Proctitis: Difference between revisions
From WikiMD's Wellness Encyclopedia
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{{Infobox medical condition | |||
| name = Proctitis | |||
| image = [[File:Radiation_proctitis3.jpg|thumb|Radiation proctitis]] | |||
| caption = Endoscopic image of radiation proctitis | |||
| field = [[Gastroenterology]] | |||
| symptoms = [[Rectal bleeding]], [[rectal pain]], [[diarrhea]], [[tenesmus]] | |||
| complications = [[Anemia]], [[ulceration]], [[stricture]] | |||
| onset = Gradual or sudden | |||
| duration = Varies, can be chronic | |||
| causes = [[Infection]], [[inflammatory bowel disease]], [[radiation therapy]], [[antibiotics]] | |||
| risks = [[Sexually transmitted infections]], [[autoimmune disorders]], [[radiation exposure]] | |||
| diagnosis = [[Colonoscopy]], [[sigmoidoscopy]], [[biopsy]] | |||
| differential = [[Ulcerative colitis]], [[Crohn's disease]], [[hemorrhoids]] | |||
| treatment = [[Antibiotics]], [[anti-inflammatory drugs]], [[steroids]], [[surgery]] | |||
| medication = [[Mesalamine]], [[corticosteroids]], [[metronidazole]] | |||
| frequency = Common in certain populations | |||
}} | |||
{{Short description|An inflammation of the rectum lining}} | {{Short description|An inflammation of the rectum lining}} | ||
'''Proctitis''' is an inflammation of the lining of the [[rectum]], which can cause discomfort, bleeding, and other symptoms. It can be caused by various factors, including infections, inflammatory bowel disease, and radiation therapy. | '''Proctitis''' is an inflammation of the lining of the [[rectum]], which can cause discomfort, bleeding, and other symptoms. It can be caused by various factors, including infections, inflammatory bowel disease, and radiation therapy. | ||
==Causes== | ==Causes== | ||
Proctitis can be caused by several different factors: | Proctitis can be caused by several different factors: | ||
* '''Infectious proctitis''': This can be caused by sexually transmitted infections such as [[gonorrhea]], [[chlamydia]], [[herpes simplex virus]], and [[syphilis]]. | * '''Infectious proctitis''': This can be caused by sexually transmitted infections such as [[gonorrhea]], [[chlamydia]], [[herpes simplex virus]], and [[syphilis]]. | ||
* '''Inflammatory bowel disease''': Conditions such as [[ulcerative colitis]] and [[Crohn's disease]] can lead to proctitis. | * '''Inflammatory bowel disease''': Conditions such as [[ulcerative colitis]] and [[Crohn's disease]] can lead to proctitis. | ||
* '''Radiation proctitis''': This occurs as a result of [[radiation therapy]] to the pelvic area, often used to treat cancers such as [[prostate cancer]] or [[cervical cancer]]. | * '''Radiation proctitis''': This occurs as a result of [[radiation therapy]] to the pelvic area, often used to treat cancers such as [[prostate cancer]] or [[cervical cancer]]. | ||
* '''Non-infectious proctitis''': This can be caused by trauma, allergic reactions, or other non-infectious factors. | * '''Non-infectious proctitis''': This can be caused by trauma, allergic reactions, or other non-infectious factors. | ||
==Symptoms== | ==Symptoms== | ||
The symptoms of proctitis can vary depending on the underlying cause but often include: | The symptoms of proctitis can vary depending on the underlying cause but often include: | ||
* Rectal pain and discomfort | * Rectal pain and discomfort | ||
* Bleeding from the rectum | * Bleeding from the rectum | ||
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* Diarrhea | * Diarrhea | ||
* Mucus discharge from the rectum | * Mucus discharge from the rectum | ||
==Diagnosis== | ==Diagnosis== | ||
Diagnosis of proctitis typically involves a combination of: | Diagnosis of proctitis typically involves a combination of: | ||
* Medical history and physical examination | * Medical history and physical examination | ||
* [[Sigmoidoscopy]] or [[colonoscopy]] to visualize the rectum and obtain biopsies | * [[Sigmoidoscopy]] or [[colonoscopy]] to visualize the rectum and obtain biopsies | ||
* Laboratory tests to identify infectious agents | * Laboratory tests to identify infectious agents | ||
==Treatment== | ==Treatment== | ||
The treatment of proctitis depends on the underlying cause: | The treatment of proctitis depends on the underlying cause: | ||
* '''Infectious proctitis''': Treated with appropriate antibiotics or antiviral medications. | * '''Infectious proctitis''': Treated with appropriate antibiotics or antiviral medications. | ||
* '''Inflammatory bowel disease''': Managed with anti-inflammatory medications, immunosuppressants, or biologics. | * '''Inflammatory bowel disease''': Managed with anti-inflammatory medications, immunosuppressants, or biologics. | ||
* '''Radiation proctitis''': Treatment may include medications to reduce inflammation, endoscopic procedures, or hyperbaric oxygen therapy. | * '''Radiation proctitis''': Treatment may include medications to reduce inflammation, endoscopic procedures, or hyperbaric oxygen therapy. | ||
==Radiation Proctitis== | ==Radiation Proctitis== | ||
