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Proctitis

Introduction

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Synonyms and keywords: Rectal inflammation;

Overview

Overview

Proctitis is defined as 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, rectal bleeding and possible discharge, a feeling that you didn’t adequately empty the bowels, involuntary spasms and cramping during bowel movements, left-sided abdominal pain, passage of mucus through the rectum and anorectal pain.

References

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Historical Perspective

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References

Pathophysiology

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References

Causes

Overview

The most common causes of proctitis include sexually transmitted diseases and food-borne bacterial infections. Other causes include sources of anorectal physical trauma from injury or chemical and toxin exposure.

Causes

Common Causes

Causes by Organ System

Cardiovascular Chronic mucosal ischemia, Ischemia, Obliterative endarteritis, Vasculitis
Chemical/Poisoning Chemicals, Ginkgo biloba reaction, Physical agents, Toxins
Dental No underlying causes
Dermatologic Anal warts
Drug Side Effect Certain medications
Ear Nose Throat No underlying causes
Endocrine No underlying causes
Environmental No underlying causes
Gastroenterologic Anorectal trauma, Crohn’s disease, Giardia, Gluten intolerance, Rectal infection, Rectal injury, Ulcerative colitis
Genetic Treponema pallidum
Hematologic No underlying causes
Iatrogenic Radiation therapy
Infectious Disease Amebiasis, Anal infection, Bacillary dysentery, Bacterial infection, Campylobacter species, Chlamydia trachomatis, Clostridium difficile, Cytomegalovirus , Entamoeba histolytica, Giardia, Herpes simplex, Hiv, Human papillomavirus, Lymphogranuloma venereum, Neisseria gonorrhoea, Rectal infection, Salmonella, Shigella , Syphillis, Trichomoniasis , Yersinia
Musculoskeletal/Orthopedic No underlying causes
Neurologic No underlying causes
Nutritional/Metabolic No underlying causes
Obstetric/Gynecologic No underlying causes
Oncologic No underlying causes
Ophthalmologic No underlying causes
Overdose/Toxicity No underlying causes
Psychiatric No underlying causes
Pulmonary No underlying causes
Renal/Electrolyte No underlying causes
Rheumatology/Immunology/Allergy Allergies, Behcet’s disease, Gluten intolerance, Immunodeficiency disorders
Sexual Herpes simplex, Hiv, Human papillomavirus, Lymphogranuloma venereum, Syphillis
Trauma Anorectal trauma, Foreign object, Physical agents, Rectal injury
Urologic Non-specific urethritis 
Miscellaneous Idiopathic

Causes in Alphabetical Order

References

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Aditya Govindavarjhulla, M.B.B.S. [2] Luke Rusowicz-Orazem, B.S.

Differentiating Proctitis from other Diseases

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Overview

Differentiating Proctitis from other Diseases

References

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Epidemiology and Demographics

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References

Risk Factors

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Overview

Risk Factors

Risk factors include:

References

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Natural History, Complications and Prognosis

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Overview

Natural History, Complications and Prognosis

Complications

Prognosis

The probable outcome is good with treatment.

References

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Diagnosis

History and Symptoms | Physical Examination | Laboratory Findings | Abdominal X Ray | CT | Endoscopy | Ultrasound | Other Imaging Findings | Other Diagnostic Studies

Treatment

Treatment

Medical Therapy | Surgery | Primary Prevention | Secondary Prevention | Cost-Effectiveness of Therapy | Future or Investigational Therapies

Case Studies

Case Studies

Case #1

Related Chapters

Template:Gastroenterology

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]