Proctitis


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proctitis

[präk′tīd·əs]
(medicine)
Inflammation of the anus or rectum.

Proctitis

 

an inflammation of the mucous membrane of the rectum.

Proctitis is generally associated with inflammatory changes in the lower intestine, such as proctosigmoiditis, colitis, and enterocolitis. There are various causes, including acute and chronic infections, food poisoning, changes in intestinal flora, and vascular, metabolic, and immunologic disorders. Secondary proctitis results from other diseases, such as rectal fistulas and hemorrhoids. Catarrhal, hemorrhagic, purulent, ulcerative, necrotic, and mixed forms of proctitis are distinguished. The course of the disease may be acute, subacute, or chronic. The most common symptoms are unpleasant sensations in the anal region, frequent stools, and discharge of mucus and sometimes blood. Rectoramanoscopy, fluoroscopy, and microbiological examination of feces are used for diagnosis. Treatment depends on the form and causes of the disease.

REFERENCE

Ryzhikh, A. N. Khirurgiia priamoi kishki: Osnovy proktologii. Moscow, 1956.

V. D. FEDOROV

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Su mas comun manifestacion clinica es la proctitis distal, erroneamente interpretada como diarrea.
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However, the range for curative treatments is very limited and the side effects include infertility, erectile dysfunction, incontinence and proctitis.
commonly asymptomatic Both sexes: * It is estimated proctitis that worldwide up to (inflammation of the 4,000 newborn babies rectum), pharyngitis become blind every (inflammation of the year because of eye throat), Reiter's infections syndrome (reactive attributable to arthritis) untreated maternal chlamydial and gonococcal infections.
4 million units IM stat for primary syphilis (repeat benzathine penicillin x 2, at weekly intervals for late syphilis), plus erythromycin 500 mg PO 6-hourly for 7 days and acyclovir 400 mg PO 8-hourly for 7 days Rectal discharge/ Cefixime 400 mg PO stat (or ceftriaxone 250mg IMI proctitis stat) plus doxycycline 100 mg 12-hourly for 7 days (also screen for syphilis and consider acyclovir if any suggestion of ulcerative anal disease).
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