Radiation proctitis is a specific type of proctitis that occurs after radiation therapy. It can be acute or chronic, with symptoms ranging from mild discomfort to severe bleeding and ulceration. Management strategies focus on symptom relief and healing of the rectal tissue. | Radiation proctitis is a specific type of proctitis that occurs after radiation therapy. It can be acute or chronic, with symptoms ranging from mild discomfort to severe bleeding and ulceration. Management strategies focus on symptom relief and healing of the rectal tissue. | ||
==Prevention== | ==Prevention== | ||
Preventive measures for proctitis depend on the cause: | Preventive measures for proctitis depend on the cause: | ||
* Safe sexual practices can reduce the risk of infectious proctitis. | * Safe sexual practices can reduce the risk of infectious proctitis. | ||
* Careful planning and delivery of radiation therapy can minimize the risk of radiation proctitis. | * Careful planning and delivery of radiation therapy can minimize the risk of radiation proctitis. | ||
* Management of inflammatory bowel disease can help prevent flare-ups of proctitis. | * Management of inflammatory bowel disease can help prevent flare-ups of proctitis. | ||
==See also== | |||
== | |||
* [[Rectum]] | * [[Rectum]] | ||
* [[Inflammatory bowel disease]] | * [[Inflammatory bowel disease]] | ||
* [[Radiation therapy]] | * [[Radiation therapy]] | ||
* [[Sexually transmitted infection]] | * [[Sexually transmitted infection]] | ||
[[Category:Gastroenterology]] | [[Category:Gastroenterology]] | ||
[[Category:Inflammatory bowel disease]] | [[Category:Inflammatory bowel disease]] | ||
[[Category:Radiation therapy]] | [[Category:Radiation therapy]] | ||
Latest revision as of 05:28, 6 April 2025
Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
W8MD medical weight loss NYC and sleep center NYC
| Proctitis | |
|---|---|
 | |
| Synonyms | N/A |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Rectal bleeding, rectal pain, diarrhea, tenesmus |
| Complications | Anemia, ulceration, stricture |
| Onset | Gradual or sudden |
| Duration | Varies, can be chronic |
| Types | N/A |
| Causes | Infection, inflammatory bowel disease, radiation therapy, antibiotics |
| Risks | Sexually transmitted infections, autoimmune disorders, radiation exposure |
| Diagnosis | Colonoscopy, sigmoidoscopy, biopsy |
| Differential diagnosis | Ulcerative colitis, Crohn's disease, hemorrhoids |
| Prevention | N/A |
| Treatment | Antibiotics, anti-inflammatory drugs, steroids, surgery |
| Medication | Mesalamine, corticosteroids, metronidazole |
| Prognosis | N/A |
| Frequency | Common in certain populations |
| Deaths | N/A |
An inflammation of the rectum lining
Proctitis is an inflammation of the lining of the rectum, which can cause discomfort, bleeding, and other symptoms. It can be caused by various factors, including infections, inflammatory bowel disease, and radiation therapy.
Causes[edit]
Proctitis can be caused by several different factors:
- Infectious proctitis: This can be caused by sexually transmitted infections such as gonorrhea, chlamydia, herpes simplex virus, and syphilis.
- Inflammatory bowel disease: Conditions such as ulcerative colitis and Crohn's disease can lead to proctitis.
- Radiation proctitis: This occurs as a result of radiation therapy to the pelvic area, often used to treat cancers such as prostate cancer or cervical cancer.
- Non-infectious proctitis: This can be caused by trauma, allergic reactions, or other non-infectious factors.
Symptoms[edit]
The symptoms of proctitis can vary depending on the underlying cause but often include:
- Rectal pain and discomfort
- Bleeding from the rectum
- A feeling of urgency to have a bowel movement
- Diarrhea
- Mucus discharge from the rectum
Diagnosis[edit]
Diagnosis of proctitis typically involves a combination of:
- Medical history and physical examination
- Sigmoidoscopy or colonoscopy to visualize the rectum and obtain biopsies
- Laboratory tests to identify infectious agents
Treatment[edit]
The treatment of proctitis depends on the underlying cause:
- Infectious proctitis: Treated with appropriate antibiotics or antiviral medications.
- Inflammatory bowel disease: Managed with anti-inflammatory medications, immunosuppressants, or biologics.
- Radiation proctitis: Treatment may include medications to reduce inflammation, endoscopic procedures, or hyperbaric oxygen therapy.
Radiation Proctitis[edit]
Radiation proctitis is a specific type of proctitis that occurs after radiation therapy. It can be acute or chronic, with symptoms ranging from mild discomfort to severe bleeding and ulceration. Management strategies focus on symptom relief and healing of the rectal tissue.
Prevention[edit]
Preventive measures for proctitis depend on the cause:
- Safe sexual practices can reduce the risk of infectious proctitis.
- Careful planning and delivery of radiation therapy can minimize the risk of radiation proctitis.
- Management of inflammatory bowel disease can help prevent flare-ups of proctitis.
