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Proctitis

Contents


What is Proctitis ?
Proctitis is the Inflammation of the anus and rectal mucosa (lining of the rectum).
Symptoms of Proctitis
- Tenesmus
- Bleeding from the Rectum / Anus
- Bloody Bowel Movements - Bleeding from the Rectum / Anus is typically associated with bright red blood.
What Causes Proctitis ?
Proctitis can be caused by:
- Crohn's Disease
- Ulcerative Colitis
- Infection
- Non Sexually Transmitted Diseases (Non-STD)
- Sexually Transmitted Disease (STD)

- Trauma or Injury to the Rectum or Anus
- Radiation Therapy
What is the Treatment for Proctitis ?
The treatment of ulcerative proctitis depends on the extent of the inflammation and the number of flareups you have had. For mild inflammation medicated enemas, suppositories, or foam are usually prescribed.

Patients with repeated episodes are often prescribed oral medication to reduce the chance of further episodes. Regular examinations are important for monitoring your disease and staying current with the best approaches for ongoing care of your ulcerative proctitis.
Crohn's Disease
- If Proctitis is caused by Crohn's Disease (CD), treatment is often used to induce CD Remission.
- Steroids (Prednisone, Prednisolone, etc.)
- TNF-alpha Blocker Therapy
- Remicade (Infliximab)
Infection Control
- If the Proctitis is caused or exacerbated by a bacterial infection Antibiotics may be given as treatment.
- Antiviral Medication may be given if the Proctitis is caused by a Virus.
Pain Control
- If Proctitis causes Strictures Stool Softeners may be given.
Treatment for Bleeding
- Thermal Therapy can help to control bleeding
Treatment of Inflammation
Hyperbaric Oxygen Therapy

Proctitis References

1. Cash B. and Jones L. "Proctitis" National Digestive Diseases Information Clearinghouse (NDDIC). NIH Publication No. 11-4627. July 2011. Updated October 2011. Accessed June 2012. http://digestive.niddk.nih.gov/ddiseases/pubs/proctitis

2. http://www.medicinenet.com/crohns_disease/page7.htm

3. Clarke RE, Tenorio LMC, Hussey JR, et al. Hyperbaric Oxygen Treatment of Chronic Refractory Radiation Proctitis: A Randomized and Controlled Double-Blind Crossover Trial With Long-Term Follow-Up. International Journal of Radiation Oncology, Biology, Physics. 2008;72(1): 134-143. Abstract http://www.redjournal.org/article/S0...042-4/abstract

4. Rustagi T and Mashimo H. Endoscopic management of chronic radiation proctitis. World J Gastroenterol. 2011; 17(41): 45544562. http://www.ncbi.nlm.nih.gov/pmc/arti...JG-17-4554.pdf

5. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2780078

6. http://www.colonrectal.org/services....tis/index.html

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