Clinical Presentation & Protocol
Patient Usually Complains Of
Patient is currently undergoing pelvic radiation therapy (RT) and presents with acute gastrointestinal symptoms including increased stool frequency, urgency, tenesmus, and passage of mucus. Symptoms began [Number] days/weeks into the treatment course. Denies fever, severe hematochezia, or signs of bowel obstruction. Current RT fraction dose: [Dose] Gy.
Clinical Examination Findings
Abdominal examination reveals mild diffuse tenderness, primarily in the lower quadrants, without rebound or guarding. Bowel sounds are hyperactive. Digital rectal examination (DRE) demonstrates rectal mucosal edema, tenderness, and presence of mucus/blood on the glove. Perianal skin integrity is [Intact/Erythematous/Excoriated].
Treatment Protocol
Initiate supportive care: 1. Dietary modification (low-residue, low-fiber diet). 2. Antidiarrheal agents (e.g., Loperamide PRN). 3. Topical therapy (e.g., mesalamine suppositories or hydrocortisone enemas) for symptomatic relief. 4. Maintain adequate hydration. 5. Monitor for signs of secondary infection or severe proctitis.