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Proctitis

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Proctitis

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  • Dr. Mohamad E. Allaf
  • Updated 2024-08-22
  • Published 2024-03-06

Proctitis

What is Proctitis?

Proctitis is an inflammation of the lining of the rectum, the lower part of your large intestine leading to the anus. It can cause discomfort, pain, and sometimes bleeding.

What causes Proctitis?

Proctitis can be caused by infections, sexually transmitted infections (STIs), inflammatory bowel diseases like ulcerative colitis or Crohn’s disease, radiation therapy for cancer, or direct injury to the rectum.

What are the symptoms of Proctitis?

Symptoms include rectal pain, frequent or continuous feeling of needing to have a bowel movement, rectal bleeding, and discharge, and in some cases, diarrhea or constipation.

How is Proctitis diagnosed?

Diagnosis may involve a physical examination, reviewing medical history, conducting a rectal examination, and tests like stool tests, blood tests, sigmoidoscopy or colonoscopy, and biopsies.

How is Proctitis treated?

Treatment depends on the cause and may include antibiotics or antiviral medications for infections, anti-inflammatory medications for inflammatory bowel disease, and lifestyle changes like diet modifications and increased fluid intake.

Can Proctitis be prevented?

Prevention strategies include practicing safe sex to avoid STIs, managing chronic bowel diseases effectively, and avoiding irritants such as certain foods or medications that may trigger symptoms.

What are the potential complications of Proctitis?

If untreated, proctitis can lead to severe complications like anemia from chronic bleeding, rectal abscesses, fistulas, strictures, and in severe cases, it may increase the risk of colorectal cancer.

Symptoms of proctitis may include pain, rectal bleeding, diarrhea, and a constant feeling of needing to have a bowel movement. It can also lead to complications such as ulcers, fistulas, and abscesses.

Common causes of proctitis include infections, such as those caused by sexually transmitted diseases like gonorrhea or chlamydia, inflammatory bowel disease, radiation therapy, and certain autoimmune conditions.

Diagnosis of proctitis usually involves a physical examination, medical history review, and various tests, such as blood tests, stool tests, and imaging studies. Treatment options depend on the underlying cause but may include medication, lifestyle changes, and sometimes surgery.

If you suspect you may have proctitis or are experiencing related symptoms, it is important to consult a healthcare professional for an accurate diagnosis and appropriate treatment.

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Causes of Proctitis

ProctitisThere are several causes of proctitis, including:

  • Infection: Bacterial, viral, or parasitic infections can lead to proctitis. Common causes include sexually transmitted infections (STIs) like gonorrhea, chlamydia, and syphilis, as well as herpes and human papillomavirus (HPV).
  • Inflammatory bowel disease (IBD): Conditions like Crohn’s disease and ulcerative colitis can cause inflammation in the rectum, leading to proctitis.
  • Radiation therapy: Radiation treatment for cancers in the pelvic region can damage the lining of the rectum and cause proctitis.
  • Solitary rectal ulcer syndrome: This rare condition involves the development of ulcers or sores on the rectal lining, leading to proctitis.
  • Autoimmune disorders: Conditions like rheumatoid arthritis and lupus can cause inflammation in the rectum, resulting in proctitis.
  • Anal intercourse: Trauma or irritation to the rectal area during anal sex can cause proctitis.
  • Other causes: Certain medications, such as nonsteroidal anti-inflammatory drugs (NSAIDs), can contribute to the development of proctitis.
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