g per portion) can help manage bowel symptoms.

• Encouraging physical activity and creating relaxation time can support overall symptom management and wellbeing.

These recommendations are adapted from general inflammatory bowel disease and IBS management principles, as specific proctitis lifestyle guidelines are limited. Patients should also be supported with appropriate medical treatment and specialist advice.