Patients with radiation proctitis may appear pale and dehydrated. Some patients may appear fatigued and in distress, associated with abdominal pain.

Physical examination of patients with radiation proctitis include:^[1]

• Patients with radiation proctitis may appear dehydrated due to diarrhea.

• Fever.
• Tachycardia.
• Low blood pressure due to dehydration.

• Injection mark of IV drug use( HIV risk).

• HEENT examination of patients with radiation proctitis is usually normal.

• Lymphadenopathy to be checked (to rule out systemic infection such as CMV, TB, lymphogranuloma venereum caused Chlamydia trachomatis ).

• Pulmonary examination of patients with radiation proctitis is usually normal.

• Normal S1 and S2.
• Tachycardia.

• Abdominal tenderness generalized.
• Discharge of mucus or pus from your rectum.
• Bleeding from the rectum.
• Perirectal fistula, anal ulceration, and a fibrotic rectum with mucus and blood.

• Back examination of patients with radiation proctitis is usually normal.

• Genitourinary examination of patients with radiation proctitis is usually normal.

• Neuromuscular examination of patients with radiation proctitis is usually normal.

• Extremities examination of patients with radiation proctitis is usually normal.