Proctitis is an inflammation of the rectum. It can cause discomfort, bleeding, and the discharge of mucus or pus.
Inflammation - rectum; Rectal inflammation
Causes, incidence, and risk factors
There are many causes of proctitis. They can be grouped as follows:
Non-sexually transmitted infection
Sexually transmitted disease (STD)
Proctitis caused by STD is common in people who have anal intercourse. STDs that can cause proctitis include
gonorrhea, herpes, chlamydia, and lymphogranuloma venereum.
Infections that are not sexually transmitted are less common than STD proctitis. One type of proctitis not from an STD is an infection in children that is caused by the same bacteria as strep throat.
Autoimmune proctitis is linked to diseases such as
ulcerative colitis or Crohn's disease. If the inflammation is in the rectum only, it may come and go or move upward into the large intestine.
Proctitis may also be caused by some medicines,
radiotherapy or inserting harmful substances into the rectum.
Risk factors include:
Symptoms Signs and tests Treatment
Most of the time, proctitis will go away when the cause of the problem is treated. Antibiotics are used is an infection is causing the problem.
Corticosteroids or mesalamine suppositories may relieve symptoms for some people.
The outcome is good with treatment.
Complications Anal fistula
Recto-vaginal fistula (women)
Severe bleeding Calling your health care provider
Call your health care provider if you have symptoms of proctitis.
Safe sex practices may help prevent the spread of the disease.
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George F. Longstreth, MD, Department of Gastroenterology, Kaiser Permanente Medical Care Program, San Diego, California. Also reviewed by A.D.A.M. Health Solutions, Ebix, Inc., Editorial Team: David Zieve, MD, MHA, Bethanne Black, Stephanie Slon, and Nissi Wang.
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