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Alternative namesInflammation - rectum; Rectal inflammation
DefinitionProctitis is an inflammation of the rectum which causes discomfort, bleeding, and occasionally, a discharge of mucus or pus.
Causes, incidence, and risk factorsProctitis is an inflammatory condition involving the anus and rectum. There are many causes of proctitis, but they can be grouped in the following categories:
Non-sexually transmitted infections causing proctitis are seen less frequently than STD proctitis. The classical example of non-sexually transmitted infection occurs in children and is caused by beta-hemolytic streptococcus, the same organism which causes strep throat . Autoimmune proctitis is associated with diseases such as ulcerative colitis or Crohn's disease .
Proctitis may also be caused by physical agents including chemicals inserted into the rectum, medications and radiation. Radiation proctitis is seen in association with radiotherapy as part of cancer treatment.
Risk factors include high-risk sexual practices such as anal sex, and autoimmune disorders .
Signs and tests
TreatmentSuccessful treatment of the underlying cause usually cures the problem. Proctitis caused by infection is treated with antibiotics specific for the causative organism. Corticosteroids or mesalamine suppositories may relieve symptoms in Crohn's disease or ulcerative colitis.
Expectations (prognosis)The probable outcome is good with treatment.
Calling your health care providerCall for an appointment with your health care provider if symptoms of proctitis develop.
PreventionSafer sex behaviors may prevent the disease from being spread by sexual transmission.
Update Date: 10/9/2003Christian Stone, M. D., Division of Gastroenterology, Washington University in St. Louis School of Medicine, St. Louis, MO. Review provided by VeriMed Healthcare Network.
Last updated: Tue, 06 Jan 2009 00:20:03 GMT