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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 is an inflammatory process occurring in the rectum and anus. It most commonly occurs in adults with inflammatory bowel disease (eg, Crohn disease, ulcerative colitis) or sexually transmitted infections (STIs). It can also be caused by nonsexually transmitted infections, autoimmune diseases, ischemia, vasculitis, trauma, radiation (see Radiation proctitis), or medication side effects.

Proctitis typically presents with tenesmus and bloody bowel movements. 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.

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: 02/09/2018
Last Updated: 02/09/2018
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Proctitis
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Proctitis : Diarrhea, Fever, Rectal discharge, Rectal pain, Hematochezia, Tenesmus, LLQ pain
Copyright © 2019 VisualDx®. All rights reserved.