Proctitis refers to inflammation in the rectum. It may result in rectal bleeding or discharge, urgency, painful defecation, tenesmus, and crampy lower abdominal pain. The inflammation can develop as a consequence of exposure of the rectal mucosa to infectious organisms, allergens, radiation, ischaemia, and toxins, or diversion of faecal flow from the rectum (diversion proctitis). In addition, it can be the primary location of idiopathic inflammatory bowel disease, such as ulcerative colitis or Crohn's disease.
As there are many possible causes for this condition, accurate assessment and identification of the underlying cause is essential for appropriate therapy.
- Idiopathic ulcerative proctitis
- Crohn's proctitis
- Sexually transmitted proctitis
- Coeliac disease
- Radiation proctitis
- Ischaemic proctitis
- Proctitis related to non-steroidal anti-inflammatory drug use, caustic agent
- Diversion colitis
Alan C. Moss, MD
Professor of Medicine
ACM declares that he has no competing interests.
Srikrishna Nagri, MD
SN declares that he has no competing interests.
Terry Bolin, MBBS
Associate Professor of Medicine
Gastrointestinal and Liver Unit
The Prince of Wales Hospital
New South Wales
TB declares that he has no competing interests.
- 2018 UK national guideline for the management of infection with Neisseria gonorrhoeae
- ACG clinical guideline: management of Crohn's disease in adults
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