Proctitis

Proctitis is inflammation of rectal mucosa, due to ulcerative colitis, infection (STI/gonorrhea/chlamydia/HSV), radiation, or trauma, presenting with rectal bleeding, tenesmus, mucus, and pain. Treatment: identify/treat cause (UC: topical 5-ASA/steroids; STI: antibiotics/antivirals; radiation: supportive); endoscopy/biopsy; topical mesalamine/enemas; treat diarrhea/constipation; monitor for complications (stricture/malignancy in UC/radiation); follow-up.

Common Symptoms

Rectal bleeding; tenesmus; mucus; pain; by IBD/infection/radiation

Causes and Pathogenesis

Infectious/inflammatory/radiation causes rectal mucosal inflammation.

Treatment

Treat cause; topical 5-ASA/steroids/antibiotics; endoscopy/biopsy

Preventive Measures

Safe sex; treat IBD; radiation field optimization.

Department to Visit

It is recommended to visit the Gastroenterology/Anorectal/Infectious-disease department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.