Proctitis is an inflammation of the rectum. It can cause discomfort, bleeding, and the discharge of mucus or pus.
Inflammation - rectum; Rectal inflammation
There are many causes of proctitis. They can be grouped as follows:
- Autoimmune disease
- Harmful substances
- Non-sexually transmitted infection
- Sexually transmitted disease (STD)
Infections that are not sexually transmitted are less common than STD proctitis. One type of proctitis not from an STD is an infection in children that is caused by the same bacteria as strep throat.
Proctitis may also be caused by some medicines, radiotherapy or inserting harmful substances into the rectum.
Risk factors include:
- Autoimmune disorders
- High-risk sexual practices such as anal sex
- Bloody stools
- Rectal bleeding
- Rectal discharge, pus
- Rectal pain or discomfort
- Tenesmus (pain with bowel movement)
Exams and Tests
Most of the time, proctitis will go away when the cause of the problem is treated. Antibiotics are used is an infection is causing the problem.
Corticosteroids or mesalamine suppositories may relieve symptoms for some people.
The outcome is good with treatment.
When to Contact a Medical Professional
Call your health care provider if you have symptoms of proctitis.
Safe sexpractices may help prevent the spread of the disease.
Coates WC. Disorders of the anorectum. In: Marx JA, Hockberger RS, Walls RM, et al, eds. Rosens Emergency Medicine: Concepts and Clinical Practice. 7th ed. Philadelphia, Pa: Mosby Elsevier; 2009:chap 94.
Czito BG, Willett CG. Radiation injury. In: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger & Fordtrans Gastrointestinal and Liver Disease. 9th ed. Philadelphia, Pa: Saunders Elsevier; 2010:chap 39.
Giannella RA. Infectious enteritis and proctocolitis and bacterial food poisoning. In: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger & Fordtrans Gastrointestinal and Liver Disease. 9th ed. Philadelphia, Pa: Saunders Elsevier; 2010:chap 107.
Osterman MT, Lichtenstein GR. Ulcerative colitis. In: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger & Fordtrans Gastrointestinal and Liver Disease. 9th ed. Philadelphia, Pa: Saunders Elsevier; 2010:chap 112.
Reviewed By: George F. Longstreth, MD, Department of Gastroenterology, Kaiser Permanente Medical Care Program, San Diego, California. Also reviewed by A.D.A.M. Health Solutions, Ebix, Inc., Editorial Team: David Zieve, MD, MHA, Bethanne Black, Stephanie Slon, and Nissi Wang.