Inflammation of the rectum, causing soreness and bleeding, sometimes with a mucus and pus discharge. Proctitis commonly occurs as a feature of ulcerative colitis, Crohn’s disease, or dysentery. In cases where inflammation is confined to the rectum, the cause is often unknown. In male homosexuals, proctitis is sometimes due to gonorrhoea or another sexually transmitted infection. Rare causes include tuberculosis, amoebiasis, and schistosomiasis.
Diagnosis is made by proctoscopy. A biopsy is sometimes needed. Treatment of the underlying cause usually clears the problem. Corticosteroid drugs may relieve symptoms.
In?ammation situated about the RECTUM or ANUS.
n. inflammation of the rectum. Symptoms are ineffective straining to empty the bowels (*tenesmus), urgency, rectal pain, diarrhoea, and the discharge of blood or mucus. Proctitis is invariably present in *ulcerative colitis and sometimes in *Crohn’s disease and a sexually transmitted infection (particularly in those who practise anal intercourse). Rarer causes include damage by irradiation (radiation proctitis), or after a colostomy has rendered the rectum nonfunctional (diversion proctitis).
The loss of mucus, pus, or blood from the anus. Haemorrhoids, anal fissures, and proctitis (inflammation of the rectum) can all cause anal discharge.... anal discharge
n. a sensation of the desire to defecate or urinate, associated with straining and the passage of minimal volumes of faeces or urine or none at all. Rectal tenesmus may be due to *proctitis, prolapse of the rectum, rectal tumour, or *irritable bowel syndrome.... tenesmus
inflammation and ulceration of the colon, initially starting in the rectum (see proctitis) but ascending to include a part or the whole of the colon (see colitis). Its cause is unknown. Symptoms include abdominal pain, diarrhoea, and rectal bleeding. Acute severe colitis requires urgent in-patient admission for intravenous steroids. Patients who fail to respond to these should be treated with second-line agents (such as infliximab or ciclosporin) or by surgical colectomy.... ulcerative colitis