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Proctitis
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Proctitis

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Contributors: Michael W. Winter MD, Paritosh Prasad MD
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Synopsis

Proctitis : Diarrhea, Fever, Rectal discharge, Rectal pain, Hematochezia, Tenesmus, LLQ pain
Proctitis is an inflammatory process occurring in the rectum and anus. It typically presents with anorectal pain, tenesmus, and rectal discharge. Symptoms can vary in intensity and continuity, often related to the underlying etiology. If untreated, patients can develop persistent bleeding and anemia, perianal abscesses, ulcerations, or fistulas.

Proctitis often occurs in adults with receptive anal exposures (oral, digital, or genital to anal). Neisseria gonorrhoeae, Chlamydia trachomatis (including lymphogranuloma venereum [LGV] serovars), herpes simplex virus (HSV), and Treponema pallidum are the most common sexually transmitted pathogens. Proctitis can also be caused by nonsexually transmitted infections, autoimmune diseases, ischemia, vasculitis, trauma, radiation (see radiation proctitis), or medication side effects. In addition, it can affect adults with inflammatory bowel disease (eg, Crohn disease, ulcerative colitis).

Treatment depends on the cause and ranges from antibiotic or antiviral therapy to anti-inflammatory or immunosuppressive therapy.

Codes

ICD10CM:
K62.89 – Other specified diseases of anus and rectum

SNOMEDCT:
3951002 – Proctitis

Look For

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Diagnostic Pearls

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Differential Diagnosis & Pitfalls

Etiologies of proctitis:
Differential diagnosis:

Best Tests

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Management Pearls

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Therapy

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Drug Reaction Data

Below is a list of drugs with literature evidence indicating an adverse association with this diagnosis. The list is continually updated through ongoing research and new medication approvals. Click on Citations to sort by number of citations or click on Medication to sort the medications alphabetically.

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References

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Last Reviewed:08/17/2021
Last Updated:08/22/2021
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Proctitis
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A medical illustration showing key findings of Proctitis : Diarrhea, Fever, Rectal discharge, Rectal pain, Hematochezia, Tenesmus, LLQ pain
Copyright © 2023 VisualDx®. All rights reserved.