Proctitis caused by sexually transmitted diseases is common among people who engage in anal intercourse. Sexually transmitted diseases that can cause proctitis include gonorrhea, herpes, chlamydia, and venereal lymphogranuloma.
Infections that are not sexually transmitted are less common than STD-related proctitis. A type of proctitis that is not due to an STD is an infection in children that is caused by the same bacteria that causes strep throat.
Autoimmune proctitis is associated with diseases such as ulcerative colitis or Crohn's disease. If the inflammation is in the rectum alone, it may appear and disappear or move into the small intestine.
Proctitis can also be caused by certain medications, radiation therapy and introduction of harmful substances into the rectum. >
Risk factors include:
Tests and tests
May need to include:
Most of the time, proctitis will disappear when the cause of the problem is addressed. Antibiotics are used if an infection is causing the problem.
Corticosteroids or mesalamine suppositories can relieve some people's symptoms.
The clinical outcome is good with treatment.
Call your healthcare provider if you have symptoms of proctitis.
Coates WC. Disorders of the anorectum. In: Marx JA, Hockberger RS, Walls RM, et al, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice . 8th ed. Philadelphia, PA: Elsevier Mosby; 2014: chap 96.
Fisher WE. The digestive system. In: Kellerman RD, eds. Conn's Current Therapy 2015 . 2nd ed. Philadelphia, PA: Elsevier Saunders; 2015: chap 8.
Kellerman RD. The sexually transmitted diseases. In: Kellerman RD, eds. Conn's Current Therapy 2015 . 2nd ed. Philadelphia, PA: Elsevier Saunders; 2015: chap 14.
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Patients take all sorts of over the counter medications for these but there is not much good evidence that anything helps. Such cases are usually referred to as a surgeon who will generally leave them alone to resolve on their own.
Ulcerative colitis practice guidelines in adults: American College of Gastroenterology, Practice Parameters Committee. Kornbluth A, Sachar DB; Practice Parameters Committee of the American College of Gastroenterology.
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