Proctitis
Proctitis is an inflammation of the lining of the rectum. Proctitis involves an inflammatory change of the rectum. Proctitis is similar to proctosigmoiditis but is not necessarily associated with proximal extension of disease into the colon and usually does not evolve into ulcerative colitis. If proximal extension does occur, it usually does so within the first 2 years of initial diagnosis. Sexually transmitted diseases are the most common cause, but other causes include inflammatory bowel diseases, such as ulcerative colitis, and non-sexually transmitted infections. Proctitis also may be a side effect of some medical treatments, including radiation therapy directed at or near the rectum for conditions such as prostate, cervical or uterine cancer, or antibiotic use. Sexually transmitted proctitis is most common in people who engage in anal or oral-anal intercourse, particularly if they have multiple partners. Proctitis in general mainly affects adult males. Proctitis may be short-lived, or it may become chronic, lasting for months or longer. In most cases, proctitis clears up with treatment. Treatment for proctitis depends on the cause. Proctitis involves mucosal cell loss, acute inflammation of the lamina propria, eosinophilic crypt abscess, and endothelial edema of the arterioles. These may improve or progress with subsequent fibrosis of connective tissue and endarteritis of the arterioles, resulting in rectal tissue ischemia and leading to mucosal friability, bleeding, ulcers, strictures, and fistula formation.
A persons response to this stress is often to eat badly.For example junk food or fast foods, or eating on the hoof. Often we eat this way without giving this much thought to it, it just becomes a habitual way of coping. Sometimes we hold in our emotions or feelings when under stress or in difficult circumstances. We swallow back or swallow down our negative feelings especially anger & this can be very bad for us both not only emotionally but for our long term physical health too.The result can be that we often end up feeling disempowered, often without even realizing this, its just how things are, feel stuck in that we cannot change things for the betterand The food we eat & the daily diet we live by. The way food is grown, harvested & produced also have an influence on our long term well being too.
Causes of Proctitis
Common causes of Proctitis
- Campylobacter.
- Salmonella.
- Shigellan.
- Sexually transmitted infections.
- Herpes simplex.
- Chemicals(hydrogen peroxide enemas).
- Gonorrhea.
- Radiation.
- Strep throat.
- Colitis.
- Amebiasis.
- Ischemia.
- Radiation therapy
- Vasculitis.
Symptoms of Proctitis
Common symptoms of Proctitis
- Rectal bleeding.
- Passing mucus through the rectum.
- Rectal pain.
- Pain in the lower left abdomen.
- A feeling of rectal fullness.
- Diarrhea.
- Hematochezia.
- Tenesmus.
Treatment of Proctitis
Common Treatment of Proctitis
- The antibiotic depends on theexually transmitted diseases.For non-sexually transmitted infections, your doctor will likely prescribe an oral antibiotic, such as ciprofloxacin, levofloxacin (Levaquin), penicillin, amoxicillin (Amoxil, Trimox), azithromycin (Zithromax), clarithromycin (Biaxin), clindamycin (Cleocin) or an antibiotic from the cephalosporin class (Keflex, Ceclor).
- Laser therapy is relatively new procedure uses a laser on the rectal lining to destroy newly formed blood vessels, thereby reducing inflammation and bleeding.
- Tetracycline or doxycycline for chlamydial proctitis.
- Antibiotics ( metronidazole, vancomycin )are the best treatment for proctitis caused by a specific bacterial infection. When proctitis is caused by use of an antibiotic that destroys normal intestinal bacteria.
- Steroid enemas or suppositories for ulcerative proctitis
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