Proctitis | |
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Classification and external resources | |
Specialty | gastroenterology |
ICD-10 | K51.2, K62.7, K62.8 |
ICD-9-CM | 098.7, 556.2, 569.49 |
DiseasesDB | 25171 |
MedlinePlus | 001139 |
eMedicine | emerg/487 med/2742 |
MeSH | D011349 |
Proctitis is an inflammation of the anus and the lining of the rectum, affecting only the last 6 inches of the rectum.
Symptoms are ineffectual straining to empty the bowels, diarrhea, and possible discharge, a feeling of not having adequately emptied the bowels, involuntary spasms and cramping during bowel movements, left-sided abdominal pain, passage of mucus through the rectum, and anorectal pain.
Proctitis has many possible causes. It may occur idiopathically (idiopathic proctitis). Other causes include damage by irradiation (for example in radiation therapy for cervical cancer and prostate cancer) or as a sexually transmitted infection, as in lymphogranuloma venereum and herpes proctitis. Studies suggest a celiac disease-associated "proctitis" can result from an intolerance to gluten.
A common cause is engaging in anal sex with partner(s) infected with sexual transmitted diseases in men who have sex with men. Shared enema usage has been shown to facilitate the spread of Lymphogranuloma venereum proctitis.
A common symptom is a continual urge to have a bowel movement—the rectum could feel full or have constipation. Another is tenderness and mild irritation in the rectum and anal region. A serious symptom is pus and blood in the discharge, accompanied by cramps and pain during the bowel movement. If there is severe bleeding, a condition called anemia can also be caused, showing symptoms such as pale skin, irritability, weakness, dizziness, brittle nails, and shortness of breath.
Gonorrhea (Gonococcal proctitis)
Chlamydia (chlamydia proctitis)
Herpes Simplex Virus 1 and 2 (herpes proctitis)